医护协作模式对胃癌手术患者管理的效果分析

Effect of Medical Care Integration on Management of Patients with Gastric Cancer Who Received Surgeries

目的探究医护协作模式在胃癌手术患者中的全程管理效果,旨在为临床治疗胃癌手术患者提供相应的意见和建议。方法选取2014年6月至2016年6月在我科接受治疗的胃癌患者76例,按照随机数表的方式分为实验组和对照组;对照组患者实施术前健康宣教,术中、术后加强病情观察及监测,术后积极预防并发症等常规护理;实验组在对照组患者治疗的基础上增加规范查房、告知病情、健康宣教、心理干预等医护协作模式的护理措施;比较术后两个月两组患者的SAS\SDS评分、满意度及生活质量各维度评分。结果在实施护理干预后,实验组患者的躯体健康、社会功能得分均高于对照组患者,数据差异具有统计学意义(P<0.05);干预后实验组患者与对照组患者的满意度分别为92.1%、73.7%,实验组高于对照组,差异具有统计学意义(P<0.05)。结论医护协作模式能够有效提高胃癌患者手术后的满意度和生活质量,可明显改善患者的精神和情绪,具有临床推广价值。

Objective To explore the effect of medical care integration on the management of patients with gastric cancer who received surgeIies, and to provide corresponding suggestions and advices for clinical treatment of patients with gastric cancer. Methods A total of 76 patients with gastric cancer who received surgeries from June 2014 to June 2016 in our department were included in this study. According to the random number table, patients were divided into experimental group and control group. Preoperative health education, intensive observation and monitoring during and after surgery and postoperative routine nursing prevention of complications were adopted in control group; Besides routine care, standard room checking, health education and psychological intervention of health integrated nursing measures were adopted in experimental group; SAS／SDS scores, satisfaction and quality of life of the two groups before and after surgery were compared with each other. Results After the implementation of nursing intervention, the scores of physical heahh and social function in experimental group were higher than that in control group, and the differences were statistically significant （P〈0.05）; after the intervention, satisfaction of patients in experimental group and control group were 92.1% and 73.7% respectively, and satisfaction level of patients in experimental group was higher than that in control group with statistical significance （P〈0.05）. Conclusion Medical care integration can effectively improve satisfaction of patients, postoperative life quality of patients with gastric cancer and patient＇s mental and emotional condition which is worth to be popularized.