纽曼系统护理模式对中晚期肝癌介入治疗术后病人生活质量和不良情绪的影响

Effect of Newman nursing on quality of life and bad mood of patients with liver cancer after interventional therapy

目的探讨纽曼系统护理模式对中晚期肝癌介入治疗术后病人生活质量和不良情绪的应用效果。方法选择成都市第六人民医院2013年1月至2017年1月接受介入治疗的中晚期肝癌病人84例,其中2013年1月至2015年1月接受常规护理的44例为对照组,2015年2月至2017年1月采用纽曼模式进行护理的40例为观察组。对两组护理前和护理后生活质量、不良情绪以及病人满意度进行观察。结果护理后观察组病人在躯体疼痛、活力、情感职能、情感健康以及总体健康等五个维度评分高于对照组,差异有统计学意义(P<0.05)。护理后,观察组在疲劳、慌乱、愤怒、抑郁和紧张等不良情绪评分优于对照组,差异有统计学意义(P<0.05)。观察组病人的护理满意度为85.00%,明显高于对照组的63.63%,差异有统计学意义(P<0.05)。结论采用纽曼模式护理能显著改善中晚期肝癌介入治疗病人的情感职能、情感健康、躯体疼痛、活力以及总体健康等生活质量,并且对于疲劳、慌乱、愤怒、抑郁和紧张等不良情绪的改善效果较好,且护理满意度较高,值得在肝癌中晚期病人护理中推广。

Objective To explore the improvement effect of Newman system nursing model on quality of life and bad mood of pa?tients with liver cancer after interventional therapy.Methods Eighty?four patients with liver cancer who received interventional therapy from January 2013 to January 2017 in Chengdu Sixth People’s Hospital were selected as the subjects.From January 2013 to January 2015,44 patients received conventional nursing were selected as the control group,and from February 2015 to January 2017,40 patients treated with the Newman nursing were selected as the study group.The quality of life(QOL),adverse emotions,and patients’satisfaction of the two groups before and after nursing were analyzed statistically.Results After nursing,the five di?mensions of physical pain,vitality,emotional function,emotional health and overall health of patients in the study group were signif?icantly higher than those in the control group,and the differences were statistically significant(P<0.05).After nursing,the scores of fatigue,panic,anger,depression and tension in the study group were better than those in the control group,and the differences were statistically significant(P<0.05).The satisfaction of patients in the study group was 85.00%,which was significantly higher than 63.63%of the control group,and the difference was statistically significant(P<0.05).Conclusion The Newman nursing can significantly improve the emotional function,emotional health,body pain,vitality and general health of the patients,and improve the emotion of fatigue,panic,anger,depression and tension,with high nursing satisfaction,which is worth promoting in the treatment of patients with advanced liver cancer.