个体化健康管理模式对老年结直肠癌患者希望水平及生活质量的影响
|
摘要
目的探讨个体化健康管理模式对老年结直肠癌患者希望水平及生活质量的影响。方法选取2016年9月至2017年8月收治的老年结直肠癌患者60例作为研究对象,采用随机数字法分为观察组和对照组,每组30例。对照组患者实施常规健康管理,观察组患者实施个体化健康管理。比较2组患者护理干预后肝门括约肌功能改善情况,分别采用Herth希望量表(HHI)、美国波士顿健康研究所研制的简明健康测量量表(SF-36)中文版对2组患者护理干预前、护理干预后3个月的希望水平、生活质量进行评定,另采用满意度调查表对2组患者健康教育满意度进行评价。结果观察组患者排便功能临床总有效率(93. 33%)明显高于对照组(73. 33%)(P <0. 05)。2组护理干预后3个月HHI评分、各项生活质量评分均较干预前明显改善,干预后观察组明显优于对照组(P均<0. 05)。观察组患者健康教育满意度(100%)明显高于对照组(80. 00%)(P <0. 05)。结论个体化健康管理模式能有效提高老年结直肠癌患者的希望水平及生活质量水平,患者健康知识掌握情况及治疗依从性均明显提高,患者满意度高,值得临床推广应用。
Objective To investigate the effects of individualized health management model on the hope levels and life quality of elderly patients with colorectal cancer. Methods Sixty elderly patients with colorectal cancer who were admitted and treated in our hospital from September 2016 to August 2017 were enrolled as research subjects,who were randomly divided into observation group( n = 30) and control group( n = 30). The patients in control group were given routine health management,however,the patients in observation group were given individualized health management. The improvement status of hepatic portal sphincter function after nursing intervention was observed and compared between the two groups,moreover,the hope levels and life quality of patients before and after 3-month nursing intervention were evaluated according to Herth Hope Scale( HHI) and Chinese version of the concise health measurement scale( SF-36) developed by Boston Health Institute,and the satisfaction questionnaire was used to evaluate the health education satisfaction degree in both groups. Results The total effective rate of the improvement of defecation function in observation group was 93. 33%,which was significantly higher than that( 73. 33%) in control group( P < 0. 05)). The scores of HHI and the life quality after 3-month nursing intervention were significantly improved in both groups,as compared with those before nursing intervention,moreover,the intervention effects in observation group were superior to those in control group( P < 0. 05). In addition the health education satisfaction degree in observation group was 100%,which was significantly higher than that( 80%) in control group( P < 0. 05).Conclusion The individual health management mode can effectively improve the hope levels and life quality of elderly patients with colorectal cancer,and their health knowledge and treatment compliance are significantly improved,with higher satisfaction degree,therefor,which is worthy of clinical application and promotion.
Objective To investigate the effects of individualized health management model on the hope levels and life quality of elderly patients with colorectal cancer. Methods Sixty elderly patients with colorectal cancer who were admitted and treated in our hospital from September 2016 to August 2017 were enrolled as research subjects,who were randomly divided into observation group( n = 30) and control group( n = 30). The patients in control group were given routine health management,however,the patients in observation group were given individualized health management. The improvement status of hepatic portal sphincter function after nursing intervention was observed and compared between the two groups,moreover,the hope levels and life quality of patients before and after 3-month nursing intervention were evaluated according to Herth Hope Scale( HHI) and Chinese version of the concise health measurement scale( SF-36) developed by Boston Health Institute,and the satisfaction questionnaire was used to evaluate the health education satisfaction degree in both groups. Results The total effective rate of the improvement of defecation function in observation group was 93. 33%,which was significantly higher than that( 73. 33%) in control group( P < 0. 05)). The scores of HHI and the life quality after 3-month nursing intervention were significantly improved in both groups,as compared with those before nursing intervention,moreover,the intervention effects in observation group were superior to those in control group( P < 0. 05). In addition the health education satisfaction degree in observation group was 100%,which was significantly higher than that( 80%) in control group( P < 0. 05).Conclusion The individual health management mode can effectively improve the hope levels and life quality of elderly patients with colorectal cancer,and their health knowledge and treatment compliance are significantly improved,with higher satisfaction degree,therefor,which is worthy of clinical application and promotion.
引文
1徐丽娟,吴凌云,蒋雨玲,等.个体化健康管理对老年肥胖患者的干预效果.职业与健康,2015,31:1413-1415.
