全程综合个案管理在宫颈癌根治术患者出院延续护理中的应用

Application of whole-process comprehensive case-management in continuing nursing after radical surgery for cervical cancer

目的探讨全程综合个案管理在宫颈癌患者出院延续护理中的应用效果。方法宫颈癌根治术患者102例随机分为观察组和对照组,各51例。对照组实施常规出院延续性护理模式,观察组实施以个案管理师为主导的全程综合个案管理模式的延续性护理。采用SF-36生活量表对2组患者生活质量进行评价,评估2组患者满意度,记录并发症发生情况。结果观察组SF-36生活量表总体健康、生理职能、情感职能、精力、社会功能和精神健康维度得分高于对照组,差异有统计学意义(P<0.01)。观察组尿潴留、淋巴囊肿、尿道感染和下肢静脉血栓发生率低于对照组,其中下肢静脉血栓发生率2组比较,差异有统计学意义(P<0.05)。观察组满意度高于对照组,差异有统计学意义(P<0.01)。结论为宫颈癌根治术患者提供以个案管理师为主导的全程综合个案管理模式的延续性护理,能有效提升患者生活质量及满意度,降低并发症的发生风险。

Objective To investigate the whole-process comprehensive case-management in continuing nursing care of discharged patients after radical surgery for cervical cancer.Methods Totally 102 patients undergoing radical surgery for cervical cancer were randomly divided into the observation group and the control group,51 cases in each group.The control group was given the routine continuous nursing,and the observation group was given case manager-led whole-process comprehensive case-management in continuing nursing.The Short Form-36 questionnaire(SF-36)was used to evaluate patient quality of life after discharge form hospital.The patient satisfac⁃tion was measured and complications during follow-up were recorded.Results Subcategories scores of SF-36 including general health,physical function,role emotion,vitality,social func⁃tion and mental health in the observation group were higher than those in the control group(P<0.05).Lower incidences of urinary retention,lymphocele,urinary tract infection and lower limb vein thrombosis were found in the observation,and there was a significant difference in the inci⁃dence of lower limb vein thrombosis between two groups(P<0.05).The patient satisfaction rate in the observation group was higher than that in the control group(P<0.01).Conclusion In continuing nursing of discharged patients after radical surgery for cervical cancer,case managerled whole-process comprehensive case-management is effective to improve patient quality of life and satisfaction degree,and reduce the risk of complications.