延续性护理干预对颅内肿瘤术后患者负性情绪、睡眠质量及护理满意度的影响
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摘要
目的探讨实施延续性护理干预对颅内肿瘤术后患者负性情绪、生活质量、睡眠质量、并发症发生率及护理满意度的影响。方法选择2016年1月~2017年1月在南通大学附属医院进行治疗的颅内肿瘤术后患者90例,按照随机数字表法分为对照组和观察组,每组各45例。对照组给予常规护理干预,观察组给予延续性护理干预。采用焦虑(SAS)抑郁(SDS)自评量表、世界卫生组织生存质量简表(WHOQOL-BREF)和匹兹堡睡眠质量指数(PSQI)对两组负性情绪、生活质量、睡眠质量进行评估。比较护理干预后两组患者的并发症发生率和护理满意度。结果护理后两组SAS及SDS评分均低于护理前,观察组明显低于对照组,差异均有统计学意义(P<0.05)。护理后两组患者生活质量心理领域、生理领域、环境领域和社会关系领域评分均高于护理前,观察组明显高于对照组,差异有统计学意义(P<0.05)。护理后观察组睡眠质量、睡眠时间、睡眠效率、睡眠障碍、催眠药物、日间功能障碍及入睡时间各项评分均低于对照组,差异均有统计学意义(P<0.05)。观察组并发症总发生率明显低于对照组,护理满意度明显高于对照组,差异有统计学意义(P<0.05)。结论延续性护理干预可明显提高颅内肿瘤术后患者的生活质量和护理满意度,改善睡眠质量,降低负性情绪和并发症发生率,值得临床推广与应用。
Objective To study the effects of continue nursing intervention on negative emotions, sleep quality, incidence of complications and nursing satisfaction in postoperative patients with intracranial tumor. Methods From January 2016 to January 2017, 90 cases of postoperative patients with intracranial tumor in Affiliated Hospital of Nantong University were divided into the control groups and the observation group by random number table, with 45 cases in each group.The control group was given routine nursing intervention, while the observation group was given continue nursing intervention. The self-anxiety scale(SAS) and self-depresion scale(SDS), the world health organization quality of life-brief(WHOQOL-BREF) and Pittsburgh sleep quality index(PSQI) were used to assess the negative emotions, life quality and sleep quality of patients in the two groups. The incidence of complications and nursing satisfaction in two groups were compared. Results After nursing, the scores of SAS and SDS were lower than those of before nursing in the two groups,those scores above in the observation group were much lower than those of control group, with statistically significant differences(P < 0.05). After nursing, the scores such as psychological, physiological, environmental and social domains of life quality were all higher than those of before nursing, the indexes above in the observation group were all higher than those of control group(P < 0.05). After nursing, the item scores of sleep quality, sleep duration, sleep efficiency, sleep disturbance, hypnotic drugs, daytime dysfunction and time of sleep in the observation group were all lower than those in the control group, with statistically significant differences(P < 0.05). The incidence of complications in the observation group was lower than that of control group and the nursing satisfaction was higher than that of control group, with statistically significant differences(P < 0.05). Conclusion Continue nursing intervention can significantly enhance the life quality, improve the nursing satisfaction, improve sleep quality, reduce the negative emotions and incidence of complications in the treatment of postoperative patients with intracranial tumor. It is worthy of promotion and application.
Objective To study the effects of continue nursing intervention on negative emotions, sleep quality, incidence of complications and nursing satisfaction in postoperative patients with intracranial tumor. Methods From January 2016 to January 2017, 90 cases of postoperative patients with intracranial tumor in Affiliated Hospital of Nantong University were divided into the control groups and the observation group by random number table, with 45 cases in each group.The control group was given routine nursing intervention, while the observation group was given continue nursing intervention. The self-anxiety scale(SAS) and self-depresion scale(SDS), the world health organization quality of life-brief(WHOQOL-BREF) and Pittsburgh sleep quality index(PSQI) were used to assess the negative emotions, life quality and sleep quality of patients in the two groups. The incidence of complications and nursing satisfaction in two groups were compared. Results After nursing, the scores of SAS and SDS were lower than those of before nursing in the two groups,those scores above in the observation group were much lower than those of control group, with statistically significant differences(P < 0.05). After nursing, the scores such as psychological, physiological, environmental and social domains of life quality were all higher than those of before nursing, the indexes above in the observation group were all higher than those of control group(P < 0.05). After nursing, the item scores of sleep quality, sleep duration, sleep efficiency, sleep disturbance, hypnotic drugs, daytime dysfunction and time of sleep in the observation group were all lower than those in the control group, with statistically significant differences(P < 0.05). The incidence of complications in the observation group was lower than that of control group and the nursing satisfaction was higher than that of control group, with statistically significant differences(P < 0.05). Conclusion Continue nursing intervention can significantly enhance the life quality, improve the nursing satisfaction, improve sleep quality, reduce the negative emotions and incidence of complications in the treatment of postoperative patients with intracranial tumor. It is worthy of promotion and application.
