家庭授权模式在早期直肠癌腹腔镜手术患者中的应用

Application of family empowerment model in patients with laparoscopic surgery for early rectal cancer

目的探讨家庭授权模式在早期直肠癌腹腔镜手术患者中的应用效果。方法采用便利抽样法,2017年1—12月选取在某医院接受腹腔镜手术的94例早期直肠癌患者为研究对象。按入院顺序将患者分为观察组和对照组,剔除脱落患者后,两组各剩余42例患者。对照组患者采用医院常规护理方法,观察组在此基础上采用家庭授权模式。采用癌症患者生活质量调查评分30(QLQ-C30)、中文版Mishel疾病不确定感量表(MUIS)、社会支持评定量表(SSRS)评价干预效果。结果干预后观察组患者QLQ-C30认知功能得分高于对照组,失眠得分低于对照组,差异有统计学意义(P<0.01)。干预后观察组患者MUIS不确定性、不可预测性得分低于对照组,差异有统计学意义(P<0.01)。干预后观察组患者SSRS社会支持利用度得分高于对照组,差异有统计学意义(P<0.01)。结论对早期直肠癌腹腔镜手术患者,通过家庭授权模式开展健康教育有助于改善患者术后睡眠质量及认知功能,减轻疾病不确定感,提升社会支持水平。

Objective To explore the effects of family empowerment model in patients with laparoscopic surgery for early rectal cancer. Methods From January 2017 to December 2017, we selected 94 early rectal cancer patients with laparoscopic surgery at a hospital by convenience sampling. All of the patients were divided into observation group and control group according to the admission order, and 42 cases remained in each group after being eliminated due to abscission. Patients of control group received routine nursing care. On the basis of that in control group, observation group carried out family empowerment model. The intervention effects were evaluated with the Chinese version of European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (QLQ-C30), Chinese version of Mishel Uncertainty in Illness Scale (MUIS) and Social Support Rate Scale (SSRS). Results After intervention, the score of cognitive function of QLQ-C30 of patients in observation group was higher than that in control group;and the score of insomnia in observation group was lower than that in control group;the differences were all statistical differences (P<0.01). After intervention, the scores of uncertainty and unpredictability in MUIS of patients in observation group were lower than those in control group with statistical differences (P<0.01). Besides, the score of utilization of social support in SSRS of patients in observation group was higher than that in control group with a statistical difference (P<0.01). Conclusions Health education based on family empowerment model for patients with laparoscopic surgery for early rectal cancer helps to improve sleep quality and cognitive function of patients after surgery, and reduce the illness uncertainty, and raise the level of social support.