连续护理模式联合健康教育在肾癌切除术患者中的应用  

Application of continuous nursing intervention combined with health education on kidney cancer patients after radical resection

作　　者：赵文彩[1] 郭联红[1] 王蕊梅[1] 

机构地区：[1]陕西省人民医院泌尿外科,西安710068

出　　处：《中国肿瘤临床与康复》2015年第9期1106-1108,共3页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨连续护理模式联合健康教育在肾癌切除术患者中的应用。方法选择2013年1月至2014年12月间收治的行肾癌切除术患者123例,按照随机数字表法分为观察组(n=62)和对照组(n=61)。观察组患者进行连续护理模式联合健康教育,对照组患者进行常规护理干预。对两组患者干预前后焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、依从性及生活质量进行比较。结果观察组患者干预后SAS评分和SDS评分明显低于干预前,差异均有统计学意义(均P<0.05);观察组患者SDS评分明显低于对照组,差异有统计学意义(P<0.05)。观察组患者的服药、健康教育及出院复诊依从性均明显高于对照组,差异均有统计学意义(均P<0.05)。观察组患者干预后的适应性评分及生活质量评分均明显高于对照组,差异有统计学意义(P<0.05)。结论对行肾癌切除术患者实施连续护理模式联合健康教育,可明显减轻患者负性情绪,提高依从性和生活质量,值得临床推广。Objective To investigate the application of continuous nursing intervention combined with health education on kidney cancer patients after radical resection. Methods From January 2013 to December 2014,totally 123 kidney cancer patients after radical resection were enrolled in the study and randomly divided into the observation group（ n = 62） and the control group（ n = 61）. The patients in the observation group accepted continuous nursing intervention combined with health education and those in the control group accepted routine care. Self-rating anxiety scale（ SAS） scores,self-rating depression scale（ SDS） scores,treatment compliance and quality of life after intervention of patients between the two groups were compared. Results After intervention,SAS and SDS scores in the observation group were significantly lower than before intervention and the control group,with significant differences（ P〈0. 05）. After intervention,medication compliance,exercise compliance and hospital referral compliance of the observation group were significantly higher than those of the control group,with significant differences（ P〈0. 05）. Adaptability scores and the quality of life scores of the observation group were significantly higher than those of the control group,with significant differences（ P〈0. 05）. Conclusion Continuous nursing intervention combined with health education for kidney cancer patients after radical resection can effectively relieve negative emotions,enhance treatment compliance and quality of life.

关 键 词：肾肿瘤 连续护理干预 健康教育 生活质量 

分 类 号：R473.73[医药卫生—护理学]