回归家庭护理对肾癌根治术后患者康复的影响

Effect of returning to family nursing on rehabilitation of patients after radical renal cancer resection

目的探讨肾癌根治术后患者给予回归家庭护理的康复效果,为今后临床干预提供参考。方法选取2020年1月—2022年1月本院收治的88例肾癌患者,采用随机数表法分为对照组和观察组,各44例,对照组给予常规住院护理,观察组给予回归家庭护理干预,均干预3个月。比较2组干预前后的癌症康复、家庭亲密度与适应性、负性情绪、社会支持评分。结果干预前2组患者的癌症康复、家庭亲密度与适应性、负性情绪、社会支持评分比较差异无统计学意义(P>0.05)。干预后,观察组生理维度[(13.35±3.65)分]、心理社会维度[(15.26±4.32)分]、婚姻关系维度[(7.85±1.26)分]得分以及总分[(45.66±5.56)分],分别低于对照组的(16.59±2.74)分、(19.86±4.26)分、(9.95±2.42)分、(55.90±6.62)分(t=4.709、5.029、5.106、7.857,P均<0.001);观察组家庭亲密度[(71.18±4.95)分]、适应性[(52.56±4.85)分]得分以及总分[(123.74±5.85)分],分别高于对照组的(67.75±3.62)分、(46.68±3.68)分、(114.43±5.35)分(t=3.710、6.407、7.790,P均<0.001);观察组焦虑[(40.68±8.29)分]、抑郁[(44.63±7.56)分]得分,分别低于对照组的(50.65±8.26)分、(57.89±6.59)分(t=5.651、8.770,P均<0.001);观察组主观支持[(19.95±3.22)分]、客观支持[(8.25±1.31)分]、对支持利用度[(8.56±1.91)分]得分以及总分[(36.76±4.25)分],分别高于对照组的(15.48±2.73)分、(7.27±1.23)分、(7.09±1.96)分、(29.84±3.36)分(t=7.024、3.618、3.563、8.473,P均<0.01)。结论回归家庭护理干预应用于肾癌根治术后患者能够促进患者的癌症康复,提高家庭亲密度与适应性,缓解负性情绪,提高社会支持。

Objective To investigate the rehabilitation effect of patients returning to family nursing after radical renal cancer resection,so as to provide references for future clinical interventions.Methods A total of 88 patients with kidney cancer admitted to our hospital from January 2020 to January 2022 were divided into a control group and an observation group,with 44 cases each,the control group was given routine inpatient nursing,and the observation group was given family nursing intervention,both for 3 months.The scores of cancer rehabilitation,family intimacy and adaptability,negative emotions,and social support before and after the intervention of the two groups were compared.Results There were no significant differences in cancer rehabilitation,family intimacy and adaptability,negative emotions,and social support scores between the two groups before the intervention(P>0.05).After the intervention,the average scores of the physiological dimensions(13.35±3.65),psychosocial dimensions(15.26±4.32),marital relationship(7.85±1.26),and total(45.66±5.56)in the observation group were lower than those in the control group:,respectively.The average scores of family intimacy(71.18±4.95),adaptability(52.56±4.85),and total(123.74±5.85)in the observation group were higher than those in the control group:,Respectively the average scores of anxiety(40.68±8.29),and depression(44.63±7.56)in the observation group were lower than those in the control group:,respectively.The average scores of subjective support(19.95±3.22),objective support(8.25±1.31),utilization of support(8.56±1.91),and total support(36.76±4.25)in the observation group were higher than those in the control group:,respectively.Conclusions The application of regression family nursing intervention to patients after radical renal cancer resection can promote recovery of patients with cancer,improve family intimacy and adaptability,alleviate negative emotions,and improve social support.