责任护理小组模式对食管癌同步放化疗息者护理满意度及生存质量的影响

Effects of responsible nursing group model on nursing satisfaction and life quality of esophageal cancer patients with concurrent chemoradiation and radiotherapy

目的探讨责任护理小组模式对食管癌同步放化疗患者护理满意度及生存质量的影响。方法将知情自愿参加该研究的食管癌患者随机分为责任护理小组模式的实验组和常规对照组，各100例。对照组患者给予常规护理治疗，实验组患者除常规治疗外，从化疗前1周开始予以责任护理小组模式。在患者放化疗起始后1周、结束后利用调查量表对患者生存质量、自我幸福感及医护护理满意度情况进行分析。结果责任护理小组模式与常规护理生存质量评分比较显示，在进行责任护理小组模式干预后，放化疗阶段结束后患者的精神、睡眠、自身对癌症的认识、对治疗的态度、日常生活状况等分项指标显著高于对照组，差异均有统计学意义（均P〈0．05）；与常规护理组比较，责任护理小组模式的实验组患者在放化疗结束后对生活的兴趣、对健康的担心、精力、心情更加愉悦、自身行为的控制、神经状态等分项水平明显升高，主观幸福感平均分在放化疗起始1周、结束时明显高于常规护理组，差异均有统计学意义（均P〈0．05）；在放化疗结束时，对医患满意度进行评价，结果发现责任护理小组模式与常规护理的对照组比较，医护满意度有显著提升，差异有统计学意义（P〈0．05）。结论食管癌患者放化疗后身体虚弱，生存质量明显下降，责任护理小组模式可以有效地改善主观幸福感，部分提高食管癌手术患者的生存质量，提高患者对医护工作的满意度。

Objective To explore the effect of responsible nursing group model on the nursing satisfaction and life quality of esophageal cancer patients with concurrent radiotherapy and chemotherapy. Methods The patients with esophageal cancer who voluntarily participate in this study were randomly divided into the experimental group with re- sponsible nursing group model and the routine controt group, 100 cases of each group. The patients in the control group were given routine nursing treatment. In addition to the routine treatment, the patients in the experimental group Were given responsibility nursing group model for 1 week before chemotherapy. Questionaire scale was used to analyze the pa- tients＇ quality of life, happiness and satisfaction with doctors and nurses at 1 week after the initiation and end of radio- therapy and chemotherapy. Results The results of the comparison between the model of responsible nursing group and the life quality score of conventional nursing showed that after the intervention of the model of responsible nursing group, the patients＂ mental state, sleep, their own understanding of cancer, attitude towards treatment and daily life status were significantly higher than those of the control group, and the differences were statistically significant （ P〈0. 05 ）. Com- pared with routine nursing group, responsible care team mode of experimental group patients at the end of the radiation and chemotherapy with interest in the life, fear of health, energy, mood more cheerful, the control of their actions, nervous state, such as component level increased significantly, subjective well-being score at the end of the concurrent chemoradiation start 1 week, significantly higher than the routine nursing group, difference has statistical significance （P〈0. 05）. At the end of radiotherapy and chemotherapy, the patient satisfaction was evaluated. The results showed that the model of responsible nursing group was significantly improved compared with the control group of conventional nursing, and the difference was statistically significant （P〈0. 05）. Conclusion Patients with esophageal cancer are physically weak after radiotherapy and chemotherapy, and their quality of life is significantly reduced. The model of re- sponsibte nursing group can effectively improve subjective well-being, dergoing esophageal cancer surgery, and improve patients＂ satisfaction partly improve the quality of life of patients un- with their medical care.