摘要
目的 分析应用Snyder希望理论结合医护一体化精细化护理对结直肠癌术后患者疼痛评分及生活质量的影响。方法 选取2021年1月至2022年12月温州医科大学附属第一医院收治的92例结直肠癌(colorectal cancer,CRC)患者作为研究对象,分为对照组与研究组,每组各46例。对照组采用常规护理,研究组采用Snyder希望理论结合医护一体化精细化护理,采用焦虑自评量表(Self-Rating Anxiety Scale,SAS)、抑郁自评量表(Self-Rating Depression Scale,SDS)评估患者心理状态,采用数字等级评分法(Numerical Rating Scale,NRS)评估患者疼痛程度,采用Herth希望量表(Herth Hope Scale,HHI)评估患者希望水平,采用简明健康问卷(SF-36)评估患者生活质量,比较两组心理状态、疼痛程度、生活质量、希望水平及护理满意度。结果 研究组护理后SAS评分、SDS评分较对照组低(P <0.001);研究组术后1 d、术后3 d、术后5 d及术后7 d NRS评分较对照组低(P <0.05);研究组护理后采取积极行动、与他人保持亲密关系、对现实及未来积极态度评分较对照组高(P <0.001);研究组护理后SF-36各项评分较对照组高(P <0.05);研究组满意率较对照组高(95.65%vs. 76.09%,P <0.05)。结论结直肠术后患者应用Snyder希望理论结合医护一体化精细化护理,有利于减轻疼痛度,促进生活质量提高,可改善患者心理状态,提高患者希望水平,并促进满意度提高。
Objective To analyze the impact of Snyder hope theory combined with medical and nursing integrated meticulous nursing care on pain scores and quality of life in postoperative patients with colorectal cancer.Methods 92 patients with colorectal cancer(CRC)admitted to The First Affiliated Hospital of Wenzhou Medical University from January 2021 to December 2022 were selected for a randomized controlled trial.They were divided into a control group and a study group with 46 patients in each group.The control group received routine nursing care,while the research group received Snyder hope theory combined with integrated medical and nursing care.The psychological status of patients was evaluated using the Self-Rating Anxiety Scale(SAS)/Self-Rating Depression Scale(SDS),the pain level was evaluated using the Numerical Rating Scale(NRS),the hope level was evaluated using the Herth Hope Scale(HHI),and the quality of life was evaluated using the Short Form Health Questionnaire(SF-36).Results The SAS and SDS scores of the study group after nursing were lower than those of the control group(P<0.001);the NRS scores of the study group were lower than those of the control group on the 1st,3rd,5th,and 7th postoperative days(P<0.001);the study group showed higher scores for taking positive actions,maintaining close relationships with others,and having a positive attitude towards reality and the future after nursing care compared to the control group(P<0.05).After nursing,the SF-36 scores in the study group were higher than those in the control group(P<0.05);the satisfaction rate of the research group was higher than that of the control group(95.65%vs.76.09%,P<0.05).Conclusion The application of Snyder hope theory combined with integrated medical and nursing care for patients after colorectal surgery is beneficial for reducing pain,promoting improvement in quality of life,improving patients'psychological state,increasing their hope level,and promoting increased satisfaction.
作者
厉琼
温小霞
王芳
叶乐驰
林虹
Qiong LI;Xiao-Xia WEN;Fang WANG;Le-Chi YE;Hong LIN(Department of Colorectal and Anal Surgery,The First Affiliated Hospital of Wenzhou Medical University,Wenzhou 325000,Zhejiang Province,China)
出处
《数理医药学杂志》
CAS
2023年第5期363-369,共7页
Journal of Mathematical Medicine
作者简介
通信作者:叶乐驰,博士,主任医师,Email:yangs1937@163.com。
