基于三维质量评估的延续性护理模式对食管癌根治术后自我管理效能、癌因性疲乏的影响  

Effect of Continuous Nursing Model Based on Three-dimensional Quality Assessment on Self-management Efficacy and Cancer-induced Fatigue of Patients after Radical Resection of Esophageal Cancer

作　　者：李红燕 杨慧 陈静儒 陈瑞云 刘赛赛 冯海艳 李媛 于川川 LI Hong-yan;YANG Hui;CHEN Jing-ru;CHEN Rui-yun;LIU Sai-sai;FENG Hai-yan;LI Yuan;YU Chuan-chuan(Department of Thoracic Surgery,Henan Provincial People's Hospital(Henan Provincial Key Laboratory of Nursing Medicine,Zhengzhou University People's Hospital),Zhengzhou 450000,Henan Province,China)

机构地区：[1]河南省人民医院(河南省护理医学重点实验室,郑州大学人民医院)胸外科,河南郑州450000

出　　处：《罕少疾病杂志》2025年第3期67-70,共4页Journal of Rare and Uncommon Diseases

基　　金：河南省医学科技攻关联合共建项目(LHGJ20200007)。

摘　　要：目的 探讨基于三维质量评估的延续性护理模式对食管癌根治术后患者自我管理效能、癌因性疲乏的影响。方法 便利选取86例河南省人民医院2021年1月至2022年9月期间收治的食管癌根治术后患者作为研究对象,采用随机数字表法将其分为观察组(n=43)和对照组(n=43)。对照组予以常规延续性护理,观察组予以基于三维质量评估的延续性护理模式。两组均连续护理6个月。比较两组护理前后的心理状态和癌因性疲乏评分、自我管理效能、生活质量及护理期间的并发症发生率。结果 与对照组相比,观察组护理期间的并发症发生率均更低(P<0.05)。与护理前进行对比,两组患者护理后的SAS、SDS、CFS得分均降低,且与对照组进行对比,观察组处于较低水平;与护理前进行对比,两组患者护理后的自我决策、自我减压、正性态度、整体生活质量、社会功能、认知功能、情绪功能、角色功能、躯体功能评分均升高,且与对照组进行对比,观察组处于较高水平,差异有统计学意义(P<0.05)。结论 基于三维质量评估的延续性护理模式应用于食管癌根治术后患者可改善患者的心理状态,减轻癌因性疲乏感和术后疼痛程度,提高自我管理效能,降低并发症发生率,提升生活质量水平,护理效果确切。Objective To explore the effect of continuous nursing model based on three-dimensional quality assessment on self-management efficacy and cancer-induced fatigue of patients after radical resection of esophageal cancer.Methods 86 patients with esophageal cancer treated in Henan Provincial People's Hospital from January 2021 to September 2022 after radical resection were conveniently selected as the research objects,and divided into the observation group(n=43)and the control group(n=43),by random number table method.The control group was given conventional continuity care,and the observation group was given continuity care model based on three-dimensional quality assessment.Both groups received continuous care for 6 months.The scores of psychological status and cancer-related fatigue,self-management efficacy,quality of life before and after nursing and the incidence of complications during nursing of both groups were compared.Results Compared with the control group,the observation group had lower complication rate during nursing(P<0.05).Compared with before nursing,the scores of SAS,SDS and CFS decreased in both groups after nursing,and compared with the control group,the observation group was at a lower level;Compared with before nursing,both groups of patients after nursing the scores of self-decision-making,self-decompression,positive attitude,overall quality of life,social function,cognitive function,emotional function,role function,physical function increased,and compared with the control group,the observation group was at a higher level,the difference was statistically significant(P<0.05).Conclusion Based on the three-dimensional quality assessment of continuity of care model applied to esophageal cancer radical surgery patients could improve the psychological state of patients,reduce cancer due to fatigue and postoperative pain,improve self-management efficiency,reduce the incidence of complications,improve the level of the quality of life,nursing effect was exact.

关 键 词：食管癌 三维质量 延续性护理 自我管理效能 癌因性疲乏 生活质量 

分 类 号：R473.73[医药卫生—护理学]