远程团队护理支持对脑肿瘤患者负性情绪及生命质量的影响  

Effects of remote team nursing support on patients with brain tumor in release their negative emotions and improve their quality of life

作　　者：赵玉娥[1] 王秀华[1] 王凤灵[1] 刘学萍[1] 颜美[1] 朱玉方[1] 谯兴兰[2] Zhao Yu＇e Wang Xiuhua Wang Fengling Liu Xueping Yan Mei Zhu Yufang Qiao Xinglan(Surgery Department of Shandong Provincial Cancer Hospital of Shandong University, Shandong Provincial Academy of Medical Sciences, Ji ＇nan 250117, China)

机构地区：[1]山东大学附属山东省肿瘤医院外科十三病区,济南250117 [2]山东省医学科学院附属医院妇产科

出　　处：《中国实用护理杂志》2017年第5期376-379,共4页Chinese Journal of Practical Nursing

摘　　要：目的 探讨远程团队护理支持对脑肿瘤患者负性情绪及生命质量的影响.方法 采用方便抽样,将2014年9月至2016年2月在山东大学附属山东省肿瘤医院治疗的139例脑肿瘤患者按照随机数字表法分为对照组66例与干预组68例.对照组实施常规出院随访,干预组在对照组的基础上,进行远程团队护理支持.在患者出院时以及出院后1个月、3个月,采用焦虑自评量表（SAS）、抑郁自评量表（SDS）以及生命质量测评量表（QLICP-BN）测评2组患者焦虑、抑郁以及生命质量水平.结果 2组患者在出院时,焦虑、抑郁水平比较,差异无统计学意义（t=0.187、0.174,P〉0.05）;干预组出院1个月后SAS、SDS评分分别为（62.97±4.85）、（63.83±5.24）分,对照组出院1个月后SAS、SDS评分分别为（64.58±5.15）、（65.17±5.11）分,2组比较差异有统计学意义（t=2.753、2.321,P〈0.05）;干预组出院3个月后SAS、SDS评分分别为（61.04±4.13）、（62.25±3.95）分,对照组出院3个月后SAS、SDS评分分别为（63.91±4.73）、（64.83±4.29）分,2组比较差异有统计学意义（t=4.621、5.196,P〈0.01）;干预组出院1个月、3个月后生命质量总得分分别为（65.28±12.53）、（68.71±12.78）分,对照组出院1个月、3个月后生命质量总得分分别为（62.07±11.27）、（63.86±12.13）分,2组比较差异有统计学意义（t=2.439、3.803,P〈0.05）;焦虑、抑郁及生命质量的干预效应和时间效应均有统计学意义（Mauchly′s W分别为0.823、0.782、0.757,P〈0.05）.结论 远程团队护理支持能有效降低脑肿瘤患者负性情绪、提高生命质量水平,可在科室中进行推广使用,从而提升临床护理质量.Objective To explore the effect of nursing support on negative emotion and quality of life in patients with brain tumor. Methods A total of 139 cases of brain tumor in Shandong Provincial Cancer Hospital of Shandong University from September 2014 to February 2016 by convenient sampling , according to the random number table, they were divided into the control group and the intervention group. The patients in the control group were given routine discharge follow-up, while the patients in the intervention group were given emote team nursing support on the basis of the control group. We used anxiety self rating scale （SAS）, depression self rating scale （SDS） and quality of life assessment scale （QLICP-BN） evaluation two groups of patients with anxiety, depression and quality of life level in the patients when they were discharged from hospital and discharged after 1 month, 3 months. Results Comparing the two groups of patients with anxiety and depression level and quality of life in the hospital, there was no statistically significant difference （t=0.187,0.174, P 〉 0.05）;1 month after discharge, the scores of SAS and SDS respectively （62.97 ± 485）, （63.83 ± 5.24） points in the intervention group, the scores of SAS and SDS respectively （64.58 ± 5.15）, （65.17 ± 5.11） points in the control group, the difference is statistically significant （t=2.753, 2.321, P〈0.05）;3 month after discharge, the scores of SAS and SDS respectively（61.04±4.13）,（62.25±3.95）points in the intervention group, the scores of SAS and SDS respectively（63.91 ± 4.73）,（64.83 ± 4.29）points in the control group, the difference is statistically significant （t=4.621,5.196, P 〈 0.01）; 1month, 3 months after discharge, the total quality of life scores respectively （65.28 ± 12.53）, （68.71 ± 12.78） points in the intervention group, the total quality of life scores respectively （62.07 ± 11.27）, （63.86 ± 12.13） points in the control group, the difference is statistically s

关 键 词：脑肿瘤 生活质量 负性情绪 远程团队护理支持 

分 类 号：R473.73[医药卫生—护理学]