护士主导的康复运动训练联合认知行为护理对卵巢癌术后患者的影响  

Nurse-led rehabilitation exercise training combined with cognitive behavioral nursing The efect on patients with ovarian cancer after surgery

作　　者：王雪卫 王素平 张煜 WANG Xuewei;WANG Suping;ZHANG Yu(Binzhou Medical University Hospital,Binzhou 256600,China)

机构地区：[1]滨州医学院附属医院,山东滨州256600

出　　处：《心理月刊》2024年第24期183-186,共4页

摘　　要：目的 观察护士主导的康复运动训练联合认知行为护理对于卵巢癌术后患者的影响。方法 选取2021年1月~2024年2月于滨州医学院附属医院住院接受手术治疗的卵巢癌患者72例,抽签法随机将纳入患者分为对照组和试验组,各36例。对照组采用常规护理,在对照组基础上给予试验组患者护士主导的康复运动训练联合认知行为护理。比较两组患者术后心理状态、自护能力、生命质量状况、术后疼痛情况和护理满意度。符合正态分布的计量资料以t检验,不符合正态分布的计量资料以Man-Whitney U检验或Wilcoxon检验。结果 干预前,两组患者的抑郁-焦虑-应激自评量表简版(DASS)、自护能力测定量表(ESCA)、生命质量测定量表(FACT-O)和视觉模拟量表(VAS)评分比较,差异无统计学意义(P>0.05)。护理1个月时,两组患者的DASS各维度评分和总分均较入院时显著降低(P<0.05);两组患者的ESCA各维度评分和总分均较入院时显著增加(P<0.05);两组患者的FACT-O各维度评分和总分均较入院时显著增加(P<0.05)。组间比较,试验组患者的DASS各维度评分和总分均低于对照组,ESCA、FACT-O各维度评分和总分均高于对照组(P<0.05)。术后第3天,两组患者的VAS评分均较入院时显著降低,且试验组患者的VAS评分显著低于对照组(P<0.05);出院时,试验组患者护理满意度显著高于对照组(P<0.05)。结论 护士主导的康复运动训练联合认知行为护理能有效改善卵巢癌术后患者的心理状态,增强自护能力,缓解术后疼痛,以提升生命质量,并有效提高患者的护理满意度。Objective To observe the effect of nurse-led rehabilitation exercise training combined with cognitive behavioral nursing on patients with ovarian cancer after surgery.Methods A total of 72 patients with ovarian cancer who underwent surgical treatment in Binzhou Medical University Hospital from January 2021 to February 2024 were selected.The included patients were randomly divided into a control group and an experimental group,with 36 cases in each group.Patients in the control group received routine nursing,and patients in the experimental group received nurse-led rehabilitation exercise training combined with cognitive behavioral nursing on the basis of routine nursing.The postoperative psychological state,selfcare ability,quality of life,postoperative pain and nursing satisfaction were compared between the two groups.The measurement data conforming to normal distribution were analyzed by t test,and the measurement data not conforming to normal distribution were analyzed by Man-Whitney U test or Wilcoxon test.Results Before the intervention,there was no significant difference in the scores of depression anxiety stress scale short version(DASS),exercise of self-care agency scale(ESCA),functional assessment of life(FACT-O)and visual analogue scale(VAS)between two groups(P>0.05).After 1 month of nursing,the dimension scores and total DASS scores of the two groups were significantly lower than those on admission(P<0.05);The dimension scores and total ESCA scores of the two groups were significantly higher than those on admission(P<0.05).The dimension scores and total FACT-O scores of the two groups were significantly higher than those on admission(P<0.05).Compared between the two groups,the dimension scores and total scores of DASS in the experimental group were lower than those in the control group,and the dimension scores and total scores of ESCA and FACT-O in the experimental group were higher than those in the control group(P<0.05).On the third day after operation,the VAS scores of the two groups were significan

关 键 词：康复运动训练 认知行为护理 卵巢癌 手术治疗 康复效果 

分 类 号：R47[医药卫生—护理学]