纽曼系统护理模式在胃癌根治术患者中的应用分析

Application Analysis of Neuman System Nursing Model in Patients Undergoing Radical Gastrectomy for Gastric Cancer

目的探讨纽曼系统护理模式在胃癌根治术(radical gastrectomy,RG)患者中的应用效果。方法随机选取2022年8月—2023年7月于曹县人民医院行RG手术的患者90例为研究对象,依据不同护理方法分为两组。对照组(45例)接受常规术后护理,观察组(45例)在对照组基础上采用纽曼系统护理模式。比较两组患者自我感受负担量表(Self-percrived Burden Scale,SPBS)、癌症复发恐惧量表(Fear of Progression Question-naire Short Form,FoP-Q-SF)、生活质量评价简表(36-item Short Form Health Survey,SF-36)评分以及护理满意度。结果护理后,观察组SPBS、FoP-Q-SF评分低于对照组,差异有统计学意义(P均<0.05)。护理后,观察组SF-36量表评分高于对照组,差异有统计学意义(P<0.05)。观察组总护理满意率为97.78%(44/45)高于对照组的82.22%(37/45),差异有统计学意义(χ2=4.444,P<0.05)。结论纽曼系统护理模式能够有效缓解RG患者的自我负担感与癌性复发恐惧感,提高护理满意度,保障生活质量。

Objective To explore the application effect of the Neuwman system nursing model in patients undergoing radical gastrectomy(RG)for gastric cancer.Methods 90 patients who underwent RG surgery at CaoXian People's Hospital from August 2022 to July 2023 were randomly selected as the study objects and divided into two groups according to different nursing methods.The control group(45 cases)received routine postoperative nursing,and the observation group(45 cases)received Neuman System nursing model on the basis of the control group.The Self-percrived Burden Scale(SPBS),Fear of Progression Questionnaire Short Form(FoP-Q-SF),36-item Short Form Health Survey(SF-36),and nursing satisfaction were compared between the two groups.Results After nursing,the SPBS and FoP-Q-SF scores of observation group were lower than those of control group,and the differences were statistically significant(both P<0.05).After nursing,the SF-36 scale score of observation group was higher than that of control group,and the difference was statistically significant(P<0.05).The total nursing satisfaction rate in the observation group was 97.78%(44/45)higher than that in the control group 82.22%(37/45),and the difference was statistically significant(χ2=4.444,P<0.05).Conclusion Neuman System nursing model can effectively relieve RG patients'sense of self-burden and fear of cancer recurrence,improve nursing satisfaction and guarantee quality of life.