循证护理结合穴位按摩对宫颈上皮内瘤变患者术后疾病认知及生活质量的影响

Effect of Evidence-Based Nursing Combined with Acupoint Massage on Postoperative Disease Cognition and Quality of Life of Patients with Cervical Intraepithelial Neoplasia

目的 探究循证护理结合穴位按摩对宫颈上皮内瘤变(CIN)患者术后疾病认知及生活质量的影响。方法 选取本院2018年6月—2020年6月收治的80例CIN患者,按照随机数字表分为对照组和观察组,每组40例。对照组采用穴位按摩,观察组在对照组基础上采用循证护理。比较两组的疾病认知、生活质量及心理状态。结果 护理前,两组各项疾病认知评分比较,组间差异无统计学意义(P>0.05);护理后,观察组的疾病治疗、日常生活照护、性生活及危险因素控制评分均高于对照组,组间差异有统计学意义(P<0.05)。护理前,两组的心理状态比较,组间差异无统计学意义(P>0.05);护理后,观察组的焦虑自评量表、抑郁自评量表评分分别为(41.58±4.36)分、(42.14±4.95)分,均低于对照组,组间差异有统计学意义(P<0.05)。护理前,两组的各维度生活质量综合评定问卷评分比较,组间差异无统计学意义(P>0.05);护理后,观察组的躯体功能、心理功能、社会功能及物质生活状态评分分别为(62.43±3.87)分、(68.63±3.05)分、(65.82±2.90)分、(72.53±2.96)分,均高于对照组,组间差异有统计学意义(P<0.05)。结论 循证护理结合穴位按摩能够有效提高CIN患者对疾病的认知,改善其心理状态,提高生活质量。

Objective To explore the effect of evidence-based nursing combined with acupoint massage on postoperative disease cognition and quality of life in patients with cervical intraepithelial neoplasia(CIN).Methods A total of 80 CIN patients admitted to our hospital from June 2018 to June 2020 were selected and divided into a control group and an observation group according to a random number table,with 40 cases in each group.The control group was given acupoint massage,and the observation group was given evidence-based nursing on the basis of the control group.The disease cognition,quality of life and psychological state were compared between the two groups.Results Before nursing,there were no significant differences between the two groups in the cognitive scores of various diseases(P>0.05);after nursing,the scores of disease treatment,daily care,sexual life and risk factor control in the observation group were all higher than those in the control group,and the differences were statistically significant(P<0.05).Before nursing,the psychological state of the two groups was compared,and there was no significant difference between the two groups(P>0.05);after nursing,the scores of the self-rating anxiety scale and self-rating depression scale of the observation group were(41.58±4.36)points and(42.14±4.95)points,respectively,which were lower than those of the control group,and the differences between the groups were statistically significant(P<0.05).Before nursing,there was no significant difference between the two groups in the scores of the comprehensive assessment of quality of life in various dimensions between the two groups(P>0.05);after nursing,the physical function,psychological function,social function and material life status scores of the observation group were(62.43±3.87)points,(68.63±3.05)points,(65.82±2.90)points and(72.53±2.96)points,respectively,all higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Evidence-based nursing combined with acupoint massage can effectively improve CIN patients'cognition of the disease,improve their psychological state,and improve their quality of life.