基于同质医疗服务理念的护理模式对结直肠癌造口患者情绪及生存质量的影响  

Effect of nursing model based on the concept of homogeneous medical service on the mood and quality of life of patients with colorectal cancer stoma

作　　者：周洁 鲍向英[1] ZHOU Jie;BAO Xiang-ying(Department of Colorectal Surgery,the Second Affiliated Hospital of Zhejiang University School of Medicine,Hangzhou,Zhejiang 310000,China)

机构地区：[1]浙江大学医学院附属第二医院大肠外科二病区,浙江杭州310000

出　　处：《中华全科医学》2022年第4期713-717,共5页Chinese Journal of General Practice

基　　金：浙江省中医药科技计划项目(2019zb070)。

摘　　要：目的探讨以同质医疗服务理念为基础的护理模式对结直肠癌造口患者情绪及生存质量的影响,以期为临床结直肠癌造口护理提供参考依据。方法选择2017年4月30日—2019年12月1日在浙江大学医学院附属第二医院行永久性结直肠癌造口的患者120例,其中2017年4月30日—2018年7月31日入组患者为对照组,2018年8月1日—2019年12月1日入组患者为观察组,每组60例。对照组给予结直肠癌造口常规护理,观察组给予以同质医疗服务为基础的创新型护理措施。比较2组患者干预前后不良情绪评分、健康希望水平、生存质量、并发症发生情况及护理满意度。结果干预后,观察组健康问卷(PHQ-9)得分、广泛性焦虑量表(GAD-7)评分[(10.53±2.27)分,(9.73±1.91)分]均明显低于对照组[(11.85±2.73)分,(11.03±2.03)分,均P<0.05],健康希望量表评分(HHI)与生存质量评分[(29.59±7.38)分,(60.02±6.73)分]明显高于对照组[(25.69±5.87)分,(76.48±7.39)分,均P<0.05];干预期间,观察组并发症发生率明显低于对照组(P<0.05),护理满意度明显高于对照组(P<0.05)。结论对永久性结直肠癌造口患者实施以同质医疗为基础的干预护理,能够有效缓解患者不良情绪、提高健康希望水平并减少造口并发症的发生,有助于促进医患和谐,且对提高患者生存质量具有积极作用。Objective To explore the impact of the nursing model based on the concept of homogeneous medical service on the mood and quality of life of patients with colorectal cancer stoma in order to provide a reference for clinical colorectal cancer stoma care.Methods From April 30,2017 to December 1,2019,120 patients with permanent colostomy for colorectal cancer in the Second Affiliated Hospital of Zhejiang University School of Medicine were selected.Amongst them,the patients admitted from April 30,2017 to July 31,2018 were set as the control group,and the patients admitted from August 1,2018 to December 1,2019 were set as the observation group,with 60 cases in each group.Patients in the control group were given routine nursing measures for colorectal cancer stoma,and patients in the observation group were given innovative nursing measures based on homogeneous medical services.The adverse emotion score,health hope level,quality of life,complications and nursing satisfaction were compared between the two groups before and after the intervention.Results After the intervention,the scores of patient health questionnaire-9 and generalised anxiety disorder-7 in the observation group[(10.53±2.27)points,(9.73±1.91)points]were significantly lower than those in the control group[(11.85±2.73)points,(11.03±2.03)points,all P<0.05],and the scores of health hope inventory and quality of life in the observation group[(29.59±7.38)points,(60.02±6.73)points]were significantly higher than those in the control group[(25.69±5.87)points,(76.48±7.39)points,all P<0.05].During the intervention,the incidence of complications in the observation group was significantly lower than that in the control group(P<0.05),and the nursing satisfaction was significantly higher than that in the control group(P<0.05).Conclusion The implementation of homogeneous medical-based intervention care for patients with permanent colorectal cancer stoma can effectively alleviate patients’bad mood,improve the level of health hope and reduce the occurrence of sto

关 键 词：同质医疗服务 创新 结直肠癌造口 不良情绪 生存质量 

分 类 号：R473.73[医药卫生—护理学] R735.3[医药卫生—临床医学]