西部中医药
西部中醫藥
서부중의약
Western Journal of Traditional Chinese Medicine
2015年
10期
117-119
,共3页
个案管理模式%护理%鼻中隔矫正术%心理%生活质量
箇案管理模式%護理%鼻中隔矯正術%心理%生活質量
개안관리모식%호리%비중격교정술%심리%생활질량
individual case management%nursing%nasal sputum deviation reconstruction%the psychology%quality of life
目的：探讨个案管理模式护理对鼻内镜下鼻中隔偏曲矫正术患者心理和生活质量的影响。方法：将63例患者按照就诊顺序分为对照组30例和观察组33例。对照组实施常规护理，观察组给予个案管理模式护理，比较护理前后患者焦虑自评量表(SAS)、抑郁自评量表(SDS)评分变化，记录2组生活质量核心量表(QOL-C30)评分变化。结果：护理前，2组患者SAS评分和SDS评分比较差异无统计学意义(P＞0.05)，护理后，观察组SAS评分和SDS评分明显低于对照组(P＜0.05)。护理前，2组患者QOL-C30量表的各维度评分比较差异无统计学意义(P＞0.05)，护理后，观察组患者心理功能、躯体功能和社会功能维度评分显著高于对照组(P＜0.05)，2组物质生活维度评分比较差异无统计学意义(P＞0.05)。结论：个案管理模式护理可有效改善鼻中隔偏曲矫正术患者的心理健康，提高生活质量。
目的：探討箇案管理模式護理對鼻內鏡下鼻中隔偏麯矯正術患者心理和生活質量的影響。方法：將63例患者按照就診順序分為對照組30例和觀察組33例。對照組實施常規護理，觀察組給予箇案管理模式護理，比較護理前後患者焦慮自評量錶(SAS)、抑鬱自評量錶(SDS)評分變化，記錄2組生活質量覈心量錶(QOL-C30)評分變化。結果：護理前，2組患者SAS評分和SDS評分比較差異無統計學意義(P＞0.05)，護理後，觀察組SAS評分和SDS評分明顯低于對照組(P＜0.05)。護理前，2組患者QOL-C30量錶的各維度評分比較差異無統計學意義(P＞0.05)，護理後，觀察組患者心理功能、軀體功能和社會功能維度評分顯著高于對照組(P＜0.05)，2組物質生活維度評分比較差異無統計學意義(P＞0.05)。結論：箇案管理模式護理可有效改善鼻中隔偏麯矯正術患者的心理健康，提高生活質量。
목적：탐토개안관리모식호리대비내경하비중격편곡교정술환자심리화생활질량적영향。방법：장63례환자안조취진순서분위대조조30례화관찰조33례。대조조실시상규호리，관찰조급여개안관리모식호리，비교호리전후환자초필자평량표(SAS)、억욱자평량표(SDS)평분변화，기록2조생활질량핵심량표(QOL-C30)평분변화。결과：호리전，2조환자SAS평분화SDS평분비교차이무통계학의의(P＞0.05)，호리후，관찰조SAS평분화SDS평분명현저우대조조(P＜0.05)。호리전，2조환자QOL-C30량표적각유도평분비교차이무통계학의의(P＞0.05)，호리후，관찰조환자심리공능、구체공능화사회공능유도평분현저고우대조조(P＜0.05)，2조물질생활유도평분비교차이무통계학의의(P＞0.05)。결론：개안관리모식호리가유효개선비중격편곡교정술환자적심리건강，제고생활질량。
Objective:To explore the effects of individual case management mode nursing on the psychology and quality of life (QOL) of the patients who accepted nasal sputum deviation reconstruction under nasal endoscopy. Methods:All 63 patients were randomized into 30 cases of the control group and 33 cases of the observation group according to visiting time. The control group received routine care and the observation group individual case man-agement nursing, to compare self rating anxiety scale (SAS) and self rating depression scale (SDS) between before and after nursing, and to record the changes of QOL-C30 in both groups. Results: Before nursing, SAS and SDS were compared between both groups and the difference had no statistical meaning (P>0.05), after nursing, the ob-servation group was lower than the control group in SAS and SDS obviously (P<0.05). Before nursing, the dimen-sional scales of QOL-C30 were compared between both groups and the difference showed no statistical meaning (P>0.05), after nursing, the observation group was superior to the control group in dimensional scales of psycholog-ical functions, somatic function and social functions obviously (P<0.05),the difference had no statistical meaning in the comparison of life dimensional scales between both groups (P>0.05). Conclusion:Individual case management nursing could effectively improve psychological health and QOL of the patients who accepted nasal sputum devia-tion reconstruction under nasal endoscopy.
