胃癌术后患者对延续性护理服务需求的调查

Investigation on transitional care needs of gastric carcinoma patients following gastrectomy

目的 调查胃癌术后患者对延续性护理服务的需求情况,旨在为临床开展延续性护理,提高患者生命质量提供依据.方法 采取方便抽样的方法选择北京大学肿瘤医院78例胃癌术后的患者,在患者出院时采用自设问卷调查患者对延续性护理服务的需求情况.结果 有94.9%（74/78）的患者需要延续性护理服务.92.3%（72/78）的患者期望由手术医院或由其指导居住地医疗机构提供延续护理服务.胃癌术后患者希望的延续性护理服务内容排在前5位的是饮食、复诊、后续治疗、伤口和排便,分别为100.0%（78/78）、100.0%（78/78）、100.0%（78/78）、92.3%（72/78）、85.9%（67/78）.结论 胃癌术后患者对延续性护理服务的需求强烈,其中对饮食、复诊及后续治疗需求率最高,应采取适合国情的系统的延续护理模式,加强患者出院后的管理,以提高其生命质量.

Objective To investigate transitional care needs of the patients with gastric carcinoma before discharging, and improve their quality of life. Methods Through questionnaire and convenience sampling, 78 gastric carcinoma patients were recruited from a cancer hospital in Beijing. A self-made questionnaire was used to investigate the transitional care needs of the patients before discharging. Results 94.9% （74/78） of patients needed transitional care. 92.3% （72/78） of patients were willing to receive transitional care either from hospital they were discharged from or community medical institutions nearby with the guidance of the hospital. The most prevalent demands of the gastric cancer patients included food、return visit、the follow-up treatment、wound and defecation. The rates were 100.0%（78/78）, 100.0% （78/78）, 100.0% （78/78）, 92.3% （72/78）, 85.9% （67/78）. Conclusions Most of the gastric carcinoma patients highly demanded transitional care. We should strengthen the management of patients after discharge, so as to improve their quality of life.