中医护理技术联合协同护理模式对结直肠癌术后化疗患者的影响  

Eff ects of Chinese medicine nursing techniques combined with collaborative care model on postoperative chemotherapy patients with colorectal cancer

作　　者：肖娟 朱丽 XIAO Juan;ZHU Li(Shanghai Jiading District Hospital ofTraditional Chinese Medicine,Shanghai,201800,China)

机构地区：[1]上海市嘉定区中医医院外科,201800

出　　处：《护理实践与研究》2023年第15期2334-2338,共5页Nursing Practice and Research

基　　金：上海市嘉定区卫健委中医药科研课题(编号:2021-KY-ZYY-09)。

摘　　要：目的 探讨中医护理技术联合协同护理模式对结直肠癌术后化疗患者自理能力及生命质量的影响。方法 选取2020年9月—2022年9月于医院住院治疗的结直肠癌术后化疗患者98例为研究对象,按照组间基本特征具有可比性的原则分为对照组50例与观察组48例。对照组采用护理人员-患者-家属三方协同的护理模式,观察组在对照组基础上联合多种中医护理技术干预。比较两组患者干预前后的自理能力、汉密尔顿抑郁量表(HAMD)和Zung焦虑自评量表(SAS)评分、SF-36生活质量量表评分。结果护理干预前,两组患者自我护理各维度评分、HAMD、SAS和SF-36生活质量量表各维度评分的比较,差异均无统计学意义(P>0.05);护理干预后1个月,两组患者自我护理、SF-36生活质量量表各维度评分均升高,且观察组均高于对照组;两组的HAMD评分和SAS评分均下降,且观察组均低于对照组;各观察指标组间比较差异均有统计学意义(P<0.05)。结论 多种中医护理技术联合协同护理模式可提高结直肠癌术后化疗患者的自理能力和生活质量,减轻患者负性情绪,提升患者生命质量。Objective To explore the eff ects of the combined collaborative care model of Chinese medicine nursing techniques on the self-care ability and quality of life of postoperative chemotherapy patients with colorectal cancer.Methods 98 postoperative chemotherapy patients with colorectal cancer who were hospitalised in the hospital from September 2020 to September 2022 were selected for the study,they were divided into 50 cases in the control group and 48 cases in the observation group according to the principle of the basic characteristics of the groups being comparable.In the control group,the nursing staff s-patients-family members collaborative nursing model was adopted,and in the observation group,a variety of traditional Chinese medicine nursing techniques were combined with the intervention on the basis of the control group.The self-care ability,Hamilton Depression Scale(HAMD)and Self-rating Anxiety Scale(SAS)scores,and SF-36 Quality of Life Scale scores of the two groups were compared before and after the intervention.Results Before nursing intervention,the comparison of self-care scores of each dimension,HAMD,SAS and SF-36 Quality of Life Scale scores of each dimension in the two groups were not statistically signifi cant(P>0.05).1 month after nursing intervention,self-care and SF-36 Quality of Life Scale scores of each dimension in the two groups were increased,and the observation group was higher than the control group.HAMD scores and SAS scores decreased in both groups and were lower in the observation group than in the control group;the diff erences between the groups of each observation index were statistically significant(P<0.05).Conclusion Multiple Chinese medicine nursing techniques could improve the self-care ability and quality of life of postoperative chemotherapy patients with colorectal cancer,reduce the negative emotions of the patients,and improve the quality of life of the patients.

关 键 词：多种中医护理技术 协同护理模式 结直肠癌术后化疗 自理能力 生命质量 

分 类 号：R473.6[医药卫生—护理学]