摘要
目的探究妇科恶性肿瘤患者围手术期实施个性化关爱服务的临床效果。方法回顾性分析2014年6月至2017年6月在淮安市妇幼保健院妇科进行恶性肿瘤治疗的100例患者的临床资料,根据是否采用个体化关爱服务护理将其分为两组,其中对照组采用常规围手术期基础护理,观察组在对照组基础上提供个体化关爱服务护理。比较两组患者的焦虑自评量表(self-rating anxiety scale,SAS)评分、抑郁自评量表(self-rating depression scale,SDS)评分、生活质量状况及护理满意度情况。结果 (1)两组护理干预后SAS和SDS评分均显著改善,差异有统计学意义(P <0. 05);护理前两组患者SAS和SDS评分比较差异无统计学意义(P> 0. 05);护理干预后观察组SAS和SDS评分高于对照组,差异均有统计学意义(P <0. 05);(2)观察组患者在生活、心理、社会和环境方面评分优于对照组,差异均有统计学意义(P <0. 05);(3)观察组总护理满意度(92. 0%)高于对照组(75. 6%),差异有统计学意义(P <0. 05)。结论妇科肿瘤患者围手术期实施个体化的关爱服务能够显著改善患者的焦虑和紧张情绪,改善患者术后生活质量和提高护理满意度。
Objective To investigate the clinical effect of individualized care service in gynecologic malignant tumor patients during perioperative period. Methods Retrospective analyzed the clinical data of 100 patients who underwent malignant tumor treatment in the Gynecology Department of Women and Children Health Care Hospital of Huaian from June 2014 to June 2017.According to whether individualized care service were used,they were divided into two groups. The control group received routine perioperative basic care,and the observation group were provided with individualized care service on the basis of the control group. Self-rating anxiety scale（ SAS）,self-rating depression scale（ SDS） scores,quality of life and nursing satisfaction were compared between the two groups. Results（1） The SAS and SDS scores of the two groups after nursing intervention were significantly improved compared with those before the intervention,and the differences were statistically significant（ P〈0. 05）; There were no significant differences in the scores of SAS and SDS between the two groups before nursing（ P〈0. 05）; The SAS and SDS scores of the observation group after treatment were significantly higher than those of the control group,and the difference was statistically significant（ t = 13. 261,14. 253,P〈0. 05）;（2） Score in life,psychology,social and environmental aspects of the observation group patients were significantly better than the control group,there were significant differences（ t = 3. 975,4. 178,4. 389 and 4. 186,P〈0. 05）;（3） The observation group nursing satisfaction（ 92. 0 %） is significantly higher than the control group（ 75. 6 %）,there was statistically significant difference（ P〈0. 05）; Conclusion Individualized care services in gynecological oncology patients can significantly improve the anxiety and stress of patients during perioperative period,and also has important significance in improving postoperative quality of life and the satisfaction of nursing.
作者
谢剑平
徐成凤
左玉芹
李丹
李亮
XIE Jian-ping;XU Cheng-feng;ZUO Yu-qin;Ll Dan;LI Liang(Department of Gynecology,Women and Children Health Care Hospital of Huaian,Huaian Jiangsu 223002,P.R.China)
出处
《中国计划生育和妇产科》
2018年第11期40-42,共3页
Chinese Journal of Family Planning & Gynecotokology
关键词
妇科恶性肿瘤
围手术期
个体化关爱
gynecologic malignant tumor
perioperative period
individualized care
