基于链式管理模式的健康教育在胃癌住院患者压力性损伤预防中的应用

Application of health education based on chain management model in the prevention of stress injury in gastric cancer inpatients

目的探讨基于链式管理模式的健康教育在胃癌住院患者压力性损伤预防中的应用。方法选取2018年3月—2020年3月南阳市某医院收治的123例胃癌患者为研究对象,采用随机数字表法分为对照组(60例)与观察组(63例)。对照组患者采用常规健康教育,观察组患者采用基于链式管理模式的健康教育。比较2组患者护理干预前后疼痛程度、生活质量、护理舒适度、压力性损伤及并发症发生情况。结果2组患者护理干预前VAS评分比较,差异无统计学意义(P>0.05);2组患者护理干预3 d、5 d、7 d时VAS评分低于护理干预前,且观察组患者护理干预3 d、5 d、7 d时VAS评分均低于对照组,差异均有统计学意义(P<0.05)。观察组患者压力性损伤发生率为1.59%(1/63),低于对照组的3.33%(2/60),但差异无统计学意义(χ^(2)=0.631;P=0.427)。观察组患者生理舒适和心理舒适评分分别为(80.79±4.16)分和(86.74±3.17)分,高于对照组的(63.87±4.18)分和(76.16±3.19)分,差异均有统计学意义(χ^(2)=29.847、21.557,均P<0.05)。2组患者护理干预后QOL-30中躯体功能、社会功能、认知功能及生活质量维度评分高于护理干预前,且观察组高于对照组,差异均有统计学意义(P<0.05)。观察组患者并发症发生率为6.35%(4/63),低于对照组的18.33%(11/60),差异有统计学意义(χ^(2)=4.122,P=0.042)。结论基于链式管理模式的健康教育有助于减轻胃癌住院患者疼痛,降低压力性损伤和并发症发生率,提升住院舒适度和生活质量。

Objective To explore the application of health education based on chain management model in the prevention of stress injury in gastric cancer inpatients.Methods One hundred and twenty-three gastric cancer patients admitted to a hospital in Nanyang from March 2018 to March 2020 were selected and divided into a control group(60 cases)and an observation group(63 cases)using the random number table method.Patients in the control group received conventional health education,and patients in the observation group received health education based on chain management model.The patients in the 2 groups were compared in terms of pain level and quality of life before and after the intervention as well as comfort of care,stress injury and the incidence of complications.Results The difference was not statistically significant(P>0.05)when comparing the VAS scores of patients in the 2 groups before the intervention;the VAS scores of patients in the 2 groups at 3 d,5 d and 7 d after the intervention were lower than those before the intervention,and the VAS scores of patients in the observation group at 3 d,5 d and 7 d after the intervention were lower than those in the control group,with statistically significant differences(P<0.05).The incidence of stress injury in patients in the observation group was 1.59%(1/63),which was lower than that of 3.33%(2/60)in the control group,but the difference was not statistically significant(χ^(2)=0.631;P=0.427).The physical comfort and psychological comfort scores of patients in the observation group were 80.79±4.16 and 86.74±3.17,respectively,which were higher than those of the control group at 63.87±4.18 and 76.16±3.19,and the differences were both statistically significant(χ^(2)=29.847 and 21.557,both P<0.05).The scores for the physical function,social function,cognitive function and quality of life dimensions in the QOL-30 were higher after the intervention and higher in the observation group than in the control group,with statistically significant differences(P<0.05).The incidence of complications was 6.35%(4/63)in the observation group,which was lower than that of 18.33%(11/60)in the control group,and the difference was statistically significant(χ^(2)=4.122,P=0.042).Conclusion Health education based on chain management model can help reduce pain,decrease the incidence of stress injury and complications,and improve comfort during hospitalization and quality of life for gastric cancer inpatients.