摘要
目的探讨循证干预对卵巢癌术后患者深静脉血栓形成、康复进程、自我管理能力和生活质量的影响。方法根据干预方式的不同将102例卵巢癌患者分为对照组(n=50)和观察组(n=52),对照组患者采取常规干预,观察组患者在对照组的基础上采取循证干预。比较两组患者深静脉血栓形成情况、康复进程、自我管理能力(自我管理行为量表)、生活质量[欧洲癌症研究与治疗组织生命质量测定量表(EORTC QLQ-C30)]以及依从性[Morisky依从性问卷(MMAS-8)]。结果观察组患者下肢深静脉血栓形成发生率为0%,低于对照组患者的12.00%,差异有统计学意义(P﹤0.05)。观察组患者恢复正常饮食时间、伤口疼痛消失时间、开始正常活动时间、开始做家务时间均明显短于对照组,差异均有统计学意义(P﹤0.01)。干预后,两组患者药物管理、饮食管理、症状管理、心理和社会适应评分均高于本组干预前,观察组患者药物管理、饮食管理、症状管理、心理和社会适应评分均高于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者躯体功能、情绪功能、社会功能、认知功能评分均高于本组干预前,观察组患者躯体功能、情绪功能、社会功能、认知功能评分均高于对照组,差异均有统计学意义(P﹤0.05)。干预后,观察组患者的总依从率为100%,明显高于对照组患者的84.00%,差异有统计学意义(P﹤0.01)。结论循证干预可降低卵巢癌术后患者深静脉血栓形成发生率,促进患者术后康复,提高患者的自我管理能力及生活质量,改善患者依从性。
Objective To investigate the effects of evidence-based intervention on deep vein thrombosis,rehabilitation process,self-management ability,and quality of life in postoperative patients with ovarian cancer.Method A total of 102 ovarian cancer patients were divided into control group(n=50)and observation group(n=52)based on different intervention methods.The control group received routine intervention,while the observation group received evidencebased intervention on the basis of the control group.The formation of deep vein thrombosis,rehabilitation progress,selfmanagement ability(self-management behavior scale),quality of life[European Organization for Research and Treatment of Cancer quality of life questionnaire core 30(EORTC QLQ-C30)],and compliance[8-items Morisky medication adherence scale(MMAS-8)]were compared between two groups.Result The incidence of lower extremity deep vein thrombosis in observation group was 0%,which was lower than 12.00% in control group,the difference was statistically significant(P<0.05).The time to resume normal diet,wound pain disappearance time,start of normal activities time,and start of household chores time in the observation group were significantly shorter than those in the control group,and the differences were statistically significant(P<0.01).After intervention,the scores of drug management,dietary management,symptom management,psychological and social adaptation scores in the two groups were higher than those before intervention,the scores of drug management,dietary management,symptom management,psychological and social adaptation in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the scores of physical function,emotional function,social function,and cognitive function in both groups were higher than those before intervention,the scores of physical function,emotional function,social function,and cognitive function in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the total compliance rate of the observation group was 100%,which was significantly higher than 84.00%of the control group,and the difference was statistically significant(P<0.01).Conclusion Evidence-based intervention can reduce the incidence of deep vein thrombosis in postoperative ovarian cancer patients,promote postoperative recovery,improve self-management ability and quality of life,and improve compliance.
作者
贺曼
马晓
郭盼盼
HE Man;MAXiao;GUO Panpan(Department of Gynaecology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,He’nan,China)
出处
《癌症进展》
2024年第8期854-857,862,共5页
Oncology Progress
关键词
卵巢癌
循证干预
深静脉血栓形成
生活质量
ovarian cancer
evidence-based intervention
deep vein thrombosis
quality of life
作者简介
通信作者:贺曼,邮箱:hem202301@163.com。
