人性照护理论指导下的细节化护理干预对喉癌术后患者的影响  

Effect of Detailed Nursing Intervention Under the Guidance of Humane CareTheory on Patients with Laryngeal Cancer After Surgery

作　　者：董婷 马灵草 戴晗青 侯坤华 DONG Ting;MA Lingcao;DAI Hanqing;HOU Kunhua(Otolaryngology Head and Neck Surgery,Henan Provincial People’s Hospital,Henan Provincial Key Laboratory of Nursing Medicine,Zhengzhou University People’s Hospital,Zhengzhou 450000,China)

机构地区：[1]河南省人民医院耳鼻咽喉头颈外科,河南省护理医学重点实验室,郑州大学人民医院,河南郑州450000

出　　处：《河南医学研究》2024年第24期4573-4577,共5页Henan Medical Research

摘　　要：目的 探讨人性照护理论指导下的细节化护理干预在喉癌术后患者中的应用效果。方法 选取河南省人民医院2020年10月至2023年2月收治的84例喉癌术后患者,依据随机数字表法分成细节组(42例)、常规组(42例)。常规组实施常规护理干预,细节组在此基础上实施人性照护理论指导下的细节化护理干预,对比两组心理负担[自我感受负担量表(SPBS)]、希望水平[Herth希望量表(HHI)]、社会支持[社会支持评定量表(SSRS)]、预后(并发症发生率)、生活质量[恶性肿瘤患者生活质量问卷量表(QLQ-C30)]。结果 干预后,细节组SPBS评分低于常规组,SSRS评分高于常规组(P<0.05);干预后,细节组HHI评分高于常规组,QLQ-C30评分低于常规组(P<0.05);干预后,细节组并发症发生率(4.76%)低于常规组(19.05%)(P<0.05)。结论 人性照护理论指导下的细节化护理干预能减轻喉癌术后患者心理压力,提升社会支持、希望水平,改善预后效果,提高生活质量。Objective To verify the effect of detailed nursing intervention under the guidance of humane care theory in patients with laryngeal cancer after surgery.Methods Fifty-four patients with laryngeal cancer after surgery in Henan Provincial People’s Hospital from October 2020 to February 2023 were selected and divided into detail group(42 cases)and routine group(42 cases)according to random number table method.The routine group implemented the routine nursing intervention,and the detail group implemented the detailed nursing intervention guided by the humanistic nursing theory on this basis.The psychological burden[self-perceived burden scale(SPBS)],hope level[Herth hope index(HHI)],social support[social support rating scale(SSRS)],prognosis(complication rate)and quality of life[quality of life questionnaire for malignant tumor patients(QLQ-C30)]were compared between the two groups.Results After intervention,SPBS score in detail group was lower than that in routine group,SSRS score was higher than that in routine group(P<0.05).After intervention,HHI score in detail group was higher than that in routine group,QLQ-C30 score was lower than that in routine group(P<0.05).After intervention,the complication rate in detail group(7.41%)was lower than that in routine group(29.63%).Conclusion The detailed nursing intervention under the guidance of humane care theory can reduce the psychological pressure of patients with laryngeal cancer after surgery,enhance the level of social support and hope,improve the prognosis and improve the quality of life.

关 键 词：喉癌 人性照护理论 细节化护理 心理负担 

分 类 号：R473.5[医药卫生—护理学]