摘要
目的探讨中西医结合护理干预对宫颈癌患者围手术期康复效果的影响。方法本研究抽样选取在浙江省桐庐县妇幼保健院住院治疗的宫颈癌并符合研究标准的126例患者为研究对象,根据不同病区分为观察组和对照组,每组各63例。观察组根据宫颈癌患者围手术期每个阶段生理、心理的不同特点,实施中西医结合护理干预方案。包括起居调护、情志护理、穴位按摩、耳穴埋豆、病情观察、并发症预防等措施。对照组实施围手术期常规护理。入组后收集两组患者一般资料,指导其填写生活质量测定量表(QLQ-C30);并记录手术当日至出院前手术情况及术后恢复情况;术后1周再次指导患者填写生活质量测定量表(QLQ-C30);出院前1天指导患者填写住院患者满意度调查问卷。运用两独立样本t检验、配对设计资料t检验和卡方检验(χ2)等方法对研究结果进行统计学分析,验证中西医结合护理干预对宫颈癌患者围手术期康复效果的影响。结果 1两组患者术后24 h全身症状、体征积分比较差异有显著性(P<0.05),观察组得分低于对照组;术后48 h全身症状、体征积分比较差异无显著性(P>0.05),但观察组得分低于对照组。2两组患者入组时和术后1周的功能量表、总体生活质量量表的各维度得分比较差异有显著性(P<0.05),术后1周得分均低于入组时得分;观察组患者入组时和术后一周各症状量表及单项量表的各维度得分比较差异有显著性(P<0.05),术后1周得分均高于入组时得分。对照组入组时各症状量表及单项量表的各维度得分比较差异有显著性(P<0.05),术后1周得分均高于入组时得分;术后1周两组患者的躯体功能量表、情绪功能量表、社会功能量表、总生活质量量表比较差异有显著性(P<0.05),观察组得分均高于对照组;而两组的疲乏量表、疼痛量表、睡眠障碍量表比较差异有显著性(P<0.05),观察组得分均低于对照组。3两组患者在住院满意度的"服务与技术"、"关心与爱护"、"环境与指导"、"总体评价"及满意度总分方面比较差异有显著性(P<0.05),观察组得分均高于对照组。结论中西医结合护理干预能够减轻宫颈癌患者术后24 h全身症状、体征,提高术后早期生活质量,从而加速患者围手术期康复进程,同时也增加了患者住院满意度。中西医结合护理干预作为一套简单易行、疗效明显、无创伤的护理模式,为今后在临床护理工作中为患者提供多元化、整体性的优质护理服务提供一个新的方向。
【Objective】 To investgate the effect of nursing intervention of Chinese and Western integrative medicine on postoperative rehabilitation of cervical carcinoma patients in perioperative period.【Methods】126 cases of cervical carcinoma,who were diagnosed by Gynaecology in our Hospital were assigned into the intervention group（n =63） and the control group randomly（n =63）. The patients in intervention group received nursing intervention of Chinese and Western integrative medicine in perioperative period, including daily life regulating, emotional nursing, disease observation, point massage, pressing beans at points, prevention of complication, etc. The control group received routine nursing. Investigators who were trained together collected general information, then measured the quality of with the QLQ-C30 scale before therapy. The investigators recorded on the day of surgery and postoperative recovery, measured the quality of with QLQ-C30 scale again in the next week, and measured the satisfaction degree of patients before they left hospital. Two independent samples t-test, paired t test and chi-square test were performed throughout the research.【Results】The differences were statically significant in symptoms and signs of 24hours（P〈 0.05）. The invention group was lower than the control one; There were no difference in symptoms and signs of 48 hours（P〈 0.05）, but the invention group was lower than the control one. The differences were statically significant in functional fields and the general quality of life（P〈 0.05）. The scores in one week were higher than the ones before therapy. Intra-group comparisons of the invention group showed that the differences were statically significant in symptom scale and single items（P〈 0.05）. The scores in one week were lower than the ones before therapy; Intragroup comparisons of the control group showed that the differences were statically significant in symptom scale and single items（P〈 0.05）. The scores in one week were higher than the ones before therapy. The differences were statically significant in body function, emotion, social function and the general quality of life（P〈 0.05）. The invention group was higher than the control one. The differences were statically significant in fatigue、pain、sleep disorders（P〈 0.05）. The invention group was lower than the control one. The differences were statically significant in service and technology, caring and consideration, environment and nursing guide, the total evaluation and satisfaction（P〈 0.05）,the invention group was higher than the control one. 【Conclusions】Nursing intervention of Chinese and Western integrative medicine can reduce symptoms and signs of 24 h, improve the quality of life, decrease complications, increase patient＇s satisfaction, accelerate postoperative rehabilitation. Nursing intervention of Chinese and Western integrative medicine was an easy, effective, non-traumatic nursing model, which may provide a new way for high quality nursing service in the clinical nursing in the future.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2014年第24期89-94,共6页
China Journal of Modern Medicine
关键词
中西医结合护理
宫颈癌
围手术期康复
nursing intervention of Chinese and Western integrative medicine cervical carcinoma perioperative rehabilitation
