三维质量评价模式在前列腺癌患者延续性护理中的应用

Application of three-dimensional quality assessment model in transitional nursing care for patients with prostate cancer

目的探讨三维质量评价模式在前列腺癌患者延续性护理中的应用价值.方法采用等距随机抽样法,纳入2016年5月-2018年5月于中山大学肿瘤防治中心收治的96例前列腺癌患者为研究对象,按入院顺序分为对照组和观察组,各48例.对照组采用常规延续护理模式,观察组的延续护理采用三维质量评价模式,干预时间均为3个月.分别于干预前及干预结束时采用尿失禁问卷简表(ICI-Q-SF)、SAS、SDS、中文版癌症自我管理效能感量表(SUPPH)、癌症患者生命质量测定量表体系之前列腺癌子量表(EORTC QLQ-PR25)评估两组患者尿控情况、负性情绪、自我管理效能水平与生活质量.结果观察组干预后ICI-Q-SF、SAS、SDS评分低于组内干预前及对照组干预后(P<0.05),正性态度、自我减压、自我决策及总量表评分高于组内干预前及对照组干预后(P<0.05);观察组干预后尿路症状、肠道症状、治疗相关症状评分低于组内干预前及对照组干预后(P<0.05),性生活状况评分高于组内干预前及对照组干预后,差异均有统计学意义(P<0.05).结论三维质量评价模式在前列腺癌患者延续性护理中具有重要应用价值,能改善患者尿控情况,缓解其负性情绪,提高自我管理效能水平及生活质量.

Objective To explore the application value of three-dimensional quality assessment model in transitional nursing care for patients with prostate cancer. Methods By systematic sampling, a total of 96 patients with prostate cancer admitted in Cancer Prevention and Treatment Center, Sun Yat-sen University from May 2016 to May 2018 and divided into the control group (n=48) and observation group (n=48) based on their admission order. Conventional transitional nursing care was adopted in the control group and the three-dimensional quality assessment model was adopted in the observation group for three months. Before intervention and upon completion of intervention, the two groups were evaluated in their urine control condition, negative affect, self-management efficacy and quality of life by using the International Consultation on Incontinence Questionnaire Short Form(ICI-Q-SF), Self-evaluation of Anxiety Scale (SAS) and Self-rating Depression Scale (SDS), Chinese version of the Strategies Used by People to Promote Health(SUPPH), EORTC the Quality of Life Questionnaire for Prostate Cancer 25(EORTC QLQ-PR25). Results The scores of ICI-Q-SF、SAS、SDS in the observation group after intervention were lower than those before intervention and the control group after intervention (P<0.05);after intervention the scores of the "positive attitude","self-relax","self-determination"and total score in the observation group were higher than those before intervention and the control group after intervention (P<0.05);the scores of "urinary tract symptoms","intestinal symptoms" and "treatment-related symptoms" were lower than those before intervention and the control group after intervention (P< 0.05), the score of sexual life was significantly higher than those before intervention and after intervention in the control group with statistical differences (P< 0.05). Conclusions Three-dimensional quality assessment model has important application significance in the transitional nursing care for prostate cancer patients, which can improve the urinary control of patients, alleviate their negative emotions, and improve their self-management efficacy and quality of life.