精细化护理联合八段锦对食管癌术后患者生活质量的影响

Effect of precision nursing combined with Baduanjin on the quality of life of postoperative patients with esophageal cancer

目的讨论分析精细化护理联合八段锦对食管癌术后患者生活质量的影响。方法采用便利抽样法选取2022年5月至2023年5月华中科技大学同济医学院附属同济医院收治的食管癌术后患者92例为研究对象,采用随机数字表法分为对照组和干预组,各46例,对照组给予食管癌术后常规护理,干预组予以食管癌术后精细化护理联合八段锦,对比两组患者干预前后的洼田饮水试验评定、营养指标评估、生活质量量表(EORTC QLQ-C30)评分、匹兹堡睡眠质量指数(PSQI)评分。结果干预20 d后,干预组洼田饮水试验等级结果优于对照组(P<0.05);干预组吞咽功能障碍疗效总有效率高于对照组(95.66%vs.76.09%,P<0.05);两组患者体重指数、血前清蛋白和白蛋白均升高,且干预组均高于对照组(P<0.05);两组患者QLQ-C30评分中躯体功能、认知功能、角色功能、社会功能、情绪功能评分及总分均升高,且干预组均高于对照组(P<0.05);两组患者PSQI评分均下降,且干预组低于对照组(P<0.05)。结论以精细化护理联合八段锦对食管癌术后患者进行护理干预,可改善其睡眠质量,有效地提高吞咽功能、营养指标和生活质量。

Objective To discuss the impact of precision nursing combined with Baduanjin on the quality of life of patients after esophagectomy cancer surgery.Methods A total of 92 postoperative esophageal cancer patients at Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology were selected through convenience sampling from May 2022 to May 2023.Using the random number table method,the patients were divided into a control group and an intervention group,with 46 cases in each group.The control group received conventional nursing care for esophageal cancer,while the intervention group received precision nursing combined with Baduanjin.The outcomes measured included the Kuwa Water Drinking Test assessment,nutritional indicators,Quality of Life Questionnaire(EORTC QLQ-C30),and Pittsburgh Sleep Quality Index(PSQI)scores before and after the intervention.Results After 20 days of intervention,the intervention group showed significant better results in the Kuwa Water Drinking Test compared to the control group(P<0.05).The total effective rate of the treatment of dysphagia was higher in the intervention group than that in the control group(95.66%vs.76.09%P<0.05).Both groups showed increase in BMI,PAB and ALB levels,with the intervention group showing significantly increases(P<0.05).The scores of physical function,cognitive function,role function,social function,emotional function and total score of QLQ-C30 in the two groups increased,with the intervention group showing significantly higher improvement(P<0.05).The PSQI scores decreased in both groups,with the intervention group showing significantly lower scores(P<0.05).Conclusions Precision nursing combined with Baduanjin can effectively improve sleep quality,swallowing function,nutritional indicators,and overall quality of life in postoperative esophageal cancer patients.This approach is recommended for promotion in surgical nursing practice.