实施同期护理干预对胃癌根治术患者及其家庭照顾者生活质量的影响

Impact of concurrent nursing intervention on gastric cancer patients undergoing radical gastrectomy and their family caregivers

目的 探讨对胃癌根治术患者及其家庭照顾者实施同期护理干预的效果.方法 2015年10月—2016年4月选择于某院胰胃外科接受胃癌根治术的患者200例,根据随机数字表分为观察组与对照组,各100例.对照组沿用常规的整体护理模式,观察组对患者及其家庭照顾者实施同期护理干预.分别采用针对胃癌患者的生活质量特异性问卷（QLQ-STO22）及汉化的癌症患者照顾者生活质量量表（QOL Scale-FAMILY）在患者入院时、出院1年后对患者及其家庭照顾者进行问卷调查,评估其生活质量.结果 入院时,两组患者及家属的生活质量总分及各维度得分差异均无统计学意义（P〉0.05）.出院1年后,观察组患者QLQ-STO22总分为（48.72±13.92）分,对照组为（25.37±5.96）分,观察组QLQ-STO22各维度得分均低于对照组,差异有统计学意义（P〈0.05）.出院1年后,观察组照顾者QOL Scale-FAMILY总分为（255.93±27.79）分,对照组为（229.17±30.14）分,观察组照顾者的身体健康、精神健康、社会适应维度得分高于对照组,差异有统计学意义（P〈0.05）,但两组心理健康维度得分差异无统计学意义（P〉0.05）. 结论 对胃癌根治术患者及其家庭照顾者实施同期护理干预可提高患者及照顾者双方的生活质量,具有一定推广价值.

Objective To evaluate the impact of concurrent nursing intervention on the quality of life of gastric cancer patients undergoing radical gastrectomy and their family caregivers. Methods A total of 200 participants undergoing radical gastrectomy in Pancreatic Stomach Surgery Department of one hospital were divided observation group （n=100） and control group （n=100） by random number table method from October 2015 to April 2016. Patients in control group were treated with traditional overall nursing, whereas patients and their family caregivers of observation group received concurrent nursing intervention. Quality of life of patients and their family caregivers was investigated with QLQ-STO22 and QOL Scale-FAMILY respectively when the patients were admitted to hospital and one year after discharged. Results The total score and the score of each dimension of quality of life of patients and their caregivers of two groups had no difference when admitted （P〉 0.05）. The total score of QLQ-STO22 of observation group was higher than that of the control group [（48.72±13.92） vs. （25.37±5.96）] when one year after discharged with each dimension lower （P〈0.05）. The total score of QOL Scale-FAMILY of the caregivers of observation group was （255.93±27.79） and （229.17±30.14） for the control group. Scores of dimensions of physical health, mental health, social adaptation of the observation group were higher than those of the control group （P〈0.05）, but psychological health had no significant difference （P〉 0.05）. Conclusions Concurrent nursing intervention could improve the quality of life of patients undergoing radical gastrectomy and their family caregivers and should be applied in clinic.