集束化护理用于食管癌患者对QLQ-C30、SAS、SDS评分的影响  

Effect of cluster nursing model on QLQ-C30,SAS and SDS scores of esophageal cancer patients

作　　者：顾磊[1] 赵云[2] 张萍[1] 羊波[1] GU Lei;ZHAO Yun;ZHANG Ping;YANG Bo(Department of Thoracic Surgery;Department of Nursing,Jiangsu Cancer Hospital/Jiangsu Institute of Cancer Research/the Affiliated Cancer Hospital of Nanjing Medical University,Nanjing,Jiangsu 210009,China)

机构地区：[1]江苏省肿瘤医院/江苏省肿瘤防治研究所/南京医科大学附属肿瘤医院胸外科,江苏南京210009 [2]江苏省肿瘤医院/江苏省肿瘤防治研究所/南京医科大学附属肿瘤医院护理部,江苏南京210009

出　　处：《现代医药卫生》2022年第3期373-376,381,共5页Journal of Modern Medicine & Health

基　　金：江苏省干部保健科研项目(BJ18032)。

摘　　要：目的探讨食管癌患者术后行集束化护理的效果及应用价值。方法选取2018年10月至2020年3月该院收治的食管癌患者120例,采用随机数字表法分为观察组和对照组,每组60例。对照组围手术期行常规护理配合,观察组围手术期行集束化护理。观察2组患者术后恢复、心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)评分]、生活质量[患者生活质量测定量表(QLQ-C30)评分]改善等情况。结果观察组患者术后胃肠功能恢复时间、肛门排气时间、引流管拔除时间、住院时间均优于对照组,术后并发症发生率,以及干预后SAS、SDS评分均明显低于对照组,干预后QLQ-C30评分明显高于对照组,差异均有统计学意义(P<0.05)。结论食管癌患者围手术期加强集束化护理可有效加快患者术后康复,缩短住院时间,使患者心理状态、生活质量获得更大程度的改善。Objective To explore the effect and application value of the cluster nursing care for the postoperative patients with esophageal cancer.Methods A total of 120 patients with esophageal cancer treated in our hospital from October 2018 to March 2020 were selected.Random number table method was used to divide the patients into the observation group and control group,with 60 cases in each group.The control group received routine nursing during the perioperative period,while the observation group received cluster nursing.The postoperative recovery,the improvement of mental state[self-rating anxiety scale(SAS),self-rating depression scale(SDS)]and quality of life[quality of life questionnaire-core 30(QLQ-C30)]were observed in the two groups.Results The recovery of gastrointestinal function,anal exhaust,extubation time and hospitalization days in the observation group were significantly shorter than those in the control group.The total incidence of postoperative complications and the scores of SAS and SDS in the observation group were significantly lower than those in the control group,after intervention,score of QLQ-C30 was significantly higher than that in the control group.All of the above differences were statistically significant(P<0.05).Conclusion Intensive perioperative nursing care for the patients with esophageal cancer can effectively accelerate the postoperative rehabilitation of patients and shorten the length of stay,so that patients′psychological state and quality of life can be improved to a greater extent.

关 键 词：食管肿瘤 生活质量 集束化护理 并发症 心理状态 

分 类 号：R735.1[医药卫生—肿瘤]