基于医护合作平台的延续性护理对颅咽管瘤术后患者生活质量的影响

Effects of transitional care based on physicians and nurses cooperation platform on quality of life of postoperative patients with craniopharyngioma

目的探讨基于医护合作平台的延续性护理对颅咽管瘤术后患者生活质量的影响。方法采用便利抽样法,选取2017年1月—2018年12月在首都医科大学附属北京天坛医院神经外科治疗的颅咽管瘤术后患者140例为研究对象,并依据随机数字表将其分为试验组(n=70)和对照组(n=70)。对照组患者采用常规护理模式,试验组患者在常规护理的基础上给予基于医护合作平台的延续性护理。采用中国头颈部癌患者生命质量测量量表(QLICP-HN)、SAS、SDS评价干预的效果。结果最终对照组63例、试验组70例患者完成研究。出院后3个月试验组患者QLICP-HN总分高于对照组,差异有统计学意义(P<0.05)。出院后1个月、3个月试验组患者SAS、SDS评分均低于对照组,差异有统计学意义(P<0.01)。结论基于医护合作平台的延续性护理可提高颅咽管瘤术后患者的生活质量,改善其焦虑、抑郁情绪。

Objective To explore the effect of transitional care based on physicians and nurses cooperation platform on the quality of life of postoperative patients with craniopharyngioma.Methods From January 2017 to December 2018,we selected 140 postoperative patients with craniopharyngioma in Department of Neurosurgery,Beijing Tiantan Hospital,Capital Medical University,as research objects by convenience sampling.According to the random number table,patients were divided into experimental group(n=70)and control group(n=70).Patients in control group were treated with routine nursing,and patients in experimental group were given transitional care based on the physicians and nurses cooperation platform on the basis of routine nursing.The intervention effect was evaluated with the Chinese Quality of Life Instruments for Cancer Patients-Head and Neck Cancer(QLICP-HN),the Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS).Results Finally,63 patients in the control group and 70 patients in the experimental group completed the study.Three months after discharge,the total score of QLICP-HN of experimental group was higher than that of control group with a statistical difference(P<0.05).One and three months after discharge,scores of SAS and SDS of experimental group were lower than those of control group,and the differences were statistically significant(P<0.01).Conclusions Transitional care based on physicians and nurses cooperation platform can improve the quality of life,anxiety and depression of postoperative patients with craniopharyngioma.