摘要
目的探讨全程康复护理对下肢骨肿瘤患者保肢治疗后肢体功能恢复和生活质量的影响。方法选取2014年1月至2016年1月间河北省衡水市人民医院收治的60例下肢骨肿瘤患者,采用随机数字表法将患者分为观察组与对照组,每组30例。观察组患者给予全程康复护理,对照组患者给予常规康复护理。比较两组患者护理前、护理2周后和护理2个月后下肢功能评分、生活质量和不良情绪。结果护理干预后,两组患者下肢功能评分与护理前比较均有所降低,且护理2周和2个月后,观察组患者的下肢功能恢复情况明显好于对照组患者,差异均有统计学意义(均P<0.05)。两组患者护理2个月的生活质量较术前均有不同程度地改善,差异均有统计学意义(均P<0.01);且观察组患者术后2个月生活质量评分为(65.28±12.33)分,明显高于对照组患者的(57.31±17.16)分,差异有统计学意义(P<0.05)。两组患者术后护理焦虑症状都不同程度减轻,观察组患者护理2周和2个月后HAMA评分分别为(21.33±2.09)分和(14.28±1.52)分,均明显低于对照组的(24.26±2.31)分和(19.11±1.76)分,差异均有统计学意义(均P<0.01)。结论全程康复护理对下肢骨肿瘤患者下肢功能的恢复、不良情绪的改善和生活质量的提高等方面,都有明显的康复效果。
Objective To explore the effect of whole course rehabilitation nursing on restoration of limb function and quality of life in patients with bone tumors in lower extremity after limb salvage. Methods Sixty patients with bone tumors in lower extremity treated at People＇s Hospital of Hengshui City from January 2012 to January 2016 were selected. According to the admission sequence and using random number generator, patients were randomly divided into an observation group and a control group with each group 30 patients. Patients in the observation group received whole rehabilitation nursing on the basis of routine reha- bilitation nursing and patients in the control group were given routine rehabilitation nursing The recovery of lower limb function, adverse emotional and quality of life were observed preoperatively and at 2 weeks and 2 months after the nursing. Using Karnofsky scale and Hamilton anxiety scale （HAMA） to evaluate the quali- ty of life and anxiety respectively. Results Compared with before nursing, the lower extremity function scores decreased in both groups after nursing intervention. At 2 weeks and 2 months after nursing, restoration of limb function was significantly better than in the control group（P 〈 0.05 ）. At 2 months after nurs- ing, quality of life was improved in both groups, with the observation group （65.28 ± 12. 33 ） significantly better than the control group （57.31 ± 17. 16） （ P 〈 0. 05 ）. The anxiety was eased in both groups after nursing. The HAMA score in the observation group （21.33 ±2. 09 and lg. 28 ± 1.52 respectively） was sig-nificantly lower than in the control group （24. 26 ±2. 31 and 19. 11 ± 1.76 respectively） at 2 weeks and 2 months after nursing （P 〈 0.01 ）. Conclusion The whole course rehabilitation nursing can significantly improve restoration of limb function, improve anxiety and improve the quality of life inpatients with bone tumors in lower extremity after limb salvage.
出处
《中国肿瘤临床与康复》
2017年第3期362-365,共4页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
全程康复护理
下肢骨肿瘤
肢体功能
生活质量
Whole course rehabilitation nursing
Neoplasms in lower extremity
Limb function
Quality of life
