摘要
目的探究团队工作管理模式对肾癌患者术后延续护理效果的影响,提高临床护理质量。方法选取2013年12月—2014年12月在哈尔滨医科大学附属第四医院接受治疗的肾癌患者92例,按照单纯随机抽样方式分为对照组和实验组;2组患者出院后均实施常规延续护理,包括与社区转介、随访、术后4~5周进行复查CT/MRI、门诊复诊、专题讲座等。实验组在此基础上实施以团队工作模式的延续护理,主要包括:心理咨询组、同伴志愿组等6个小组协同护理;采用世界卫生组织生存质量测定量表(WHOQOL-100)评定2组患者出院时及出院6个月后生存质量,比较干预效果。结果实验组和对照组患者在术后6个月生存质量的评分分别为41.22±3.87、71.17±3.82,实验组高于对照组,差异具有统计学意义(P<0.05);实验组和对照组患者术后6个月SAS/SDS的评分分别是27.78±3.67、28.28±4.73;58.48±4.39、56.28±4.73,实验组评分低于对照组,差异具有统计学意义(P<0.05)。结论团队工作管理模式能够提高患者的生存质量,减轻患者的负面情绪,术后延续护理效果显著,具有重要的临床推广价值。
Objective To explore the effect of team work management mode on nursing care of patients with renal carcinoma after operation and improve the quality of clinical nursing. Methods Ninety-two cases of renal carcinoma treated in our hospital were selected from December,2013 to December,2014,and divided into the control group and the experimental group according to the simple random sampling. Two groups of patients discharged after the implementation of the continuation of regular nursing,including the community referral and follow-up 4-5 weeks postoperative follow-up CT/MRI,outpatient visits,seminars etc. Experimental group based on this implemented team work management mode on nursing care,mainly including： psychological consulting group,peer volunteer groups,six groups of collaborative care; measurement scale by the world health organization quality of life（ WHOQOL-100） was used to evaluate the quality of life of the patients when discharged and 6 months after discharge,thus to compare the intervention effect. Results The survival quality score of patients after six months ＇of discharge in the experimental group and the control group was 41. 22 ± 3. 87,71. 17 ± 3. 82 respectively; experimental group is higher than that of the control group,and the data difference has statistical significance（ P〈0. 05）; experimental group and the control group of SAS/SDS score respectively 27. 78 ± 3. 67,28. 28 ± 4. 73,58. 48 ± 4. 39,56. 28 ± 4. 73; experimental group scores were lower than the control group and the differences were statistically significant（ P〈0. 05）. Conclusion The team work management mode can improve the quality of life of patients,reduce the negative emotions of patients. Postoperative care effect is significant,and has important clinical values.
出处
《中华全科医学》
2017年第4期697-699,共3页
Chinese Journal of General Practice
基金
国家临床重点专科建设经费资助项目(2012-649)
关键词
团队工作管理模式
肾癌患者
延续护理
Team work management mode
Renal cancer patients
Continuing care
