延续性护理对喉癌患者术后生存质量及SDS、SAS评分影响分析  

Analysis of the Effect of Continuous Nursing on the Postoperative Quality of Life and SDS and SAS Scores of Patients with Laryngeal Cancer

作　　者：李振秀[1] 王玉宏[2] LI Zhenxiu;WANG Yuhong(Department of Otolaryngology,Tengzhou Central People's Hospital of Shandong Province,Tengzhou,Shandong Province,277599 China;Outpatient Department,Tengzhou Central People's Hospital of Shandong Province,Tengzhou,Shandong Province,277599 China)

机构地区：[1]山东省滕州市中心人民医院耳鼻喉科,山东滕州277599 [2]山东省滕州市中心人民医院门诊部,山东滕州277599

出　　处：《系统医学》2021年第12期190-193,共4页Systems Medicine

摘　　要：目的探究对喉癌患者应用延续性护理干预的价值。方法随机选取2012年6月—2018年6月该院耳鼻喉科接收的喉癌患者100例作为研究对象,使用计算机抽号分为对照组(n=50)和观察组(n=50)。对照组患者应用常规护理干预,观察组患者于对照组基础上应用延续性护理干预,对比两组患者干预前后生活质量测评量表(含物质生活、躯体健康、心理健康、社会功能)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、自我护理能力测评得分以及术后癌因性疲乏得分,并采用自制量表对两组患者护理满意度进行分析。结果护理前,两组患者生活质量测评量表各项、SAS、SDS得分对比,差异无统计学意义(P>0.05);护理后,观察组患者物质生活(74.22±6.13)分、躯体健康(74.14±6.24)分、心理健康(71.99±7.13)分、社会功能(73.18±6.34)分、自我护理能力(60.12±6.35)分显著高于对照组,观察组SAS(33.12±4.66)分、SDS(32.76±5.23)分显著低于对照组,差异有统计学意义(t=17.470、19.722、14.888、17.800、17.496、11.154、12.710,P<0.05);观察组患者术后癌因性疲乏得分中情感(3.76±0.48)分、感觉(3.84±0.59)分、认知和情绪(3.48±0.47)分、严重程度(4.02±0.68)分显著低于对照组,差异有统计学意义(t=10.592、8.692、11.803、3.596,P<0.05);观察组患者护理满意度(98.0%)高于对照组患者护理满意度(80.0%),差异有统计学意义(χ^(2)=8.274,P<0.05)。结论对喉癌患者应用延续性护理效果显著,可有效改善患者术后生活质量及心理情绪,增强自我护理能力,降低术后癌因性疲乏影响,利于康复,且患者对护理工作满意度高,便于和谐护患关系构建。Objective To explore the value of continuous nursing intervention for patients with laryngeal cancer.Methods A random selection of 100 patients with laryngeal cancer accepted by the department of otolaryngology in the hospital from June 2012 to June 2018 were used as research objects,and they were divided into a control group(n=50)and an observation group(n=50)by computer.Patients in the control group were treated with routine nursing intervention,and patients in the observation group were treated with continuous nursing intervention on the basis of the control group.The quality of life assessment scales(material life,physical health,mental health,and social function)and anxiety were compared between the two groups before and after the intervention.Self-rating scale(SAS),self-rating depression scale(SDS),self-care ability assessment scores,and postoperative cancer-related fatigue scores were used to analyze the care satisfaction of the two groups of patients.Results Before nursing there was no statistically significant difference in the scores on the quality of life assessment scale,SAS and SDS of the two groups of patients(P>0.05);after nursing,the observation group had(74.22±6.13)points and physical health(74.14±6.24)points,mental health(71.99±7.13)points,social function(73.18±6.34)points,self-care ability(60.12±6.35)points were significantly higher than the control group,the observation group SAS(33.12±4.66)points,SDS(32.76±5.23)points was signifi-cantly lower than that of the control group,the difference was statistically significant(t=17.470,19.722,14.888,17.800,17.496,11.154,12.710,P<0.05);the observation group was cancerous fatigue after surgery was(3.76±0.48)points,feeling(3.84±0.59)points,cognition and emotion(3.48±0.47)points,severity(4.02±0.68)points were significantly lower than those of the control group,the difference was statistically significant(t=10.592,8.692,11.803,3.596,P<0.05);98.0%of patients in the observation group's nursing satisfaction degree were higher than those in the contr

关 键 词：延续性护理 喉癌 生活质量 SAS SDS 

分 类 号：R47[医药卫生—护理学]