Chen Yao, Mo Zhihuai, Cao Jianyong, Su Zhaojuan, Zhang Yuexia, Chen Fang, Wang Jianying
Dept. of Obstetrics, The Fifth Affiliated Hospital Sun Yat-Sen University, Zhuhai, China.
Dept. of Neurology, The Fifth Affiliated Hospital Sun Yat-Sen University, Zhuhai, China.
Iran J Public Health. 2018 Oct;47(10):1546-1551.
To investigate the effect of applying doctor-nurse-patient integration management mode to patients with endometriosis (EMT).
A total of 160 patients with EMT from the Department of Neurology of The Fifth Affiliated Hospital Sun Yat-Sen University from January 2017 to October 2017 were selected. They were divided into control group and experimental group according to the time sequence of hospitalization, with 80 patients in each group. The traditional nursing management mode was implemented in the control group, and doctor-nurse-patient integration mode was implemented in the experimental group. The psychological status, quality of life, and satisfaction of the 2 groups of patients were compared one year after surgery.
The anxiety and depression scores in the observation group were (41.89±7.50) and (42.40±7.40) points, respectively, and those in the control group were (57.55±9.68) and (55.00±9.35) points, respectively. The differences between the two groups were statistically significant (=-11.44, -9.42, <0.05). The improvement rate of quality of life (sleep, work and sexual life) in the observation group was 87.5%, which was higher than that in the control group (63.8%). The difference between the 2 groups was statistically significant (U=583, <0.01). The satisfaction rate in the observation group was 90.00%, which was higher than that in the control group (78.75%) (U=592.00, < 0.01).
The doctor-nurse-patient integration management mode can effectively improve the negative psychological status and quality of life of patients with EMT and improve patient satisfaction, which is worth popularizing.
探讨医护患一体化管理模式应用于子宫内膜异位症（EMT）患者的效果。
选取中山大学附属第五医院神经内科2017年1月至2017年10月收治的160例EMT患者，按住院时间顺序分为对照组和试验组，每组80例。对照组实施传统护理管理模式，试验组实施医护患一体化模式。比较两组患者术后1年的心理状态、生活质量及满意度。
观察组焦虑、抑郁评分分别为（41.89±7.50）分和（42.40±7.40）分，对照组分别为（57.55±9.68）分和（55.00±9.35）分，两组比较差异有统计学意义（=-11.44，-9.42，<0.05）。观察组生活质量（睡眠、工作及性生活）改善率为87.5%，高于对照组的63.8%，两组比较差异有统计学意义（U=583，<0.01）。观察组满意度为90.00%，高于对照组的78.75%（U=592.00，<0.01）。
医护患一体化管理模式可有效改善EMT患者的负性心理状态和生活质量，提高患者满意度，值得推广。
