食管癌患者应用4C延续护理模式的实践研究

The Practice Researchof 4 Ccontinued Nursing Mode Applied to Patients with Esophageal Cancer

目的探讨4C延续护理模式对食管癌患者生活质量影响。方法选取2015年6月至2015年9月在四川省南充市XX三级甲等综合医院心胸外科、肿瘤科食管癌患者200例。应用4C延续护理模式,即:一系列具有全面性(Comprehensiveness)、合作性(Continuity)、协调性(Coordination)、延续性(Collaboration)的护理活动,由延续护理小组为食管癌患者提供出院前的健康教育及出院后随访干预。采用自身对照法,分别于出院前和出院6个月后通过问卷调查的方式比较两组患者生活质量情况。结果干预后食管癌患者生活质量高于干预前的食管癌患者生活质量,差异有统计学意义(P<0.05)。结论 4C延续护理模式可以提高食管癌患者的生活质量。

Objective The effect of 4C continued nursing mode on the quality of life of patients with esophageal cancer was discussed. Methods 200 cases of esophageal cancer between Jun. 2015 and Sept. 2015 in Cardiothoracic surgery and Oncology Department of XX Class Ⅲ Grade Ⅰhospital in Nanchong Sichuan province were selected and were applied with 4C continued nursing mode,i. e.,a series of nursing activities with Comprehensiveness,Continuity,Coordination,Collaboration and the continued group provided patients with esophageal cancer with health education before discharge and follow-up intervention after discharge. Using self-contrast method,the life quality of two groups before discharge and 6 months after discharge by questionnaire survey was compared. Results The life quality of patients with esophageal cancer after intervention was higher than that before the quality of life and the difference was statistically significant（ P〈0. 05）. Conclusion 4C continued nursing mode can improve the life quality of patients with esophageal cancer.