摘要
目的探讨术后持续性护理模式对行胃癌根治术患者生活质量及营养状态的影响.方法选取我院2015-11/2017-0678例胃癌患者,根据就诊顺序编号,采取随机数字表法分为对照组(n=39)与研究组(n=39).所有患者均接受胃癌根治术治疗,对照组采取常规护理,研究组在对照组基础上采取持续性护理,两组均干预1 mo.统计两组护理前后生活质量(FACT-Ga v4)分值、抑郁自评量表(self-rating depression scale,SDS)及焦虑自评量表(self-rating anxiety scale,SAS)评分、营养状况指标(血清前白蛋白、血红蛋白、总蛋白)水平、护理满意度.结果护理前两组FACT-Ga v4分值间无明显差异(P>0.05),护理结束后两组FACT-Ga v4分值较护理前降低,且研究组61.03分±5.15分低于对照组(P<0.05);护理后两组SDS及SAS分值较护理前降低,且研究组SDS47.09分±2.43分及SAS 46.24分±2.31分低于对照组(P<0.05);护理后两组血清前白蛋白、血红蛋白、总蛋白水平较护理前增高,且研究组前白蛋白37.30 g/L±4.38 g/L、血红蛋白129.32 g/L±15.45 g/L、总蛋白63.28 g/L±6.63 g/L高于对照组(P<0.05);研究组护理满意度(94.87%)高于对照组(74.36%)(P<0.05).结论胃癌根治术后采取持续性护理对患者实施干预,可有效缓解其负性情绪,改善机体营养状况,提高其生活质量,且可有效提高护理满意度.
AIM To explore the effect of continuous nursing on the quality of life and nutritional indexes in patients after radical gastrectomy for gastric cancer.A total of 78 patients with gastric cancer treated at our hospital from November 2015 to June 2017 were randomly divided into a control group （n = 39） and a study group （n = 39）. All patients received radical gastrectomy. Both groups received routine nursing, and the study group additionally received continuous care. After intervention for I month, the quality of life （FACT-Ga V4） score, Self-rating Depression Scale （SDS） and Self-rating Anxiety Scale （SAS） scores, levels of nutritional indexes （serum prealbumin, hemoglobin, and total protein）, and satisfaction with nursing care were compared between the two groups.There was no significant difference between the two groups in FACT-Ga V4 scores before nursing （P 〉 0.05）. After nursing, the FACT-Ga V4 scores of the two groups were significantly lower than those before nursing, and the decrease in the study group was significantly greater than that of the control group （P 〈 0.05）. After nursing, the SDS and SAS scores of the two groups were lower than those before nursing, and both scores were significantly lower in the study group than in the control group （P 〈 0.05）. After nursing, the levels of serum prealbumin, hemoglobin, and total protein in both groups significantly increased compared with those before nursing and they were significantly higher in thestudy group than in the control group （P 〈 0.05）. The rate of satisfaction with nursing care was significantly higher in the study group than that in the control group （94.87% vs 74.36%, P 〈 0.05）. CONCLUSION Continuous nursing intervention after radical gastrectomy for gastric cancer can effectively alleviate negative emotions, improve the nutritional status and quality of life, and increase the satisfaction with nursing care.
作者
金琳华
马宁
Lin-hua Jin;Ning Ma(Department of Pediatrics, Zhuji Central Hospital, Zhejiang Province, Zhuji 311800, Zhejiang Province, China;Key Laboratory of Cancer Hospital, Tianjin Medical University, Tianjin 300060, China)
出处
《世界华人消化杂志》
CAS
2018年第11期661-666,共6页
World Chinese Journal of Digestology
关键词
持续性护理模式
胃癌根治术
生活质量
营养指标
Continuous nursing
Radical gastrectomy forgastric cancer
Quality of life
Nutritional indexes
作者简介
金琳华，主管护师，研究儿科护理