2韩玉亭,孙正凯,宫振霞,等.个体化健康管理模式对糖尿病合并冠心病患者自我效能感及遵医行为的影响.山东医药,2016,56:65-67.
3袁君兰,李长英,钟吉华,等.健康管理模式对肿瘤化疗患者的临床影响.重庆医学,2017,46:2540-2542.
4王晶,刘成博,周亦伦,等.个体化健康管理对维持性血液透析患者水钠控制依从性的影响.中华护理杂志,2016,51:1188-1192.
5王倩,支晓,武鹏,等.医院-社区协同健康管理模式在脑卒中高危人群中的干预效果研究.中国全科医学,2017,20:3205-3209.
6马磊,丁克,刘广余,等.经肛门括约肌间切除术治疗超低位直肠癌根治效果及术后肛门功能观察.中华胃肠外科杂志,2015,18:688-692.
7郭丝锦,刘花蕊,卫宝玲,等.乳腺癌患者术后希望水平与自我效能心理调查.中国肿瘤,2016,25:237-240.
8胡彩平,林毅,李秋萍.SF-36量表与QLQ-C30量表在老年癌症病人生活质量评估中的应用及其相关性研究.护理研究,2015,29:2968-2972.
9刘茉,王亚东,王贵齐,等.慢病管理人群与自然人群结直肠癌筛查知信行现状及影响因素研究.中国预防医学杂志,2015,16:950-954.
10粟琼瑜,刘洁珍,蔡琼,等.个体化健康管理对超高龄结直肠癌患者希望水平的影响.广州医药,2017,48:75-77.
11薛继莲,幸永凤,王丹环,等.临床路径及延伸服务在结直肠癌病人化疗中的应用研究.护理研究,2017,31:736-738.
12陈依琳,张美芬,覃惠英,等.结直肠癌患者口服化疗药依从性与健康信念相关性的研究.中国护理管理,2017,17:1282-1286.
13叶维林,郝改艳.个体化健康教育改善直肠癌患者术后生存质量的临床研究.实用临床医药杂志,2016,20:95-97.
14罗莉,吕真冰,杨华,等.协同护理模式对低位直肠癌患者保肛术后肛门括约肌功能训练效果的影响.中华现代护理杂志,2016,22:2404-2407.
2韩玉亭,孙正凯,宫振霞,等.个体化健康管理模式对糖尿病合并冠心病患者自我效能感及遵医行为的影响.山东医药,2016,56:65-67.
3袁君兰,李长英,钟吉华,等.健康管理模式对肿瘤化疗患者的临床影响.重庆医学,2017,46:2540-2542.
4王晶,刘成博,周亦伦,等.个体化健康管理对维持性血液透析患者水钠控制依从性的影响.中华护理杂志,2016,51:1188-1192.
5王倩,支晓,武鹏,等.医院-社区协同健康管理模式在脑卒中高危人群中的干预效果研究.中国全科医学,2017,20:3205-3209.
6马磊,丁克,刘广余,等.经肛门括约肌间切除术治疗超低位直肠癌根治效果及术后肛门功能观察.中华胃肠外科杂志,2015,18:688-692.
7郭丝锦,刘花蕊,卫宝玲,等.乳腺癌患者术后希望水平与自我效能心理调查.中国肿瘤,2016,25:237-240.
8胡彩平,林毅,李秋萍.SF-36量表与QLQ-C30量表在老年癌症病人生活质量评估中的应用及其相关性研究.护理研究,2015,29:2968-2972.
9刘茉,王亚东,王贵齐,等.慢病管理人群与自然人群结直肠癌筛查知信行现状及影响因素研究.中国预防医学杂志,2015,16:950-954.
10粟琼瑜,刘洁珍,蔡琼,等.个体化健康管理对超高龄结直肠癌患者希望水平的影响.广州医药,2017,48:75-77.
11薛继莲,幸永凤,王丹环,等.临床路径及延伸服务在结直肠癌病人化疗中的应用研究.护理研究,2017,31:736-738.
12陈依琳,张美芬,覃惠英,等.结直肠癌患者口服化疗药依从性与健康信念相关性的研究.中国护理管理,2017,17:1282-1286.
13叶维林,郝改艳.个体化健康教育改善直肠癌患者术后生存质量的临床研究.实用临床医药杂志,2016,20:95-97.
14罗莉,吕真冰,杨华,等.协同护理模式对低位直肠癌患者保肛术后肛门括约肌功能训练效果的影响.中华现代护理杂志,2016,22:2404-2407.