延续性护理健康教育对胃癌患者术后康复效果的影响  

Effects of continuing nursing health education on postoperative rehabilitation of patients with gastric cancer

作　　者：任亚男[1] 于志梅[1] 董树宝[1] 

机构地区：[1]哈尔滨医科大学附属第一医院综合病房,150001

出　　处：《中华现代护理杂志》2016年第6期766-769,共4页Chinese Journal of Modern Nursing

基　　金：国家临床重点专科建设项目（2012-649）

摘　　要：目的：探讨延续性护理健康教育对胃癌患者术后康复效果的影响。方法选择2011年12月—2012年12月在哈尔滨医科大学附属第一医院行胃癌根治术的患者98例,按随机数字表法分为观察组和对照组,每组各49例,对照组实施常规护理,观察组在常规护理的基础上进行延续性护理健康教育；评价护理干预后对疼痛控制的满意度,并分别评估入选时及护理干预结束后的焦虑自评量表（ SAS）、抑郁自评量表（ SDS）评分和生活质量自评量表评分。结果干预后观察组对控制疼痛方法的满意度、对控制疼痛教育的满意度及所有照料和家属满意度的评分分别为（42.15±14.21）,（44.26±13.26）,（16.69±2.20）分,均高于对照组,差异有统计学意义（t 值分别为3.658,5.698,4.265；P 〈0.05）；干预实施前,两组患者的SAS和SDS评分及患者的食欲情况、睡眠质量、精神状况、对癌症的认识程度、家庭理解与配合及日常生活情况等与疼痛及心理有关的6个维度差异均无统计学意义（P 〉0.05）；干预实施后,观察组的SAS和SDS评分分别为（30.58±8.64）,（35.21±9.02）分,低于对照组,两组差异有统计学意义（t值分别为2.245,2.014；P〈0.05）；干预后观察组在食欲情况、睡眠质量、精神状况、对癌症的认识、家庭理解与配合、日常生活情况方面上的评分分别为（3.52±0.78）,（4.36±1.25）,（3.92±1.14）,（4.25±0.42）,（3.78±0.87）,（4.21±0.62）分,在与疼痛及心理有关的6个维度上观察组优于对照组（t值分别为3.145,2.896,3.859,5.697,4.021,4.256；P〈0.05）。结论延续性护理健康教育能减轻胃癌患者术后疼痛,降低患者的焦虑与抑郁程度,提高患者的生活质量,利于胃癌患者术后康复。Objective To explore the effects of continuing nursing health education on postoperative rehabilitation of patients with gastric cancer. Methods A total of 98 cases of patients with gastric cancer radical were selected from December 2011 to December 2012 in our hospital according to the random number table method and were divided into observation group and control group. The patients of control group were given routine nursing, while the patients of observation group were given continuity of nursing health education based on the control group. We evaluated self satisfaction after nursing intervention of pain control, and assessed the score of self-rating anxiety scale （ SAS） , self-rating depression scale （ SDS） and quality of life self-rating scale. Results After intervention in the intervention group, the patients′ satisfaction to pain control method, to pain control education and all care, and family satisfaction scores were （42. 15 ± 14. 21）, （44. 26 ± 13. 2）, （16.69 ±2.20）, that all were higher than these of the control group （t=3. 658, 5. 698, 4. 265; P〈0. 05）. Before the implementation of continuity of nursing health education, two groups of patients with SAS scores and SDS scores and the patient′s appetite, sleep quality and mental status, level of understanding of cancer, family understanding and cooperation, and daily life six dimensions related to the pain and psychological differences had no statistical significance （P〉0. 05）;continuity of nursing health education after implementation, the SAS scores and SDS scores were （30. 58 ± 8. 64）, （35. 21 ± 9. 02） in the observation group that all were obviously lower than these of the control group （t=2. 245, 2. 014;P〈0. 05）; after the intervention group in appetite, sleep quality and mental status, the understanding of cancer, family understanding and cooperation, the score in the daily life were （3. 52 ± 0. 78）, （4. 36 ± 1. 25）, （3. 92 ± 1. 14）, （4. 25 ± 0. 42）, （3. 78 ± 0. 87）,

关 键 词：胃肿瘤 健康教育 延续性护理 康复 

分 类 号：R473.73[医药卫生—护理学]