延续性护理对胃癌根治术后患者生活质量的影响

Effect of continuous nursing care on quality of life for patients with gastric cancer after radical operation

目的探讨延续性护理对胃癌根治术后患者生活质量的影响。方法将90例胃癌根治术后患者随机分为试验组和对照组各45例,对照组患者给予常规出院指导和电话随访,试验组患者给予延续性护理方案,比较两组患者出院时、出院后14 d、出院后1、2、3、6个月的总生存质量和各领域生存质量评分,对护理的满意度,术后并发症发生情况,出院14 d内、30 d内再次入院人数等指标。结果试验组患者的总生存质量、角色功能、认知功能、情绪功能、社会功能等维度的评分均高于对照组,而疲劳、失眠、纳差、便秘等维度的评分均低于对照组(均P<0.05);试验组患者对护理的满意度高于对照组(P<0.05),且出院14 d内再次就诊人数少于对照组(P<0.05)。结论延续性护理较常规护理能提高胃癌根治术患者术后的生活质量和患者对护理的满意度,减少患者出院后短期内的再次就诊次数。

Objective To investigate the influence of continuous nursing care on the quality of life for patients with gastric cancer after radical operation .Methods A total of 90 patients with gastric cancer after radical operation were randomly divided into experimental group and control group ,with 45 cases in each group .The control group received the usual discharged instruction and telephone follow -up, while the experimental group was given continuous nursing care .The score of quality of life in the total and each field after 14-day,1-,2-, 3-and 6-month discharge ,and the degree of satisfaction for nursing care ,the incidence rate of postoperative complication ,the cases having further consultation in 14 and 30 days after discharge were compared between the two groups .Results The overall score of quality of life , and the role function ,cognitive function ,emotion function and society function scores in the experimental group were higher than those in the control group,and the scores of fatigue,insomnia,poor appetite and astriction in the experimental group were lower than those in the control group（all P〈0.05）.The degree of satisfaction for nursing care in the experimental group was higher than that in the control group （P〈0.05）.The cases having further consultation in 14 days after discharge in the experimental group were less than those in the control group（P〈0.05）.Conclusion Continuous nursing care can improve the level of quality of life and the degree of satisfaction for nursing care in patients with gastric cancer after radical operation ,and reduce the number of patients having further consultation in the short term after discharge .