同伴支持小组协同护理模式对膀胱癌根治术患者负性情绪及生活质量的影响  

Effect of peer support-group collaborative nursing on negative emotion and quality of life in patients with radical resection for bladder cancer

作　　者：胡春燕[1] 邹敏[1] 赵会芬[1] 刘媛[1] Hu Chun-yan;Zou Min;ZHAO Hui-fen;LIU Yuan(Department of Urological Surgery, North Sichuan Medical College Affiliated Hospital, Nanchong 637000, Chin)

机构地区：[1]川北医学院附属医院泌尿外科,南充637000

出　　处：《中国肿瘤临床与康复》2018年第4期488-491,共4页Chinese Journal of Clinical Oncology and Rehabilitation

基　　金：四川省卫生和计划生育委员会科研课题(17PJ155);南充市科学技术和知识产权局(16YFZJ0017)

摘　　要：目的探讨同伴支持小组协同护理模式对膀胱癌根治术患者负性情绪及生活质量的影响。方法选取2015年2月至2017年2月间川北医学院附属医院收治的96例行根治性手术治疗的膀胱癌患者,根据护理方式的不同分为观察组和对照组,每组48例。对照组患者采用膀胱癌根治术后延续性护理,观察组患者在对照组基础上采用同伴支持小组协同护理模式护理,比较两组患者干预前后的生活质量、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分及自我护理能力评估量表(ESCA)评分。结果干预后3个月,两组患者生理、心理、环境、社会关系、健康知识水平、自我概念、责任感、自我护理技能各维度评分及生活质量、ESCA总评分均比干预前高,且观察组各维度评分及生活质量、ESCA总评分均高于对照组,差异均有统计学意义(均P<0.05)。干预后3个月,两组患者SAS和SDS评分均低于干预前,且观察组患者评分均较低于对照组,差异均有统计学意义(均P<0.05)。结论在膀胱癌根治术患者中应用同伴支持小组协同护理模式,可有效改善患者的负性情绪,提高生活质量和自我护理能力,具有较大的推广价值。Objective To investigate the effect of peer support-group collaborative nursing on negative emotions and quality of life in patients with radical resection for bladder cancer.. Methods Retrospectively analyze the clinical data of 96 patients with bladder cancer undergoing radical surgery at North Sichuan Medical College Affiliated Hospital from February 2015 to February 2017. According to different nursing methods,patients were divided into an observation group and a control group with 48 patients in each group. The observation group was given peer support-group collaborative nursing besides routine nursing and the control group was given with routine nursing after radical resection for bladder cancer. Quality of life,self-rating anxiety scale（ SAS） and self-rating depression scale（ SDS） and exercise of self care agency scale（ ESCA） scores were compared between the two groups before and after intervention. Results Physiological,psychological,social relations,health knowledge,self concept,sense of responsibility,self care skills and quality of life scores and ESCA overall scores were higher in both groups at 3 months after the intervention than before the intervention with the observation group higher than the control group at each dimention（ all P〈0. 05）. SAS and SDS scores were lower in the two groups at 3 months after the intervention than before the intervention with the observation group lower than the control group（ all P〈0. 05）.Conclusion Peer support-group collaborative nursing model can effectively improve the negative emotions and improve the quality of life and self-care ability in patients undergoing radical resection for bladder cancer,which is worthy of clinical popularization.

关 键 词：同伴支持小组协同护理模式 膀胱癌根治术 负性情绪 生活质量 

分 类 号：R737.1[医药卫生—肿瘤]