整体护理对恶性肿瘤患者应用与研究  

Application and Research of Holistic Nursing Care in Malignant Tumor Patients

作　　者：王宁[1] 韩宇洲[1] 贺敏[1] 康馨匀[1] 熊露宁[1] 卢伟燕[1] 

机构地区：[1]中国石油中心医院,河北廊坊065000

出　　处：《实用预防医学》2013年第5期597-599,共3页Practical Preventive Medicine

基　　金：廊坊市科技局项目(2011013035)

摘　　要：目的探讨在恶性肿瘤患者中实施整体护理的效果,提高护理质量。方法选择2010年1月-2011年12月在中国石油中心医院住院的200例恶性肿瘤患者,随机分为整体护理组100例患者作为研究组和传统常规护理组100例患者作为对照组,传统护理组采用常规护理模式,整体护理组以患者为中心,根据病情采用整体护理模式,包括改善生活方式、指导服药、心理护理、生命体征的观察等。观察两组患者护理前后护理满意度。根据SF-36量表测定两组患者的护理质量及根据自我护理能力测定量表(ESCA)测定患者自我护理能力。结果与对照组护理满意率(74%)比较,研究组护理满意率(91%),两者差异有统计学意义(P<0.05)。与对照组患者总生活质量(142.64±23.43)比较,研究组患者总生活质量(188.44±22.46)明显提高,差异有统计学意义(P<0.05)。与对照组患者自我护理能力(81.54±18.45)比较,研究组患者自我护理能力(125.64±23.95)明显提高,差异有统计学意义(P<0.05)。Objective To explore the effect of holistic nursing care on patients with malignant tumors so as to improve the quality of nursing care.Methods Two hundred patients with malignant tumors hospitalized in Central Hospital of PetroChina from January 2010 to December 2011 were enrolled in this study.All patients were randomly divided into study group and control group（each n=100）.The patients of control group were given conventional nursing care.According to patients’conditions,patient-centered nursing,including lifestyle improvement,medication guidance,psychological nursing and life sign observation,was applied to study group.Before and after the nursing,the rates of nursing satisfaction were compared between the two groups.SF-36 scale was used to evaluate all patients’nursing qualities and the exercise of self-care agency scale（ESCA） was employed to determine all patients’self-care abilities.Results The rate of nursing satisfaction of control group（74%） was lower than that of study group（91%）,and the difference was statistically significant（P〈0.05）.The total quality of life of study group（188.44±22.46） was significantly higher than that of control group（142.64±23.43）,and the difference was statistically significant（P〈0.05）.The self-care ability of control group（81.54±18.45） was significantly lower than that of study group（125.64±23.95）,there were statistically significant differences between the two groups（P〈0.05）.Conclusions Holistic nursing care can significantly improve malignant tumor patients’life qualities,promote nursing ability,and in

关 键 词：整体护理 恶性肿瘤患者 效果 

分 类 号：R473.73[医药卫生—护理学]