医院—社区—家庭三元联动延伸护理服务对老年食管癌患者术后自我护理能力及生活质量的影响

Effect of Hospital-Community-Family Triple Linkage Extended Nursing Service on Postoperative Self Care Ability Score and Quality of Life in Elderly Patients with Esophageal Cancer

目的:探讨医院—社区—家庭三元联动延伸护理服务对老年食管癌患者术后自我护理能力(ESCA)及生活质量的影响。方法:选取2019年5月—2020年5月郑州大学第一附属医院收治的96例老年食管癌患者作为研究对象,根据入院建档顺序不同分为对照组和观察组,每组各48例。对照组实施常规护理,观察组在常规护理基础上实施医院—社区—家庭三元联动延伸护理服务。比较两组患者干预前后自我护理能力[自我护理能力测定表(ESCA)评分]、希望水平[Herth希望量表(HHI)评分]、临床症状[食管癌专用症状量表(QLQ-OES18)评分]、生活质量[癌症患者生活功能指数量表(FLIC)评分]情况。结果:干预前,两组患者ESCA评分比较,差异无统计学意义(t=0.732、0.709、1.011、0.968,P>0.05);干预后,观察组ESCA评分中各维度评分高于对照组,差异有统计学意义(t=9.572、7.850、11.514、9.722,P<0.05)。干预前,两组患者HHI评分比较,差异无统计学意义(t=0.279、1.595、0.840,P>0.05);干预后,观察组HHI评分中各维度评分高于对照组,差异有统计学意义(t=7.732、6.405、13.821,P<0.05)。干预前,两组患者QLQ-OES18评分比较,差异无统计学意义(t=0.693、0.798、0.415、0.634,P>0.05);干预后,观察组QLQ-OES18量表中各维度评分均低于对照组,差异有统计学意义(t=2.051、2.357、2.106、2.229,P<0.05)。干预前,两组患者FLIC评分比较,差异无统计学意义(t=0.713、0.468、0.172,P>0.05);干预后,观察组FLIC评分中各维度评分高于对照组,差异有统计学意义(t=7.674、9.313、7.806,P<0.05)。结论:在老年食管癌患者术后管理工作中,医院—社区—家庭三元联动延伸护理服务有利于提高患者希望水平,增强自护能力,减轻临床症状、改善生活质量。

Objective:To explore the effect of hospital-community-family ternary linkage extended nursing service on postoper⁃ative self-care ability(ESCA)score and quality of life in elderly patients with esophageal cancer.Methods:A total of 96 elderly patients with esophageal cancer who were admitted to the hospital from May 2019 to May 2020 were selected as the research ob⁃jects,and were divided into a control group and an observation group according to the order of admission and file establishment,with 48 cases in each group.The control group was given routine nursing,and the observation group was given hospital-communi⁃ty-family triple linkage extended nursing service on the basis of routine nursing.The self-care ability(Self-care Ability Assess⁃ment[ESCA]score),hope level(Herth Hope Inventory[HHI]score),and clinical symptoms(Esophageal Cancer Special Symptom Scale[QLQ-OES18]score)and quality of life(cancer patient living function index scale[FLIC]score)were compared between the two groups before and after the intervention.Results:Before intervention,there was no statistically significant difference in ESCA scores between the two groups(t=0.732,0.709,1.011,0.968,P>0.05).After the intervention,the ESCA scores of each dimension in the observation group were higher than those in the control group,and the difference was statistically significant(t=9.572,7.850,11.514,9.722,P<0.05).Before intervention,there was no statistically significant difference in HHI scores between the two groups(t=0.279,1.595,0.840,P>0.05).After the intervention,the HHI scores of the observation group were higher than those of the con⁃trol group,and the difference was statistically significant(t=7.732,6.405,13.821,P<0.05).Before intervention,there was no statis⁃tically significant difference in QLQ-OES18 scores between the two groups(t=0.693,0.798,0.415,0.634,P>0.05).After interven⁃tion,the scores of each dimension in the QLQ-OES18 scale of the observation group were lower than those of the control group,and the difference was statistically significant(t=2.051,2.357,2.106,2.229,P<0.05).Before intervention,there was no statistical⁃ly significant difference in FLIC scores between the two groups(t=0.713,0.468,0.172,P>0.05).After the intervention,the FLIC scores in the observation group were higher than those in the control group,and the difference was statistically significant(t=7.674,9.313,7.806,P<0.05).Conclusion:In the postoperative management of elderly patients with esophageal cancer,the hospital-com⁃munity-family ternary linkage extended nursing service is beneficial to improve the patient's level of hope,enhance self-care abili⁃ty,relieve clinical symptoms,and improve quality of life.