一体化管理的老年综合评估护理模式对前列腺癌患者心理因素和生活质量的影响

Effect of integrated management and comprehensive geriatric assessment nursing model on psychological factors and quality of life in patients with prostate cancer

目的探讨对前列腺癌患者采用一体化管理老年综合评估(CGA)护理模式对其心理因素和生活质量的影响。方法选取2020年3月至2021年3月在南京市第一医院就诊,确诊为前列腺癌,且首次行腹腔镜下前列腺癌根治术的患者96例,随机分为对照组、观察1组、观察2组,各32例。对照组为住院后采用常规护理模式进行护理,观察1组为入院后行CGA干预组,观察2组为一体化管理的CGA干预组。三组患者分别在干预前、出院时,进行焦虑自评量表(SAS)、抑郁自评量表(SDS)测评;在干预前、术后30 d,进行生活质量核心量表QLQ-C30(V3.0)和前列腺癌特异性补充量表QLQ-PR25测评。结果出院时,观察2组SAS、SDS评分显著优于对照组及观察1组(P<0.05);术后30 d,观察2组生活质量QLQ-C30、QLQ-PR25评分显著优于对照组及观察1组(P<0.05)。结论一体化管理CGA护理模式可有效改善前列腺癌患者的心理状态,提高其术后生活质量。

Objective To explore the effects of integrated management and comprehensive geriatric assessment(CGA)nursing model on psychological factors and quality of life of patients with prostate cancer.Methods A total of ninety-six patients diagnosed with prostate cancer and underwent laparoscopic radical prostatectomy(LRP)for the first time in Nanjing First Hospital from March 2020 to March 2021 were selected and randomly divided into control group,observation group 1 and observation group 2(n=32,each).The routine nursing mode was given after admissionin in control group,CGA intervention was performed in observation group 1,and CGA intervention with integrated management was performed in observation group 2.All patients were evaluated by self-rating anxiety scale(SAS)and self-rating depression scale(SDS)before intervention and at discharge,and evaluated by core quality of life questionnaire QLQ-C30(V3.0)and prostate cancer-specific module supplementary scale(QLQ-PR25)before intervention and 30 days after operation.Results SAS and SDS scores in observation group 2 were significantly better than those in control group and observation group 1 at discharge(P<0.05).At 30 days after operation,the QLQ-C30 and QLQ-PR25 scores of quality of life in observation group 2 were obviously better than those in control group and observation group 1(P<0.05).Conclusion The integrated management and CGA nursing model can effectively improve the psychological state and postoperative quality of life for patients with prostate cancer.