过渡期护理对食管癌患者术后早期生存质量的影响  

Influences of transitional care on early quality of life in esophageal cancer patients after surgery

作　　者：阎莉[1] 尤振兵[1] 田文泽[1] 汪娟[1] 何吉[1] 孙永建[1] 徐达夫[1] 

机构地区：[1]南京医科大学附属淮安第一医院胸外科,223300

出　　处：《中华现代护理杂志》2016年第14期1983-1986,共4页Chinese Journal of Modern Nursing

基　　金：国家自然科学基金（81072259）

摘　　要：目的：探讨过渡期护理对食管癌患者术后早期生存质量的影响。方法2012年10月—2014年8月将195例食管癌患者采用随机数字表分为对照组（98例）和观察组（97例）。对照组采用常规随访方法，观察组采用过渡期护理。比较两组患者出院后2个月再入院率，采用生活质量问卷（QLQ-C30）评价两组患者出院时和干预2个月后的生存质量。结果观察组和对照组出院后2个月再入院率分别为5．2％，16．3％，差异有统计学意义（χ^2＝6．332，P ＝0．012）；两组患者出院时 QLQ-C30各功能项目和症状项目得分差异无统计学意义（P ＞0．05）；干预后，观察组总体健康状况、情感功能、社会功能得分高于对照组，疲劳、疼痛、失眠、呼吸困难、食欲下降得分低于对照组，差异有统计学意义（P ＜0．05）。结论过渡期护理能够对食管癌患者手术后的生活状态进行积极指导，改善患者术后生活状况，从而改善术后早期的生存质量。Objective To investigate the influences of transitional care on early quality of life in esophageal cancer patients after surgery.Methods A total of 1 95 patients with esophageal cancer were randomly divided into control group （98 cases,regular follow-up）and observation group （97 cases,transitional care）according to random number table.And then,the readmission rate of 2 months post discharge was compared in patients between two groups.Besides,quality of life of patients was evaluated with the quality of life questionnaire core 30 （QLQ-C30）at discharge and 2 months after intervention.Results The readmission rate of 2 months post-discharge of observation group and control group were 5.2%,16.3% with a significant difference （χ^2 =6.332,P =0.01 2）.There were no statistically significant differences in the scores of functional items and symptom items of QLQ-C30 （P 〉0.05）.After the interventions,the scores of general health,emotional function and social function in observation group were higher than those in control group;the scores of fatigue, pain,insomnia,difficult breathing,loss of appetite in observation group were lower than those in control group;there were statistically significant differences between two groups （P 〈0.05）.Conclusions Transitional care can provide positive guidance for living condition of patients with esophageal cancer,improve patients′living condition so as to improve patients′early quality of life.

关 键 词：食管肿瘤 生存质量 过渡期护理 

分 类 号：R473.73[医药卫生—护理学]