子宫内膜癌患者术后延续性干预管理价值探究
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摘要
目的探究子宫内膜癌患者术后延续性干预管理模式对疾病康复的作用。方法选取2013年5月至2016年2月四川省第二人民医院行手术治疗的子宫内膜癌患者120例,按随机数字表法分为观察组和对照组,每组60例。对照组实施围手术期常规干预模式,观察组在此基础上给予术后延续性干预管理模式,比较两组患者术后生存质量、心理状态及术后中远期并发症发生率。结果观察组患者干预后功能领域(躯体、角色、认知、情绪、社会)评分高于干预前和对照组,症状领域(疲劳、疼痛、恶心和呕吐)评分、心理状态(汉密尔顿焦虑量表和抑郁量表)评分低于干预前和对照组,差异均有统计学意义(P<0.05)。随访期间观察组患者术后中远期并发症发生率(5.0%)低于对照组(18.3%)(P<0.05)。护理满意度观察组(93.2%)高于对照组(81.6%)(P<0.05)。结论对子宫内膜癌患者实施延续性干预管理模式能有效改善患者心理状态,提高生存质量,降低中远期并发症发生率。
Objective To explore the significance of postoperative extended intervention management in the recovery process of endometrial cancer patients. Methods Selected 120 cases of endometrial cancer patients undergoing surgical treatment in Second People's Hospital of Sichuan Province from May 2013 to February 2016,and divided them into observation group and control group according to the random number table method,60 cases in each group. The control group were given routine perioperative intervention,and the observation group were given extending intervention mode of management after operation. The postoperative quality of life,psychological status,and incidence of postoperative complications were compared between the two groups. Results The function score of patients in the observation group after the intervention( physical,cognitive,emotional,social role) were higher than those before the intervention and the control group,while symptoms scores( fatigue,pain,nausea and vomiting) and the scores of Hamilton Anxiety Scale and Hamilton Depression Scale after intervention were lower than those before the intervention and the control group,the differences were statistically significant( P < 0. 05). The incidence of postoperative complications in the observation group( 5. 0 %)was lower than that in the control group( 18. 3 %)( P < 0. 05). The nursing satisfaction rate of observation group( 93. 2 %) was higher than that of the control group( 81. 6 %)( P < 0. 05). Conclusion The implementation of a continuous intervention management model for patients with endometrial cancer can effectively improve the patients' psychological state,improve the quality of life,and reduce the incidence of mid-term and long-term complications.
Objective To explore the significance of postoperative extended intervention management in the recovery process of endometrial cancer patients. Methods Selected 120 cases of endometrial cancer patients undergoing surgical treatment in Second People's Hospital of Sichuan Province from May 2013 to February 2016,and divided them into observation group and control group according to the random number table method,60 cases in each group. The control group were given routine perioperative intervention,and the observation group were given extending intervention mode of management after operation. The postoperative quality of life,psychological status,and incidence of postoperative complications were compared between the two groups. Results The function score of patients in the observation group after the intervention( physical,cognitive,emotional,social role) were higher than those before the intervention and the control group,while symptoms scores( fatigue,pain,nausea and vomiting) and the scores of Hamilton Anxiety Scale and Hamilton Depression Scale after intervention were lower than those before the intervention and the control group,the differences were statistically significant( P < 0. 05). The incidence of postoperative complications in the observation group( 5. 0 %)was lower than that in the control group( 18. 3 %)( P < 0. 05). The nursing satisfaction rate of observation group( 93. 2 %) was higher than that of the control group( 81. 6 %)( P < 0. 05). Conclusion The implementation of a continuous intervention management model for patients with endometrial cancer can effectively improve the patients' psychological state,improve the quality of life,and reduce the incidence of mid-term and long-term complications.
引文
[1]韩莉,李贞.认知护理干预对子宫内膜癌患者生活质量的影响分析[J].中国医药指南,2017,15(31):268-269.
[2]赵淑萍,马德花.子宫内膜癌干预生存质量影响因素[J].中国实用妇科与产科杂志,2014,27(11):857-859.
[3]高颉,齐歆,张颖.照顾者参与的护理模式对子宫内膜癌患者心理状态、生活质量的影响[J].中国医药导报,2017,14(20):152-155.
[4]魏晚霞.延伸性护理对子宫内膜癌术后30例生存质量的影响[J].中国民族民间医药,2015,24(6):139.
