摘要
目的:探究以问题为导向的护理干预模式对胃癌根治术患者术后康复效果的影响。方法:选取2020年11月—2022年8月厦门大学附属第一医院收治的120例行胃癌根治术的患者作为观察对象,以随机数表法将患者分为观察组与对照组,各60例。对照组给予常规护理,观察组在对照组基础上给予以问题为导向的护理干预模式,比较两组干预前后生活质量评分量表(SF-36)、焦虑自评量表(SAS)和抑郁自评量表(SDS)、癌因性疲乏、自我效能及术后情况。结果:干预前,两组生活质量、心理状态、癌因性疲乏及自我效能比较,差异无统计学意义(P>0.05);干预后,两组SF-36各维度评分、一般自我效能感量表(GSES)评分较干预前均升高,且观察组高于对照组,两组SAS评分、SDS评分、癌症疲乏量表(CFS)评分较干预前均下降,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组术后留置导管、肠鸣音恢复、腹胀改善、排气、排便、饮食正常及住院的时间均短于对照组,差异有统计学意义(P<0.05)。结论:以问题为导向的护理干预模式应用于胃癌根治术患者,可改善心理状态,消除不良情绪,提高生活质量与自我效能,减轻癌因性疲乏,促进患者早日康复。
Objective:To explore the effect of problem-oriented nursing intervention model on postoperative rehabilitation of patients undergoing radical gastrectomy for gastric cancer.Method:A total of 120 patients undergoing radical gastrectomy for gastric cancer who admitted to the First Affiliated Hospital of Xiamen University from November 2020 to August 2022 were selected as the observation objects,the patients were divided into the observation group and the control group by random number table method,with 60 cases in each group.The control group was given routine nursing,and the observation group was given problem-oriented nursing intervention model on the basis of the control group.The quality of life score scale(SF-36),self-rating anxiety scale(SAS)and self-rating depression scale(SDS),cancer-related fatigue,self-efficacy before and after intervention and postoperative conditions were compared between two groups.Result:Before intervention,there were no significant differences in quality of life,psychological status,cancer-related fatigue and self-efficacy between two groups(P>0.05);after intervention,the scores of SF-36 and general self-efficacy scale(GSES)in two groups were higher than those before intervention,and those in the observation group were higher than the control group,the scores of SAS,SDS and cancer fatigue scale(CFS)in two groups were lower than those before intervention,and those in the observation group were lower than the control group,the differences were statistically significant(P<0.05).The times of postoperative indwelling catheter,recovery of bowel sound,improvement of abdominal distension,exhaust,defecation,normal diet and hospitalization in the observation group were significantly shorter than those in the control group,the differences were statistically significant(P<0.05).Conclusion:The application of problem-oriented nursing intervention model in patients with radical gastrectomy for gastric cancer can improve psychological state,eliminate bad emotions,improve quality of life and self-eff
作者
张秀恋
林爱苹
ZHANG Xiulian;LIN Aiping(The First Affiliated Hospital of Xiamen University,Xiamen 361001,China;不详)
出处
《中外医学研究》
2023年第29期105-109,共5页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
问题为导向的护理干预模式
胃癌根治术
术后康复
自我效能
生活质量
Problem-oriented nursing intervention model
Radical gastrectomy for gastric cancer
Postoperative rehabilitation
Self-efficacy
Quality of life
