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症状管理策略在全膝关节置换术患者肿痛管理、负性情绪和生命质量中的效果 被引量:1
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作者 李思琦 金梦杰 +3 位作者 骆朝辉 张梦珂 魏铭慧 史凌云 《中国医药导报》 CAS 2024年第14期144-147,共4页
目的 探讨症状管理策略在全膝关节置换术(TKA)患者肿痛管理、负性情绪和生命质量中的应用效果。方法 选取新疆医科大学第一附属医院2022年12月至2023年6月104例TKA患者为研究对象,采用便利抽样法将其分为对照组和试验组,各52例。对照组... 目的 探讨症状管理策略在全膝关节置换术(TKA)患者肿痛管理、负性情绪和生命质量中的应用效果。方法 选取新疆医科大学第一附属医院2022年12月至2023年6月104例TKA患者为研究对象,采用便利抽样法将其分为对照组和试验组,各52例。对照组给予常规护理,试验组实施以4个模块为核心的症状管理策略。比较两组髌骨中心肿胀得分、视觉模拟评分法(VAS)评分、医院焦虑抑郁量表(HADS)评分和健康调查量表36(SF-36)得分。结果 整体分析发现,两组髌骨中心肿胀得分、VAS评分、HADS评分时间、组间、交互作用比较,差异有统计学意义(P<0.05);组内比较:两组出院日的髌骨中心肿胀得分均高于术前(P<0.05);两组各时间点的VAS、HADS评分比较,差异有统计学意义(P<0.05);组间比较:试验组在术后各时间点的髌骨中心肿胀得分、VAS评分、HADS评分均低于对照组(P<0.05);试验组术后3个月的SF-36各维度评分均高于对照组(P<0.05)。结论 实施以4个模块为核心的症状管理策略有助于减轻TKA患者的肿痛程度、缓解负性情绪,提高生命质量,值得推广应用。 展开更多
关键词 症状管理策略 全膝关节置换术 肿痛管理 负性情绪 生命质量
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Distress management in cancer patients:Guideline adaption based on CAN-IMPLEMENT 被引量:2
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作者 Liang Fu Yang Yang +7 位作者 Yan Hu Zhenqi Lu Xiaoju Zhang Mingzhu Huang Yuanyuan Li Fuzhong Zhu Yang Wang Zhe Huang 《International Journal of Nursing Sciences》 CSCD 2022年第1期56-62,I0003,I0004,共9页
Objective This study aimed to adapt relevant clinical practice guidelines for distress management in cancer patients based on A Guideline Adaptation and Implementation Planning Resource(CAN-IMPLEMENT),and develop Canc... Objective This study aimed to adapt relevant clinical practice guidelines for distress management in cancer patients based on A Guideline Adaptation and Implementation Planning Resource(CAN-IMPLEMENT),and develop Cancer-related Distress Management Guidelines in the context of the research site.Methods According to CAN-IMPLEMENT,the symptoms of cancer patients in Shanghai were investigated,and a work plan was formulated to adapt cancer-related distress management guidelines.The relevant clinical practice guidelines for distress management in cancer patients were searched,screened and assessed,the contents of the included clinical practice guidelines were screened,extracted and integrated,and the Cancer-related Distress Management Guidelines was developed.After peer review,the Cancer-related Distress Management Guidelines was finally formed.Results The physical symptom distress score was higher than the psychological symptom distress score among cancer patients in Shanghai.Two clinical practice guidelines related to distress management in cancer patients were included after searching,screening,assessment and selection systematically.The domain scores of the draft Cancer-related Distress Management Guidelines on Appraisal of Guidelines for Research and Evaluation II(AGREE II)were 73.75%–87.50%,respectively.The scores of most recommendations on feasibility,appropriateness,meaningfulness and effectiveness were at least 90%.The final guidelines included 13 recommendations.Conclusions The quality of the draft Cancer-related Distress Management Guidelines based on two included guidelines was well-accepted.The final Cancer-related Distress Management Guidelines needs to be further verified in clinical practice for feasibility,suitability and effectiveness. 展开更多
关键词 China Distress management NEOPLASMS Practice guideline as topic Psychological distress
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