摘要
目的探讨群组干预在胃肠癌术后患者中的应用效果。方法采用便利抽样法选取2020年5月至2021年4月江西省肿瘤医院76例胃肠癌术后患者作为研究对象,按照病区分为对照组(38例)和试验组(38例),对照组1例患者缺席培训课程,试验组1例缺席培训课程,1例转院造成脱落,最终对照组37例,试验组36例。对照组患者予以传统健康指导模式,试验组患者予以群组干预模式进行健康指导。比较两组术后1 d(T_(0))、术后1周(T_(1))、出院前(T_(2))的出院准备度量表(RHDS)及Barthel量表评分。结果T_(0)时两组的RHDS评分比较,差异无统计学意义(P>0.05);T_(1)、T_(2)时试验组的RHDS评分高于对照组,差异有统计学意义(P<0.05)。T_(0)时两组的Barthel量表评分比较,差异无统计学意义(P>0.05);T_(1)、T_(2)时试验组的Barthel量表评分高于对照组,差异有统计学意义(P<0.05)。结论群组干预相较于传统健康教育模式能更加有效地提高胃肠癌术后患者的出院准备度和自理能力。
Objective To explore the application effect of group intervention in patients with gastrointestinal cancer after surgery.Methods Seventy-six patients with gastrointestinal cancer after surgery in the Jiangxi Cancer Hospital from May 2020 to April 2021 were selected as the study subjects by convenience sampling method.According to the ward,the patients were divided into control group(38 cases)and experimental group(38 cases).One patient in the control group was absent from the training course,one patient in the experimental group was absent from the training course,and one patient was transferred to the hospital resulting in shedding.Finally,there were 37 patients in the control group and 36 patients in the experimental group.The control group was given traditional health guidance mode,and the experimental group was given group intervention mode for health guidance.The scores of readinessfor hospital discharge scale(RHDS)and Barthel scale were compared between the two groups 1 day after surgery(T_(0)),1 week after surgery(T_(1)),and before discharge(T_(2)).Results There was no significant difference in the RHDS score between the two groups at T_(0)(P>0.05).The RHDS score of the experimental group was higher than that of the control group at T_(1) and T_(2),and the difference was statistically significant(P<0.05).There was no significant difference in the Barthel scale scores between the two groups at T_(0)(P>0.05).The Barthel scale scores in the experimental group were higher than those in the control group at T_(1) and T_(2),and the differences were statistically significant(P<0.05).Conclusion Compared with the traditional health education model,group intervention can more effectively improve the discharge readiness and self-care ability of patients after gastrointestinal cancer surgery.
作者
吴琪
黄颖
时艳霞
WU Qi;HUANG Ying;SHI Yanxia(Department of Abdominal Oncology Surgery,Jiangxi Cancer Hospital,Jiangxi Provicne,Nanchang330029,China;Department of Urology Oncology,Jiangxi Cancer Hospital,Jiangxi Provicne,Nanchang330029,China)
出处
《中国当代医药》
CAS
2022年第23期164-167,共4页
China Modern Medicine
基金
江西省卫生健康委科技计划项目(202130745)。
关键词
群组干预
健康指导
胃肠癌术
出院准备度
自理能力
Group intervention
Health guidance
Gastrointestinal cancer surgery
Discharge readiness
Self-care ability