[5]滕芳,滕建玲.支持性心理护理及康复指导对子宫内膜癌患者术后的影响[J].世界最新医学信息文摘,2015,15(35):215,100.
[6]严美爱.认知护理干预措施对子宫内膜癌化疗患者心理状态的影响探析[J].实用临床护理学电子杂志,2017,2(19):111-113.
[7]马莹,郑锦萍.延伸性护理对子宫内膜癌病人干预生存质量的影响[J].护理实践与研究,2017,14(7):89-91.
[8]楼亚飞,卓志红.针对性心理护理对腹腔镜子宫内膜癌患者术后心理状态及生活质量的影响[J].中国现代医生,2016,54(34):142-144,149.
[9]戈娟,凌笑琼,罗鹏.针对性心理护理对腹腔镜子宫内膜癌干预患者焦虑抑郁情绪的影响[J].齐齐哈尔医学院学报,2017,38(16):1963-1965.
[10]张京京,王玉.认知护理干预对经TC化疗的子宫内膜癌患者生命质量及疼痛程度的影响[J].检验医学与临床,2016,13(1):35-37.
[11]刘青.延伸性护理在58例根治性子宫全切除术子宫内膜癌患者中的应用[J].黑龙江医药,2014,27(3):704-705.
[12]徐珍,彭芝兰,曾俐琴,等.358例子宫内膜癌手术方式及影响预后的危险因素分析[J].实用妇产科杂志,2015,31(4):274-277.
[13]姚雪萍.延伸性护理在子宫内膜癌手术患者中的应用[J].齐鲁护理杂志,2017,23(12):23-24.
[14]李政亮,张柳,周敏.延伸性护理对子宫内膜癌患者干预生存质量的影响效果[J].中外医疗,2017,36(15):174-176.
[15]宋菊.延伸性护理对子宫内膜癌术后生存质量的影响[J].中国医药指南,2016,14(7):236-237.
[2]赵淑萍,马德花.子宫内膜癌干预生存质量影响因素[J].中国实用妇科与产科杂志,2014,27(11):857-859.
[3]高颉,齐歆,张颖.照顾者参与的护理模式对子宫内膜癌患者心理状态、生活质量的影响[J].中国医药导报,2017,14(20):152-155.
[4]魏晚霞.延伸性护理对子宫内膜癌术后30例生存质量的影响[J].中国民族民间医药,2015,24(6):139.
[5]滕芳,滕建玲.支持性心理护理及康复指导对子宫内膜癌患者术后的影响[J].世界最新医学信息文摘,2015,15(35):215,100.
[6]严美爱.认知护理干预措施对子宫内膜癌化疗患者心理状态的影响探析[J].实用临床护理学电子杂志,2017,2(19):111-113.
[7]马莹,郑锦萍.延伸性护理对子宫内膜癌病人干预生存质量的影响[J].护理实践与研究,2017,14(7):89-91.
[8]楼亚飞,卓志红.针对性心理护理对腹腔镜子宫内膜癌患者术后心理状态及生活质量的影响[J].中国现代医生,2016,54(34):142-144,149.
[9]戈娟,凌笑琼,罗鹏.针对性心理护理对腹腔镜子宫内膜癌干预患者焦虑抑郁情绪的影响[J].齐齐哈尔医学院学报,2017,38(16):1963-1965.
[10]张京京,王玉.认知护理干预对经TC化疗的子宫内膜癌患者生命质量及疼痛程度的影响[J].检验医学与临床,2016,13(1):35-37.
[11]刘青.延伸性护理在58例根治性子宫全切除术子宫内膜癌患者中的应用[J].黑龙江医药,2014,27(3):704-705.
[12]徐珍,彭芝兰,曾俐琴,等.358例子宫内膜癌手术方式及影响预后的危险因素分析[J].实用妇产科杂志,2015,31(4):274-277.
[13]姚雪萍.延伸性护理在子宫内膜癌手术患者中的应用[J].齐鲁护理杂志,2017,23(12):23-24.
[14]李政亮,张柳,周敏.延伸性护理对子宫内膜癌患者干预生存质量的影响效果[J].中外医疗,2017,36(15):174-176.
[15]宋菊.延伸性护理对子宫内膜癌术后生存质量的影响[J].中国医药指南,2016,14(7):236-237.