摘要
目的探讨个体化健康管理模式对老年结直肠癌患者希望水平及生活质量的影响。方法选取2016年9月至2017年8月收治的老年结直肠癌患者60例作为研究对象,采用随机数字法分为观察组和对照组,每组30例。对照组患者实施常规健康管理,观察组患者实施个体化健康管理。比较2组患者护理干预后肝门括约肌功能改善情况,分别采用Herth希望量表(HHI)、美国波士顿健康研究所研制的简明健康测量量表(SF-36)中文版对2组患者护理干预前、护理干预后3个月的希望水平、生活质量进行评定,另采用满意度调查表对2组患者健康教育满意度进行评价。结果观察组患者排便功能临床总有效率(93. 33%)明显高于对照组(73. 33%)(P <0. 05)。2组护理干预后3个月HHI评分、各项生活质量评分均较干预前明显改善,干预后观察组明显优于对照组(P均<0. 05)。观察组患者健康教育满意度(100%)明显高于对照组(80. 00%)(P <0. 05)。结论个体化健康管理模式能有效提高老年结直肠癌患者的希望水平及生活质量水平,患者健康知识掌握情况及治疗依从性均明显提高,患者满意度高,值得临床推广应用。
Objective To investigate the effects of individualized health management model on the hope levels and life quality of elderly patients with colorectal cancer.Methods Sixty elderly patients with colorectal cancer who were admitted and treated in our hospital from September 2016 to August 2017 were enrolled as research subjects,who were randomly divided into observation group(n=30)and control group(n=30).The patients in control group were given routine health management,however,the patients in observation group were given individualized health management.The improvement status of hepatic portal sphincter function after nursing intervention was observed and compared between the two groups,moreover,the hope levels and life quality of patients before and after 3-month nursing intervention were evaluated according to Herth Hope Scale(HHI)and Chinese version of the concise health measurement scale(SF-36)developed by Boston Health Institute,and the satisfaction questionnaire was used to evaluate the health education satisfaction degree in both groups.Results The total effective rate of the improvement of defecation function in observation group was 93.33%,which was significantly higher than that(73.33%)in control group(P<0.05)).The scores of HHI and the life quality after 3-month nursing intervention were significantly improved in both groups,as compared with those before nursing intervention,moreover,the intervention effects in observation group were superior to those in control group(P<0.05).In addition the health education satisfaction degree in observation group was 100%,which was significantly higher than that(80%)in control group(P<0.05).Conclusion The individual health management mode can effectively improve the hope levels and life quality of elderly patients with colorectal cancer,and their health knowledge and treatment compliance are significantly improved,with higher satisfaction degree,therefor,which is worthy of clinical application and promotion.
作者
潘岩
刘建军
张少华
李红艳
PAN Yan;LIU Jianjun;ZHANG Shaohua(The Second Central Hospital of Baoding City,Hebei,Baoding 071000,China)
出处
《河北医药》
CAS
2019年第3期477-480,共4页
Hebei Medical Journal
基金
河北省卫生和计划生育委员会医学科学研究课题计划项目(编号:20170058)
关键词
个体化健康管理
老年结直肠癌
希望水平
生活质量
individualized health management
elderly colorectal cancer
levels of hope
quality of life
