4C延续护理对食管癌伴焦虑患者生活质量的影响
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摘要
目的分析4C延续护理对食管癌伴焦虑患者生活质量的影响。方法选取2015年6～9月在四川省南充市某三级甲等综合医院胸心外科、肿瘤科收治的焦虑自评量表(SAS)得分≥50分的80例食管癌确诊患者,出院前3 d开始实施4C延续护理,6个月后比较分析患者焦虑和生活质量的情况。结果实施4C延续护理干预6个月后,食管癌患者SAS得分显著低于干预前,差异有统计学意义(P <0.05),生活质量得分显著高于干预前,差异有统计学意义(P <0.05)。结论 4C延续护理干预能够改善食管癌患者的焦虑状况,并提高患者的生活质量。
Objective To explore the influence of 4 C continuous nursing on the quality of life of esophageal carcinoma patients with anxiety. Methods From June to September 2015, 80 esophageal cancer diagnosed patients with anxiety self-rating scale(SAS) score ≥ 50 in department of thoracic surgery and oncology of a tertiary hospital in Nanchong City, Sichuan Province were selected. 4 C continuous nursing was implemented three days before discharge, and anxiety and quality of life were compared and analyzed six months later. Results After the implementation of 4 C continuous nursing intervention for 6 months, the SAS score of esophageal cancer patients was significantly lower than that before the intervention, with statistically significant differences(P < 0.05), and the quality of life score was significantly higher than that before the intervention, with statistically significant differences(P < 0.05). Conclusion 4 C continuous nursing intervention can improve the anxiety of patients with esophageal cancer and improve the quality of life of patients.
Objective To explore the influence of 4 C continuous nursing on the quality of life of esophageal carcinoma patients with anxiety. Methods From June to September 2015, 80 esophageal cancer diagnosed patients with anxiety self-rating scale(SAS) score ≥ 50 in department of thoracic surgery and oncology of a tertiary hospital in Nanchong City, Sichuan Province were selected. 4 C continuous nursing was implemented three days before discharge, and anxiety and quality of life were compared and analyzed six months later. Results After the implementation of 4 C continuous nursing intervention for 6 months, the SAS score of esophageal cancer patients was significantly lower than that before the intervention, with statistically significant differences(P < 0.05), and the quality of life score was significantly higher than that before the intervention, with statistically significant differences(P < 0.05). Conclusion 4 C continuous nursing intervention can improve the anxiety of patients with esophageal cancer and improve the quality of life of patients.
引文
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[14]赵诗琳,吴京平,赫军,等.乳腺癌患者的情绪障碍及应对方式的初步研究[J].中国临床心理学杂志,2001,9(4):286-287.
[15]石玉柱,连斌,吴宏,等.手术切除与PMCT治疗原发性小肝癌患者焦虑、抑郁状况的对比分析[J].成都医学院学报,2016,11(1):35-39.
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[20]陈婷,李茜茜.早期肠内营养护理在食管癌围手术期快速康复治疗中的应用[J].成都医学院学报,2016,11(6):720-723.
[21]曹芳,赵建蓉.心理护理对食管癌放疗合并焦虑患者生活质量的影响分析[J].中国实用医药,2017,12(18):182-184.
[22]王淑芳,徐妍,李凤莲,等.心理护理干预对食管癌根治术患者焦虑抑郁和生活质量的影响[J].中国肿瘤临床与康复,2016,23(9):1108-1111.
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[24]施亚平,徐旭燕.消化道恶性肿瘤肺转移患者纤支镜消融与保守化疗的存活期及生活质量随访[J].现代消化及介入诊疗,2016,21(3):383-386.
[25]程志祥,钱晓萍,刘宝瑞.生活质量评价在肿瘤治疗中的应用[J].现代肿瘤医学,2008,16(10):1817-1819.
[26]李念.护理干预对消化系统恶性肿瘤患者社会支持度及疾病不确定感的影响[J].现代消化及介入诊疗,2016,21(2):275-277.
[2] Choi EP,Wong CK,Tsu JH,et al. Health-related quality of life of Chinese patients with prostate cancer populations[J].Support Care Cancer,2016,24(4):1849-1856.
[3]彭植强,林彬,陈时新.药物与心理干预对恶性肿瘤相关性抑郁焦虑患者疼痛和生活质量的影响[J].湖北中医杂志,2017,39(7):30-31.
