循证护理对肝门部胆管癌根治术患者不良情绪及生活质量的影响

THE INFLUENCE OF EVIDENCE-BASED NURSING ON THE UNHEALTHY MOOD AND QUALITY OF LIFE OF PATIENTS UNDERGOING RADICAL RESECTION OF HC

目的探讨HC伴不良情绪患者术后护理方法。方法选择80例伴焦虑及抑郁的HC患者,将其随机分为两组,各40例。两组均行HC根治术,术后对照组采用常规护理,研究组采用循证护理。分别采用SAS、SDS及SF-36量表、VAS法、护理满意度调查表对患者进行评估。结果研究组术后SAS、SDS评分改善情况优于对照组(P<0.01);研究组随时间延长VAS评分呈降低趋势(P<0.01);研究组SF-36量表各因子及满意度各指标得分均高于对照组(P<0.01)。结论循证护理模式能够有效改善HC根治术患者的不良情绪,降低术后疼痛,提高其生活质量及护理工作满意度。

Objective To explore the postoperative nursing methods of patients with HC with unhealthy emotions.Methods Eighty HC patients with anxiety and depression were selected and randomly divided into two groups,with 40 cases in each group.Both groups underwent radical HC surgery,the control group received conventional nursing after operation,and the study group received evidence-based nursing.The SAS,SDS and SF-36 scales,VAS method,and nursing satisfaction survey were used to evaluate patients.Results The improvement of SAS and SDS scores in the study group was better than that in the control group(P<0.01).The VAS score of the study group showed a decreasing trend with time(P<0.01).The factors and satisfaction of the study group SF-36 scale were different.The index scores were all higher than those of the control group(P<0.01).Conclusion The evidence-based nursing model can effectively improve the unhealthy mood of patients undergoing radical HC surgery,reduce postoperative pain,and improve their quality of life and nursing job satisfaction.