基于时机理论的综合性护理干预对胃肠道肿瘤患者疗效及术后并发症的影响  

Effects of comprehensive nursing intervention based on opportunity theory on the curative effects and postoperative complications of patients with gastrointestinal tumors

作　　者：李晓娟[1] 关碧[1] 王慧[1] 李文艺[1] 邹艳蕾 杨小玉[1] 杨佳 吴春丽[1] LI Xiaojuan;GUAN Bi;WANG Hui(Chengdu Fifth People’s Hospital,Sichuan,Chengdu 611130,China)

机构地区：[1]四川省成都市第五人民医院,611130

出　　处：《河北医药》2021年第21期3338-3342,共5页Hebei Medical Journal

基　　金：四川省护理学会课题(编号:H18023)。

摘　　要：目的探讨基于时机理论的综合性护理干预对胃肠道肿瘤患者的负面情绪、癌因性疲乏、依从性、生活质量及术后并发症的影响。方法选取2017年4月至2018年12月接受手术治疗的56例行胃肠道肿瘤手术的胃肠道肿瘤患者作为观察组,给予基于时机理论结合多方案护理干预,以2016年1月至2017年3月接受胃肠道肿瘤手术治疗及常规护理干预的56例胃肠道肿瘤患者为对照组。比较2组患者治疗效果,干预前后治疗依从性、癌因性疲乏量表(CFS)评分、生活质量评分、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分及术后生静脉血栓(DVT)、死亡、下肢水肿发生率和护理满意度。结果观察组患者术后首次离床活动时间、术后肛门首次排气时间、术后住院时间均显著短于对照组(P<0.05)。出院后3个月、6个月观察组治疗依从性和生活依从性(吸烟、饮酒、不良饮食、规律运动)均明显优于对照组(P<0.05)。干预前2组患者CFS量表评分比较差异无统计学意义(P>0.05),出院后3个月、6个月较干预前均明显降低,且观察组出院后CFS评分显著低于对照组(P<0.05)。干预前2组患者SAS、SDS评分比较差异无统计学意义(P>0.05),出院后3个月、6个月较干预前均明显降低,且观察组出院后SAS和SDS评分均显著低于对照组(P<0.05)。观察组出院后6个月生活质量量表(GQOL-74)各维度及总评分均明显高于对照组(P<0.05)。观察组满意度明显高于对照组,其DVT和下肢水肿发生率均明显低于对照组(P<0.05)。结论基于时机理论的综合性护理干预应用于胃肠道肿瘤手术患者能明显提高手术疗效,改善患者的治疗和生活依从性,缓解患者焦虑抑郁的不良情绪,降低患者癌因性疲乏程度,降低术后DVT和下肢水肿发生率,提高护理满意度和患者生活质量水平,值得推广应用。Objective To investigate the effects of comprehensive nursing intervention based on opportunity theory on the negative emotions,cancer-related fatigue,compliance,life quality and postoperative complications of patients with gastrointestinal tumors.Methods A total of 56 patients with gastrointestinal tumors who were treated by surgery in our hospital from April 2017 to December 2018 were enrolled in thestudy,who were divided into control group and observation group.The patients in control group were treated by routine nursing intervention,however,thepatients in observation group were treated by comprehensive nursing intervention based on opportunity theory.The nursing intervention effects,compliance of patients,CFS score,life quality scores,SAS score,SDS score and theincidence rates of postoperative DVT,death,lower limb edema as well as nursing satisfaction degree were observed and compared between the two groups.Results The first exhaust time,first ambulation time after operation,hospital stay in observation group were significantly shorter than those in control group(P<0.05).At 3m,6m after discharging from hospital,the treatment compliance and life compliance(smoking,drinking,bad diet,regular exercise)in bservation group were superior to those in control group(P<0.05).Before intervention there were no significant differences in CFS scores,SASscores and SDS scores between the two groups(P>0.05),however,which at 3m,6m after discharging from hospital in both groups were significantly decreased,moreover,which in observation group were significantly lower than those in control group(P<0.05).In addition the total scores of GQOL-74 and at 6m after discharging from hospital and nursing satisfaction degree in observation group were significantly higher than those in control group,however,the incidences rates of DVT and lower limb edema were significantly lower than those in control group(P<0.05).Conclusion The application of comprehensive nursing intervention based on opportunity theory for the patients with gastrointest

关 键 词：胃肠道肿瘤 时机理论 多方案护理干预 效果评价 并发症 

分 类 号：R473.5[医药卫生—护理学]