摘要
目的探讨集束化干预对口腔癌患者术后心理状态和生活质量的改善效果。方法回顾性分析46例接受常规护理干预的口腔癌患者的临床资料(对照组)和50例接受集束化干预的口腔癌患者的临床资料(观察组)。比较两组患者干预后临床症状(失眠、恶心呕吐、疼痛、疲劳、腹泻、便秘、吞咽障碍)的改善情况,并发症(切口感染、皮瓣部坏死、肺部感染、术后创面出血、应激性溃疡)的发生率,观察两组干预前后焦虑评分量表(SAS)评分、抑郁评分量表(SDS)评分及生活质量(躯体功能、角色功能、社会功能、情绪功能)评分的变化。结果观察组患者干预后失眠、恶心呕吐、疼痛、疲劳、腹泻、便秘、吞咽障碍的评分均明显低于对照组患者,差异均有统计学意义(P<0.01)。观察组患者切口感染、皮瓣部坏死、肺部感染、术后创面出血、应激性溃疡的总发生率为10.0%,低于对照组患者的28.3%,差异有统计学意义(P<0.05)。两组患者干预后躯体功能、角色功能、社会功能、情绪功能的评分均高于本组干预前,差异均有统计学意义(P<0.05);干预后,观察组患者的上述各项评分均明显高于对照组患者,差异均有统计学意义(P<0.01)。两组患者干预后的SAS、SDS评分均低于本组干预前,差异均有统计学意义(P<0.05);干预后,观察组患者的SAS、SDS评分均明显低于对照组患者,差异均有统计学意义(P<0.01)。结论给予口腔癌患者术后集束化干预,可以有效地改善患者的临床症状,提高生活质量,降低焦虑、抑郁情绪及并发症的发生率,有利于提高患者对护理工作的满意度,值得临床推广应用。
Objective To explore the effect of cluster intervention on psychological status and quality of life of post- operative patients.Method The clinical data of patients with oral cancer were analyzed retrospectively, including 46 patients receiving routine treatment （control group） and 50 patients receiving cluster intervention （study group）. All the issues below were compared between two groups, including the improvement of symptoms （such as insomnia, nausea and vomiting, pain, fatigue, diarrhea and constipation, dysphagia） after intervention, the incidences of complications （such as incision infection, skin flap necrosis, pulmonary infection, postoperative wound bleeding and stress ulcer）, and the changes of selfrating anxiety scale （SAS）, selfrating depression scale （SDS）, somatic function, role function, social function and emotional function score before and after intervention. Result After intervention, the scores of insomnia, nausea and vomiting, pain, fatigue, diarrhea and constipation, dysphagia in the study group were significantly lower than those in the control group （P〈0.01）. The total incidences of incision infection, skin flap necrosis, pulmonary infection, postoperative wound bleeding and stress ulcer in the study group was 10.0%, which was significantly lower than that in the control group of 28.3% （P〈0.05）. The scores of somatic function, role function, social function and emotional function after intervention in both groups were all significantly increased compared with those before intervention （P〈0.05）, and the scores in the study group were significantly higher than those in the control group （P〈0.01）. After intervention, the scores of SAS and SDS in both groups were lower than those before intervention （P〈0.05）, and the scores in the study group were significantly lower than those in the control group （P〈0.01）. Conclusion Cluster intervention for postoperative patients with oral cancer can effectively improve the clinical symptoms, improve the quality of life, reduce anxiety and depres-sion, reduce the incidence of complications, improve the satisfaction, and is worthy of clinical application.
作者
刘英
杭菲
彭巧君
LIU Ying;HANG Fei;PENG Qiaojun(Collage of Nursing,Xinjiang Medical University,Urumchi 830054,Xinjiang,China;Department of Maxillofacial Oncology Stomatology Center,Xinjiang;Department of Endocrinology;Department of Outpatient,the First Affiliated Hospital of Xinjiang Medical University / the First Clinical Medical College of Xinjiang Medical University,Urumchi 830054,Xinjiang,China)
出处
《癌症进展》
2018年第13期1680-1683,共4页
Oncology Progress
关键词
口腔癌
集束化干预
心理状况
生活质量
oral cancer
cluster intervention
psychological status
quality of life
作者简介
通信作者:彭巧君,邮箱:731133870@qq.com
