总责任护士负责制整体干预在绒毛膜癌患者中的护理效果观察  

Observation on the nursing effect of holistic intervention via the general nurse responsibility system in patients with choriocarcinoma

作　　者：梁素敏 赵安斌 Liang Sumin;Zhao Anbin(Department of Medical Oncology,Xincai People's Hospital,Zhumadian Henan 463500,China)

机构地区：[1]新蔡县人民医院肿瘤内科,河南驻马店463500

出　　处：《保健医学研究与实践》2022年第7期155-158,共4页Health Medicine Research and Practice

摘　　要：目的观察总责任护士负责制整体干预在绒毛膜癌患者中的护理效果。方法选取2017年6月—2020年6月河南某医院收治的绒毛膜癌患者85例设为观察组,另选取该院同期收治的采用常规护理干预的绒毛膜癌患者71例设为对照组。对比2组患者干预前后心理状况、生活质量、营养水平及依从性。结果干预后,2组患者焦虑自评量表(SAS)和抑郁自评量表(SDS)评分均低于干预前(均P<0.05),且观察组得分明显低于对照组(均P<0.05)。干预后,观察组患者心理状态、疼痛、饮食、自理能力、对治疗的态度、对疾病的认知评分均高于对照组(均P<0.05)。干预后,观察组血红蛋白(Hb)、血清白蛋白(Alb)、前白蛋白(PAB)、转铁蛋白(TRF)水平均高于对照组(均P<0.05)。观察组患者依从性为94.12%,高于对照组的77.46%(P<0.05)。结论总责任护士负责制整体干预在绒毛膜癌患者中的护理效果较好,可缓解患者不良情绪,提高其生活质量和营养水平,临床推广价值较高。Objective To observe the nursing effect of holistic intervention via the general nurse responsibility system in patients with choriocarcinoma.Methods A total of 85 patients with choriocarcinoma admitted to a hospital in Henan from June 2017 to June 2020 were selected as the subjects in the observation group.Another 71 patients with choriocarcinoma treated with routine nursing intervention in the same hospital under the same period were selected as the subjects in the control group.Psychological status,quality of life,nutritional level and compliance were compared between the two groups before and after the intervention.Results After the intervention,the self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores in the two groups were lower than those before the intervention,with statistical significance(P<0.05).The scores in the observation group were significantly lower than those in the control group(P<0.05).After the intervention,the psychological status,pain,diet,self-care ability,attitude towards treatment,and cognitive score of the disease in the observation group were higher than those in the control group,with statistical significance(P<0.05).After the intervention,the levels of hemoglobin(Hb),serum albumin(Alb),prealbumin(PAB),and transferrin(TRF)in the observation group were higher than those in the control group,with statistical significance(P<0.05).The compliance rate in the observation group was 94.12%,which was higher than that in the control group(77.46%),with statistical significance(P<0.05).Conclusion The nursing effect of holistic intervention via the general nurse responsibility system in patients with choriocarcinoma is established,which can alleviate the adverse emotions of patients and improve their quality of life and nutritional level.These advantages justify a wider application of this technique in clinical practice.

关 键 词：总责任护士负责制 整体干预 绒毛膜癌 护理效果 

分 类 号：R473.73[医药卫生—护理学]