基于同质医疗理念的前列腺癌手术患者干预模式构建及应用

Construction and Application of Intervention Model for Prostate Cancer Surgery Patients Based on Homogeneous Medical Concept

目的构建基于同质医疗理念的前列腺癌手术患者干预模式,并评价该模式的应用效果。方法前瞻性纳入2021年1月至2022年12月郑州大学第一附属医院收治的100例前列腺癌手术患者为研究对象,采用随机数字表法分为两组,各50例。对照组接受常规护理干预,观察组在对照组基础上接受基于同质医疗理念的干预模式,均干预至术后3个月。比较两组患者干预前、术前30 min、出院时焦虑状态[采用焦虑自评量表(SAS)评估];干预前、出院时自我管理水平(采用汉化自我管理能力量表评估)。比较术后7 d、干预结束时两组控尿功能[采用国际尿失禁咨询委员会尿失禁问卷简表(ICIQ-SF)评估]。结果术前30 min、出院时两组SAS评分均较干预前降低,且观察组评分均低于对照组(P<0.05);患者出院时,两组汉化自我管理能力量表总分均较干预前提高,且观察组总评分高于对照组(P<0.05)。干预结束时,两组ICIQ-SF评分均较术后7 d时降低,且观察组评分均低于对照组(P<0.05)。结论构建的基于同质医疗理念的干预模式可有效减轻前列腺癌患者焦虑情绪,提升患者自我管理能力水平,且有助于患者术后控尿功能的恢复。

Objective To construct an intervention model for prostate cancer surgery patients based on homogeneous medical concept,and to evaluate the application effect of this model.Methods A prospective study was conducted on 100 patients undergoing prostate cancer surgery at the First Affiliated Hospital of Zhengzhou University from January 2021 to December 2022.They were divided into two groups using a random number table method,with 50 patients in each group.The control group received routine nursing intervention,while the observation group followed an intervention model based on homogeneous medical concepts on the basis of the control group,with intervention lasting until 3 months after surgery.The anxiety status of two groups of patients before intervention,30 minutes before surgery,and at discharge[assessed using the self rating anxiety scale(SAS)],self management level before intervention and at discharge(evaluated using the Chinese version of the self management ability scale)were compared.The urinary incontinence function was compared between the two groups at 7 days after surgery and at the end of the intervention[evaluated using the International Commission on Urinary Incontinence Advisory Committee urinary incontinence questionnaire short form(ICIQ-SF)].Results Compared to before intervention,the SAS scores of both groups decreased,and the scores of the observation group were lower than those of the control group 30 minutes before surgery and at discharge(P<0.05).Compared to before intervention,the total scores of the two groups of Chinese self-management ability scales improved and the total score of the observation group was higher than that of the control group at discharge(P<0.05).Compared to 7 days after surgery,the ICIQ-SF scores of both groups decreased and the scores of the observation group were lower than those of the control group at the end of the intervention(P<0.05).Conclusion The intervention model based on homogeneous medical concept can effectively reduce anxiety in prostate cancer patients,enhance their self-management ability,and contribute to the recovery of postoperative urinary control function.