个性化综合护理对子宫内膜癌合并高血压患者并发症及术后生活质量的影响

Effect of personalized comprehensive nursing on complications and postoperative quality of life in patients with endometrial cancer and hypertension

目的探讨个性化综合护理在子宫内膜癌(EC)合并高血压患者中的应用价值。方法选择2021年1月至2022年2月我院收治的EC合并高血压患者82例,通过抛币法随机分为对照组(n=40)和观察组(n=42)。对照组实施常规护理,观察组实施个性化综合护理。两组均院内护理2周,出院后按慢性病管理定期随访6-12个月。对比分析两组术后并发症发生率、生活质量、护理满意度。结果观察组术后并发症发生率(20.00%)低于对照组(2.38%),且护理后生活质量综合评定问卷(GQOLI-74)中各维度评分分别为[(76.96±5.87)分、(75.14±6.19)分、(78.91±7.05)分、(79.17±6.31)分],高于对照组[(70.82±5.10)分、(69.83±4.63)分、(71.39±6.28)分、(72.20±5.90)分],差异有统计学意义(P<0.05);观察组护理满意度略高于对照组,但两组相比无统计学差异(P>0.05)。结论个性化综合护理能够有效减少EC合并高血压患者术后并发症的发生,提高生活质量,且能够在一定程度上提高护理满意度。

Objective To investigate the application value of personalized comprehensive nursing in patients with endometrial carcinoma(EC)and hypertension.Methods A total of 82 patients with EC and hypertension who were admitted to our hospital from January 2021 to February 2022 were randomly divided into control group with 40 patients and observation group with 42 patients by coin tossing.The patients in the control group received routine nursing,and those in the observation group received personalized comprehensive nursing.Both groups received in-hospital nursing for2 weeks and were followed up regularly for 6-12 months according to chronic disease management after discharge.The two groups were compared in terms of the incidence rate of postoperative complications,quality of life,and degree of satisfaction with nursing.Results Compared with the control group,the observation group had a significantly lower incidence rate of postoperative complications(2.38%vs 20.00%,P<0.05)and significantly higher scores of each dimension of Generic Quality of Life Inventory-74(76.96±5.87,75.14±6.19,78.91±7.05,and 79.17±6.31 vs 70.82±5.10,69.83±4.63,71.39±6.28,and 72.20±5.90,P<0.05).The observation group had a slightly higher degree of satisfaction with nursing than the control group(P>0.05).Conclusion Personalized comprehensive nursing can effectively reduce postoperative complications in EC patients with hypertension,improve their quality of life,and improve the degree of satisfaction with nursing to a certain extent.