基于患者安全的个案管理护理在前列腺癌患者中的应用效果  

Effectiveness of patient safety-based case management care in prostate cancer patients

作　　者：陈小梅 陈琼 吴清龙 翁舜华 黄严金 CHEN Xiaomei;CHEN Qiong;WU Qinglong;WENG Shunhua;HUANG Yanjin(Xiamen Haicang Hospital,Xiamen,361026,China)

机构地区：[1]厦门市海沧医院泌尿外科,福建省厦门市361026

出　　处：《护理实践与研究》2023年第11期1688-1692,共5页Nursing Practice and Research

基　　金：厦门市医疗卫生指导项目(编号:3502Z20209253)。

摘　　要：目的探讨基于患者安全的个案管理的护理干预在前列腺癌内分泌治疗患者中的应用效果。方法选择医院2019年1月—2021年10月前列腺癌内分泌治疗患者116例,按组间基本资料具有可比性的原则分为观察组和对照组,每组58例。对照组采用常规性前列腺癌内分泌治疗护理工作流程,观察组在对照组基础上进行基于患者安全的个案管理护理指导。比较两组患者干预3个月后的焦虑抑郁评分、前列腺癌症状评分、生活质量评分、患者依从程度和护理满意程度。结果护理干预后,观察组患者的焦虑抑郁评分低于对照组,差异有统计学意义(P<0.05);生活质量评分、性功能、激素功能高于对照组,差异有统计学意义(P<0.05);观察组患者依从程度和护理满意度高于对照组,差异有统计学意义(P<0.05)。结论基于患者安全前提下的个案管理指导的应用,能有效降低前列腺癌内分泌治疗患者的焦虑抑郁情绪,提高患者生活、生存质量和治疗依从性,增加患者的满意度,具有重要的临床应用价值。Objective To explore the effectiveness of nursing intervention based on patient safety in patients with endocrine therapy for prostate cancer.Methods 116 patients with prostate cancer from January 2019 to October 2021 was selected,they were divided into observation group and control group according to the principle of comparable basic data between groups,with 58 cases in each group.The control group used the routine prostate cancer endocrine therapy nursing workflow,and the observation group applied the case management nursing based on patient safety based on the control group guide.Comparing anxiety and depression scores,prostate cancer symptom score,quality of life score,patient compliance and care satisfaction in both groups after 3 months of intervention.Results After nursing intervention,the anxiety and depression score of the observation group was lower than the control group,the difference was statistically significant(P<0.05);Quality of life score,sexual function,and hormone function were higher than the control group,the difference was statistically significant(P<0.05);compliance and nursing satisfaction in the observation group were higher than the control group,the difference was statistically significant(P<0.05).Conclusion The application of case management guidance based on the premise of patient safety can effectively reduce the anxiety and depression of endocrine therapy patients with prostate cancer,improve patients'life,life quality and treatment compliance,and increase patients'satisfaction,which has important clinical application value.

关 键 词：前列腺癌 个案管理 内分泌治疗 生活质量 患者安全 

分 类 号：R473.6[医药卫生—护理学]