引文
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[16]马霖.颅内肿瘤患者围手术期心理护理干预的分析[J].中国肿瘤临床与康复,2015,22(1):92-94.
[17]张佳佳,徐希德,顾宇丹,等.认知行为干预对颅内肿瘤术后患者睡眠质量及并发症的改善分析[J].中国临床研究,2017,30(3):426-428.
[18]徐丽丽,张秀芳.心理干预对颅内肿瘤患者心理健康的影响[J].中西医结合心血管病杂志,2016,4(23):155-156.
[19]张媛媛.重型颅脑损伤病人延续性护理需求现状[J].护理研究,2015,29(3):289-292.
[20]刘敏杰,张兰凤.采用结构—过程—结果三维质量评价模式实施延续护理的实践[J].中华护理杂志,2015,50(1):74.
[2]Orr BA,Bai H,Odia Y,et al.Yes-associated protein 1 is widely expressed in human brain tumors and promotes glioblastoma growth[J].J Neuropath Exp Neur,2011,70(7):568-577.
[3]杨彪,李柏成,张正保,等.X连锁凋亡抑制蛋白表达水平对颅内肿瘤切除术预后状况的影响[J].检验医学与临床,2017,14(8):1065-1067.
[4]王新军,宫崧峰,贾军,等.Yes相关蛋白及其与颅内肿瘤关系的研究进展[J].转化医学电子杂志,2017,4(7):83-85.
[5]Chan SW,Lim CJ,Chen L,et al.The hipp o pathway in biological control and cancer development[J].J Cell Physiol,2011,226(4):928-939.
[6]Fernandez LA,Squatrito M,Northcott P,et al.Oncogenic YAP promotes radioresistance and genomic instability in medulloblastoma through IGF2-mediated Akt activation[J].Oncogene,2012,31(15):1923-1937.
[7]瘳燕桃,刘永娟,何燕,等.延续性护理模式对颅内肿瘤病人焦虑的作用及其影响因素分析[J].中国临床神经外科杂志,2017,22(4):266-267.
[8]孙雪春.延迟护理对颅内动脉瘤患者术后生存质量的影响[J].当代护士:下旬版,2014(7):3-5.
[9]高燕芬.认知行为干预联合音乐疗法对颅内肿瘤术后患者负性情绪及睡眠质量的影响[J].现代中西医结合杂志,2016,25(18):2047-2049.
[10]张越月,徐平.病毒感染与原发性颅内肿瘤相关性研究[J].医学综述,2017,23(5):901-906.
[11]Tanaka I,Osada H,Fujii M,et al.LIM-domain protein AJUBA suppresses malignant mesothelioma cell proliferation via Hippo signaling cascade[J].Oncogene,2015,34(1):73-83.
[12]Brodowska K,Al-Moujahed A,Marmalidou A,et al.The clinically used photosensitizer Verteporfin(VP)inhibits YAP-TEAD and human retinoblastoma cell growth in vitro without light activation[J].Exp Eye Res,2014,124(8):67-73.
[13]刘爱玲,莫伟,石泽亚,等.颅内动脉瘤介入术后出院病人延续性护理的现状与影响因素分析[J].全科护理,2016,14(28):3013-3014.
[14]朱昭,徐峰,陈虹.延续护理干预对脑卒中患者生存质量的影响[J].护理研究,2013,27(1B):122-123.
[15]齐华英.颅内动脉瘤介入术后患者的延续性护理发展前景[J].武警后勤学院学报:医学版,2015,24(8):677-680.
[16]马霖.颅内肿瘤患者围手术期心理护理干预的分析[J].中国肿瘤临床与康复,2015,22(1):92-94.
[17]张佳佳,徐希德,顾宇丹,等.认知行为干预对颅内肿瘤术后患者睡眠质量及并发症的改善分析[J].中国临床研究,2017,30(3):426-428.
[18]徐丽丽,张秀芳.心理干预对颅内肿瘤患者心理健康的影响[J].中西医结合心血管病杂志,2016,4(23):155-156.
[19]张媛媛.重型颅脑损伤病人延续性护理需求现状[J].护理研究,2015,29(3):289-292.
[20]刘敏杰,张兰凤.采用结构—过程—结果三维质量评价模式实施延续护理的实践[J].中华护理杂志,2015,50(1):74.