延续护理对宫颈癌放化疗患者自我效能及并发症的影响

Effect of continuity care on self efficacy and complications in patients with cervical cancer undergoing chemo-radiotherapy

目的探讨延续护理对宫颈癌放化疗患者出院后自我效能及并发症的影响。方法选取2013年3月至2015年4月间重庆市两江新区第一人民医院收治的195例接受放化疗治疗的宫颈癌患者,按照入院时间及护理情况,将2013年3月至2014年3月入院接受常规护理的96例患者纳入对照组,将2014年4月至2015年4月入院在常规护理基础上接受延续护理的99例患者纳入观察组。比较两组患者出院时和出院后6个月的自我效能、自护能力和生活质量变化及出院后6个月内并发症发生情况,并评价其护理满意度。结果两组患者出院后6个月的自我效能、自护能力和生活质量评分均较出院时上升,观察组患者出院后6个月上述评分分别为(34.87±5.25)分、(113.02±5.17)分和(112.95±9.87)分,高于对照组患者的(25.05±4.32)分、(95.91±5.26)分和(101.36±9.25)分,差异均有统计学意义(均P<0.05)。观察组患者出院后6个月内并发症发生率为8.1%,低于对照组的20.8%,护理满意度为99.0%,高于对照组的78.1%,差异均有统计学意义(均P<0.05)。结论延续护理能够提高宫颈癌放化疗患者出院后的自我效能,降低并发症发生风险,改善患者的生活质量,值得临床推广。

Objective To observe the effect of continuity care on self efficacy and complications in patients with cervical cancer undergoing chemo-radiotherapy. Methods In Liangjiang First People＇s Hospital,195 patients with cervical cancer undergoing chemo-radiotherapy were selected from March 2013 to April 2015. According to their admission time and nursing,96 patients who admitted to hospital and received routine nursing care from March 2013 to March 2014 were included in the control group and 99 patients who admitted to hospital and received continuity care from April 2014 to April 2015 were included in the observation group. The self-efficacy,self-care ability,and the change in quality of life at discharge and 6 months after discharge,the incidence of complications within 6 months after discharge and nursing satisfaction were evaluated and compared between the two groups. Results The self-efficacy,self-care ability and life quality increased in both groups at 6 months after discharge. The above score was（ 34. 87 ± 5. 25）,（ 113. 02 ±5. 17） and（ 112. 95 ± 9. 87） in the observation group respectively which was higher than（ 25. 05 ± 4. 32）,（ 95. 91 ± 5. 26） and（ 101. 36 ± 9. 25） of the control group respectively at 6 months after discharge（ P〈0. 05）. At 6 months after discharge,the complication rate was 8. 1% in the observation group which was lower than 20. 8% of the control group and satisfaction rate was 99. 0% in the observation group which was higher than 78. 1% of the control group（ P〈0. 05）. Conclusion Continuity nursing can improve self-efficacy reduce the risk of complications,and improve the quality of life in patients with cervical cancer after discharge,which is worthy of clinical recommendation.