流程化沟通在原发性食管癌手术患者中的应用效果观察

Application of procedural communication in patients accepting operation with primary esophageal cancer

目的分析流程化沟通在原发性食管癌手术患者中的应用效果。方法回顾性分析82例接受手术治疗的原发性食管癌患者的临床资料。根据干预方式不同,分为对照组(常规护理干预)41例和观察组(流程化沟通干预)41例。比较两组患者干预前后的健康素养评分及焦虑、特质应对方式(积极应对、消极应对)、希望指数评分。结果干预前,两组患者的健康素养各项评分比较,差异均无统计学意义(P﹥0.05);干预后,观察组患者的信息获取能力、交流互动能力、改善健康意愿评分及健康素养总分均高于对照组,差异均有统计学意义(P﹤0.05)。干预前,两组患者焦虑、特质应对(积极应对、消极应对)、希望指数评分比较,差异均无统计学意义(P﹥0.05);干预后,观察组患者焦虑、消极应对评分均明显低于对照组,差异均有统计学意义(P﹤0.01);干预后,观察组患者积极应对、希望指数评分均明显高于对照组,差异均有统计学意义(P﹤0.01)。结论流程化沟通可有效提升原发性食管癌手术患者的健康素养,改善其心理状况,值得临床推广应用。

Objective To study the effect of procedural communication in patients accepting operation with primary esophageal cancer.Method A retrospective analysis of the clinical data of 82 patients with primary esophageal cancer treated by operation was conducted.By different interventions,41 patients who received routine nursing care were included as control group while another 41 administered with procedural communication were stratified as study group.The scores of health literacy,anxiety,trait coping style(positive or negative)and hope index before and after intervention were compared between the two groups.Result Before intervention,patients in both groups had comparable scores on health literacy(P>0.05);while after intervention,the scores regarding information acquisition,communication and interaction,and the will of health improvement,and the total health literacy score in the study group were higher than those in the control group(P<0.05).Before intervention,the scores of anxiety,trait coping style(positive or negative)and hope index were similar in both groups(P>0.05);while the anxiety and negative coping style scores in study group were significantly decreased compared with control group after intervention,moreover,the positive coping style and hope index were also remarkably higher in study group(P<0.01).Conclusion Procedural communication can effectively strengthen the health literacy of patients with primary esophageal cancer and improve their psychological status,which is worth promoting.