延续性护理对结肠癌根治术病人希望水平和生活质量的影响  

Effect of continuous nursing intervention on postoperative level of hope and quality of life in patients treated with radical resection of colon cancer

作　　者：陈永侠[1] 白茹[2] 陈娜 王万霞[2] CHEN Yong-xia;BAI Ru;CHENG Na;WANG Wan-xia(Department of Nursing,The First Affiliated Hospital of Bengbu Medical College,Bengbu Anhui 233004,China;Department of Oncology Surgery,The First Affiliated Hospital of Bengbu Medical College,Bengbu Anhui 233004,China)

机构地区：[1]蚌埠医学院第一附属医院护理部,安徽蚌埠233004 [2]蚌埠医学院第一附属医院肿瘤外科,安徽蚌埠233004

出　　处：《蚌埠医学院学报》2019年第11期1541-1544,共4页Journal of Bengbu Medical College

摘　　要：目的:分析延续性护理干预对结肠癌根治术病人术后希望水平和生活质量的影响。方法:行结肠癌根治性手术病人84例,随机分为观察组和对照组,每组42例,其中对照组采取常规出院指导和随访方法,而观察组给予延续性护理干预,随访时间3个月;分别于出院时和随访结束时采用Herth希望量表、QLQ-C30生命质量测评量表评估病人希望水平和生活质量情况,对比2组病人康复情况差异。结果:出院时,2组病人Herth希望量表评分差异无统计学意义(P>0.05);随访3个月时,2组病人Herth评分积极行动评分差异无统计学意义(P>0.05),但观察组积极态度、亲密关系和希望总分评分均高于对照组(P<0.05~P<0.01)。随访结束时,QLQ-C30量表中,功能领域评分观察组社会功能评分高于对照组(P<0.01),而躯体功能、角色功能、认知功能和情绪功能2组差异无统计学意义(P>0.05);症状领域(纳差、疼痛、便秘、腹泻、恶心和呕吐等)评分观察组均低于对照组(P<0.05~P<0.01)。结论:对结肠癌根治术病人实施延续性护理,有助于提高希望水平和生活质量,具有一定积极意义。Objective:To analyze the effects of continuous nursing intervention on postoperative level of hope and quality of life in patients treated with radical resection of colon cancer.Methods:Eighty-four patients treated with radical resection of colon cancer were randomly divided into the observation group and control group(42 cases in each group).The control group was treated with conventional discharge guidance and following-up method,and the observation group was nursed with continuous nursing intervention and followed up for 3 months.The postoperative level of hope and quality of life in two groups were evaluated using the Herth Hope Index and Quality of Life Questionnaire-Core 30(QLQ-C30) at discharge and end of following-up,and the difference of the rehabilitation between two groups was compared.Results:At discharge,there was no statistical significance in the HHI between two groups(P>0.05).At 3 months of following-up,there was no statistical significance in the positive action scores Herth score of between two groups(P>0.05),but the total scores of the positive attitude,intimate relationship and hope in observation group were higher than those in control group(P<0.05 to P<0.01).At the end of following-up,the social function score in QLQ-C30 in observation group was higher than that in control group(P<0.01),while the differences of the physical function,role function,cognitive function and emotional function between two groups were not statistically significant(P>0.05),and the scores of the symptom fields(including poor appetite,pain,constipation,diarrhea,nausea and vomiting) in observation group were lower than those in control group(P<0.05 to P<0.01).Conclusions:The continuous nursing intervention for patients treated with radical resection of colon cancer can improve the hope level and quality of life.

关 键 词：结肠肿瘤 根治性手术 延续性护理 生活质量 

分 类 号：R735.35[医药卫生—肿瘤]