摘要
目的探讨延续性干预模式对宫颈癌根治术患者术后心理状况、自我管理能力及生活质量的影响。方法将280例宫颈癌根治术患者根据不同干预模式分为对照组(n=138,采用常规干预模式)和观察组(n=142,采用常规干预+延续性干预模式),比较两组患者出院前1天及出院后3个月的心理状况、自我管理能力及生活质量。结果出院后3个月,观察组患者轻、中、重度焦虑评分均明显低于对照组(P﹤0.01);观察组患者社会功能、物质生活、躯体功能、心理功能评分均明显高于对照组(P﹤0.01);观察组患者药物管理、饮食管理、症状管理及心理和社会适应评分均明显高于对照组(P﹤0.01);观察组患者术后放化疗不良反应总发生率为43.66%,明显低于对照组的63.04%(P﹤0.01)。结论对宫颈癌根治术后患者实施延续性干预模式,可改善患者的负性情绪,提高其自我管理能力及生活质量。
Objective To explore the effect of continuous intervention mode on postoperative psychological status,self-management ability,and quality of life of patients undergoing radical cervical cancer surgery.Method A total of 280 patients undergoing radical cervical cancer surgery were divided into the control group(n=138,using conventional in-tervention mode)and the observation group(n=142,using conventional intervention plus continuous intervention mode)according to different intervention modes.The psychological status,self-management ability,and quality of life of the two groups of patients were compared one day before discharge and three months after discharge.Result Three months after discharge,the scores of observation group patients’mild,moderate,and severe anxiety were significantly lower than those of the control group(P<0.01);the observation group patients’social function,material life,physical function,and psychological function scores were significantly higher than those of the control group(P<0.01);the scores of medi-cation management,diet management,symptom management,and psychological and social adaptation of the observation group were significantly higher than those of the control group(P<0.01);the total incidence of adverse events to postoper-ative chemoradiotherapy was 43.66%,significantly lower than that of the control group with 63.04%(P<0.01).Conclu-sion The implementation of continuous intervention mode for patients receiving radical surgery of cervical cancer could improve their negative emotions,self-management ability,and life quality.
作者
宗盈
田甜
黄娜
ZONG Ying;TIAN Tian;HUANG Na(Department of Gynecology and Oncology,Affiliated Cancer Hospital of Zhengzhou University/He’nan Cancer Hospital,Zhengzhou 450000,He’nan,China)
出处
《癌症进展》
2021年第22期2372-2375,共4页
Oncology Progress
关键词
延续性干预
宫颈癌根治术
心理状况
自我管理能力
continuous intervention
radical resection of cervical cancer
psychological status
self-management ability