[4]王少玲,黄金月,周家仪.建立慢性阻塞性肺疾病延续护理的循证实践[J].中华护理杂志,2009,44(5):431-434.
[5] Monk BJ,Huang HQ,Cella D. Quality of life outcomes from a randomized phaseⅢtrial of cisplatin with or without topotecan in advanced carcinoma of the cervix:a Gynecologic oncology group study[J]. Clin Oncol,2005,23(21):4617-4625.
[6]戴晓阳.常用心理评估量表手册[M].北京:人民军医出版社,2013:153-156.
[7]王芳芳.焦虑自评量表在中学生中的测试[J].中国学校卫生,1994(3):202-203.
[8]李春波.焦虑症患者心理生理学反应研究[J].中国心理卫生杂志,2000,14(5):337-340.
[9] Aaronson NK,Ahmedzai S,Bergman B,et al. The European Organization for Research and Treatment of Cancer QLQ 2C30:a quality of life instrument for use in international clinical trials in oncology[J]. J N at Cancer Inst,1993,85(5):365-376.
[10] Aaronson NK,Cull A,Kaasa S,et al. The EORTC modular app roach to quality of life assessment in oncology[J].Int J M ent Health,1994,23(4):75-96.
[11]国家卫生和计划生育委员会.全国护理事业发展规划(2016-2020年)[J].中国护理管理,2017,17(1):1-5.
[12] Dowlatabadi MM,Ahmadi SM,Sorbi MH,et al. The effectiveness of group positive psychotherapy on depression and happiness in breast cancer patients:a randomized controlled trial[J]. Electron Physician,2016,8(3):2175-2180.
[13]郑夏玲.早期宫颈癌术后4C延续性护理干预对患者心理状况及生活质量的影响[J].检验医学与临床,2016,13(24):3500-3503.
[14]赵诗琳,吴京平,赫军,等.乳腺癌患者的情绪障碍及应对方式的初步研究[J].中国临床心理学杂志,2001,9(4):286-287.
[15]石玉柱,连斌,吴宏,等.手术切除与PMCT治疗原发性小肝癌患者焦虑、抑郁状况的对比分析[J].成都医学院学报,2016,11(1):35-39.
[16]刘巍,宋丽楠,关丽云,等.胸段食管癌及食管胃交界部癌根治术后患者生存质量影响因素的研究[J].中国肿瘤临床,2009,36(15):875-878.
[17]李淼,汪淼芹,苏霖,等.食管癌患者应用4C延续护理模式的实践研究[J].四川医学,2017,28(4):476-479.
[18] Cook O,McIntyre M,Recoche K. Exploration of the role of specialist nurses in the care of woman with gynecological cancer:a systematic review[J]. J Clin Nurs,2015,24(5/6):683-695.
[19]周莲清.宫颈病患者家庭护理干预模式及效果的研究[J].中华现代护理杂志,2011,17(16):1920-1922.
[20]陈婷,李茜茜.早期肠内营养护理在食管癌围手术期快速康复治疗中的应用[J].成都医学院学报,2016,11(6):720-723.
[21]曹芳,赵建蓉.心理护理对食管癌放疗合并焦虑患者生活质量的影响分析[J].中国实用医药,2017,12(18):182-184.
[22]王淑芳,徐妍,李凤莲,等.心理护理干预对食管癌根治术患者焦虑抑郁和生活质量的影响[J].中国肿瘤临床与康复,2016,23(9):1108-1111.
[23] Johnson JR,Temple R. Food and drug administraton requirements for approval of new anticancer drugs[J].Cancer Treat Rep,1985,69(10):1155-1157.
[24]施亚平,徐旭燕.消化道恶性肿瘤肺转移患者纤支镜消融与保守化疗的存活期及生活质量随访[J].现代消化及介入诊疗,2016,21(3):383-386.
[25]程志祥,钱晓萍,刘宝瑞.生活质量评价在肿瘤治疗中的应用[J].现代肿瘤医学,2008,16(10):1817-1819.
[26]李念.护理干预对消化系统恶性肿瘤患者社会支持度及疾病不确定感的影响[J].现代消化及介入诊疗,2016,21(2):275-277.