基于提高患者就医感受的喉癌系统化护理干预模式研究

Study on the systematic nursing intervention model of patients with laryngeal cancer based on the improvement of medical treatment experience

目的研究对喉癌患者实施系统化护理干预措施对提高患者就医感受的影响。方法选择河北北方学院附属第一医院耳鼻咽喉-头颈外科2013年12月~2016年12月诊治的70例喉癌患者作为研究对象,按照随机数字表法分为对照组(35例)与观察组(35例)。为对照组患者提供院内一般护理流程,为观察组患者提供系统化护理干预模式。评价两组患者对护理服务满意度、生活质量评分、焦虑自评量表(SAS)及抑郁自评量表(SDS)和出院后自我照顾能力。结果干预前,情绪、角色功能、社会功能、躯体功能、认知能力等生活质量评分比较,差异无统计学意义(P>0.05);干预后,两组患者上述指标评分均有所提高,且观察组高于对照组(P<0.05)。观察组患者满意度高于对照组,差异有统计学意义(P<0.05)。两组患者干预前SAS、SDS评分比较,差异无统计学意义(P>0.05);干预后,两组上述评分均有所降低,且观察组低于对照组(P<0.05)。对照组患者自我照顾能力低于观察组(P<0.05)。结论为喉癌患者提供系统化护理干预措施,能提高患者生活质量,改善不良情绪,且患者出院后自护能力较好。

Objective To study the effect of systematic nursing intervention to improve the feelling patients with laryngeal cancer. Methods From December 2013 to December 2016, 70 patients with laryngeal cancer in Department of Otolaryngology Head and Neck Surgery, the First Affiliated Hospital of Hebei North University were selected as the research object. According to random number table method, they were divided into control group （35 cases） and observation group （35 cases）. The control group was treated by hospital general nursing, and the observation group was treated by systematic nursing intervention. The nursing satisfaction, scores of life quality, SAS and SDS, and self care ability after discharge were evaluated. Results Before intervention, there were no significant differences in the scores of emotion, role function, social function, physical function, cognitive ability between the two groups （P 〉 0.05）; after intervention, the scores in the two groups were increased, and the scores in the observation group were higher than those in the con trol group （P 〈 0.05）. The patients＂ satisfaction rate of the observation group was higher than that of the control group （P 〈 0.05）. Before intervention, the scores of SAS and SDS in the two groups were not statistically significant （P 〉 0.05）; after intervention, the scores in the two groups were decreased, and the scores in the observation group were lower than those in the control group （P 〈 0.05）. The self care ability after discharge of the control group was lower than that of the observation group （P 〈 0.05）.Conclusion Systematic nursing intervention model can improve quality of life, unhealthy emotions and self-care ability after discharge of patients with laryngeal cancer.