摘要
目的探究基于Snyder希望理论的护理干预在结直肠癌患者护理中的应用效果,以期为临床护理决策的制定提供参考。方法选取河南省濮阳市油田总医院2020年1月—2021年10月收治的86例结直肠癌患者作为研究对象。按照随机数字表法,将患者分成对照组和研究组,每组43例。对照组患者给予常规护理干预,研究组患者给予基于Snyder希望理论的护理干预。比较干预前后2组患者的心理健康水平[汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)]、自理能力[自我护理能力测定量表(ESCA)]、胃肠功能[血清胃动素(MTL)、生长抑素(SS)、D-乳酸(D-LA)],观察并记录2组患者护理干预期间并发症的发生情况。结果干预前,2组患者HAMD与HAMA评分,ESCA总分及各维度得分,MLT、SS与D-LA等胃肠功能指标比较,差异均无统计学意义(P>0.05)。干预后,2组患者HAMD与HAMA评分均有所下降,且研究组患者HAMD与HAMA评分均低于对照组,差异均有统计学意义(P<0.05);2组患者ESCA总分及各维度得分均有所升高,且研究组患者ESCA总分及各维度得分均高于对照组,差异均有统计学意义(P<0.05);2组患者MTL、SS与D-LA水平均有所升高,研究组患者MTL水平高于对照组,但D-LA水平低于对照组,差异均有统计学意义(P<0.05)。研究组患者护理期间的并发症总发生率为4.66%,低于对照组的18.61%,差异有统计学意义(P<0.05)。结论将基于Snyder希望理论的护理干预应用于结直肠癌患者群体中,可明显改善患者的心理状态,提升其自护能力,改善其胃肠功能,降低术后并发症的发生率,效果显著,值得推广。
Objective This paper aims to explore the effect of Snyder's hope theory-based nursing intervention in the nursing of patients with colorectal cancer to provide evidence for formulating clinical nursing decisions.Methods Eighty-six patients with colorectal cancer admitted to Puyang Oilfield General Hospital from January 2020 to October 2021 were selected as the study participants.They were assigned to the control group and study group using a random number table,with 43 cases in each group.Patients in the control group received routine nursing intervention;patients in the study group,the Snyder's hope theory-based nursing intervention.The mental health level[Hamilton Depression Rating Scale(HAMD),Hamilton Anxiety Rating Scale(HAMA)],and self-care ability[Exercise of Self-care Agency Scale(ESCA)],gastrointestinal function[serum motilin(MTL),somatostatin(SS),D-lactate(D-LA)]were compared between the two groups before and after intervention.Besides,the occurrence of complications during nursing intervention was observed and recorded in the two groups.Results Before intervention,no significant difference was observed in HAMD and HAMA scores,the subscale and total scores of ESCA,MLT,SS and D-LA gastrointestinal function indicators between the two groups(P>0.05).After intervention,HAMD and HAMA scores decreased in both groups,and HAMD and HAMA scores in the study group were significantly lower than those in the control group(P<0.05).The subscale and total scores of ESCA increased in both groups,and the scores in the study group were significantly higher than those in the control group(P<0.05).MTL,SS and D-LA levels increased in both groups,MTL levels in the study group were significantly higher than those in the control group,but D-LA levels were significantly lower than those in the control group(P<0.05).The total incidence of complications during nursing in the study group was significantly lower than that in the control group(4.66%vs.18.61%;P<0.05).Conclusion The application of nursing intervention based on Snyder's hope theory in patients with colorectal cancer can significantly improve their psychological status,strengthen their self-care ability,enhance their gastrointestinal function,and reduce the incidence of postoperative complications.These advantages justify a wider promotion.
作者
李源培
王艳敏
Li Yuanpei;Wang Yanmin(Department of Gastroenterology,Puyang Oilfield General Hospital,Puyang Henan 457000,China)
出处
《保健医学研究与实践》
2023年第10期124-127,共4页
Health Medicine Research and Practice
关键词
结直肠癌
Snyder希望理论
心理健康
自护能力
胃肠功能
并发症
Colorectal cancer
Snyder's hope theory
Mental health
Self-care ability
Gastrointestinal function
Complications
作者简介
第一作者:李源培,E-mail:lyp19860913@163.com。
