结直肠肿瘤患者基于症状管理理论的个案管理实践  

Case management based on symptom management theory for colorectal cancer patients

作　　者：吴海霞 吴茜[1] 陈静娟[2] 李宗艳 施雁[3] Wu Haixia;Wu Qian;Chen Jingjuan;Li Zongyan;Shi Yan(Department of Gastrointestinal Surgery,The Tenth People′s Hospital Affiliated to Tongji University,Shanghai 200072,China)

机构地区：[1]同济大学附属第十人民医院胃肠外科,上海200072 [2]同济大学附属第十人民医院手术室,上海200072 [3]同济大学附属第十人民医院护理部,上海200072

出　　处：《护理学杂志》2021年第19期28-31,共4页Journal of Nursing Science

基　　金：上海市卫生健康委员会科研课题计划项目(20204Y0171)。

摘　　要：目的探讨基于症状管理理论的结直肠肿瘤患者个案管理效果。方法采用类实验研究设计,便利选取100例结直肠肿瘤患者,按照入院时间分为对照组和干预组各50例。对照组接受常规围手术期护理及随访,干预组接受基于症状管理理论的个案管理。结果干预组术前等待时间、住院天数显著短于对照组(P<0.05,P<0.01)。术后1个月干预组生活质量功能领域及总体健康状况得分显著高于对照组,症状领域的疲劳、疼痛得分及4项单项条目得分显著低于对照组(P<0.05,P<0.01)。结论基于症状管理论的个案管理能有效改善结直肠肿瘤患者症状,缩短患者术前等待时间及住院时间,降低术后1个月再入院率,提高患者生活质量水平。Objective To explore the effect of case management based on symptom management theory for colorectal cancer patients.Methods The quasi-experiment study enrolled a convenient sample of 100 patients,who were divided into a control group(n=50)and an intervention group(n=50)by the admission time.The control group received routine perioperative nursing care and follow-ups,while the intervention group was subjected to case management based on symptom management theory.Results Pre-operative wait time,days of hospital stay,and 1-month readmission rate after operation in the intervention group were significantly shorter and lower than the controls(P<0.05,P<0.01).The functional domain and overall health scores of quality of life measured one month after surgery in the intervention group were significantly higher than the controls,while pain and fatigue scores from the symptoms domain,and scores of 4 singular items were significantly lower in the intervention group than in the controls(P<0.05,P<0.01).Conclusion Case management based on symptom management theory can effectively manage the symptoms of colorectal cancer patients at all stages,shorten the pre-operative wait time and days of hospital stay,reduce 1-month readmission rate,and improve the quality of life of patients.

关 键 词：结直肠肿瘤 症状管理理论 个案管理 术前等待 生活质量 再入院率 围术期护理 

分 类 号：R473.6[医药卫生—护理学]