摘要
目的:探讨人文关怀在宫颈癌术后护理中的应用效果。方法:以2016年1月至2018年12月浙江大学医学院附属第一医院妇科病房收治的60例宫颈癌患者为研究对象,依据入院奇偶顺序分为对照组和观察组,每组30例。对照组患者给予常规护理干预,观察组患者给予人文关怀干预,比较两组术后恢复情况、术后疼痛情况[数字分级评分法(numerical rating scale,NRS)]、焦虑及抑郁状态[汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA)、汉密尔顿抑郁量表(Hamilton depression scale,HAMD)]、健康相关生活质量[简明健康状况调查量表(health related quality of life,SF-36)]及患者满意度。结果:两组患者年龄、受教育程度方面差异无统计学意义(均P>0.05)。干预前两组患者HAMA及HAMD评分、SF-36的8个维度包括机体功能、生理职能、躯体疼痛、活力、社会功能、情感职能、精神健康及总体健康评分差异均无统计学意义。干预后,观察组术后首次肛门排气时间、首次下床活动时间及住院时间均短于对照组;NRS评分、HAMA及HAMD评分均显著低于对照组(均P<0.05);SF-36的各个维度评分均显著高于对照组(均P<0.05)。术后4周满意度调查结果显示观察组患者满意度为96.67%,对照组为80.00%,差异无统计学意义(P>0.05)。结论:人文关怀应用于宫颈癌患者术后护理中可有效促进患者术后康复,减轻其焦虑、抑郁程度,提高生活质量。
Objective:To explore the application of humanistic care in nursing care after cervical cancer surgery.Methods:60 patients received cervical cancer surgery in the First Affiliated Hospital of Zhejiang University School of Medicine from January 2016 to December 2018 were enrolled in the study.They were divided into the control group and the observation group according to even-odd order of admission with 30 in each.The control group was given routine nursing care while the observation group was given humanistic care.The postoperative recovery,pain[numerical rating scale(NRS)]、anxiety and depression status[Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD)]、health related quality of life(SF-36)and patients satisfaction were compared between the two groups.Results:Before the surgery,there was no statistically significant difference in age,education,HAMA score,HAMD score or SF-36 score between the two groups.After the surgery,the first anus exhaust time,the first off-bed activity time and the hospitalization time in the observation group were shorter than those in the control group,NRS score,HAMA and HAMD scores of the observation group were significantly lower than those of the control group(all P<0.05),SF-36 score in body function,physiological role,physical pain,vitality,social function,emotional role,mental health and overall health in the observation group were significantly higher than those in the control group(all P<0.05).And patients'satisfaction in the observation group was higher than that in the control group(96.67%vs 80.00%,P>0.05).Conclusion:Humanistic care can help patients enhance the recovery after cervical cancer surgery,relieve their anxiety and depression,improve their quality of life.
作者
朱赛娥
杨颖琳
金姣姣
Zhu Sai'e;Yang Yinglin;Jin Jiaojiao(Department of Gynaecology,the First Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou 310003,Zhejiang,China)
出处
《加速康复外科杂志》
2021年第4期166-170,共5页
JOURNAL OF ENHANCED RECOVERY AFTER SURGERY
关键词
宫颈癌
护理
人文关怀
Cervical cancer
Humanistic care
Nursing
