Zhao Jing, Chai Guozhe, Yang Fangjie, Xu Lizhuo, Zhao Jie, Wang Yaoping, Liu Cuiying
Department of Gynecology and Mammary Gland II, Tangshan People's Hospital Tangshan City, Hebei Province, China.
Obstetrics and Gynecology Area l, People's Hospital of Qianxi County Tangshan City, Hebei Province, China.
Am J Transl Res. 2021 Apr 15;13(4):3138-3146. eCollection 2021.
To investigate the effect of health education via clinical nursing pathway (CNP) on self-care agency, quality of life, negative emotions and nursing satisfaction among patients with ovarian carcinoma.
The clinical data of 61 patients with ovarian carcinoma admitted to the Oncology Department of our hospital from January 2019 to January 2020 were analyzed retrospectively. According to the different nursing methods, the patients were divided into a control group (n=31) and an observation group (n=30). The postoperative complications, the scores of self-care agency and quality of life before and after intervention, sleep quality and negative emotions were compared and analyzed between the two groups.
Patients in the observation group had higher mastery of health knowledge and lower incidence of postoperative complications than those in the control group. The scores of SDS, SAS and PSQI were significantly decreased in both groups after intervention compared with those before intervention (<0.05), and the scores in the observation group were significantly lower than those in the control group (<0.05). After intervention, both groups showed higher scores of self-care agency and quality of life than before intervention (<0.05), and patients in the observation group showed higher scores than those in the control group (<0.05). The overall nursing satisfaction of patient was relatively high.
Health education via CNP can help patients better understand the diseases, reduce their psychological burden and improve sleep quality. Informing patients of the methods of postoperative restorative exercise through health education is able to reduce complications incidence and improve self-care agency and quality of life of patients.
探讨通过临床护理路径（CNP）进行健康教育对卵巢癌患者自我护理能力、生活质量、负面情绪及护理满意度的影响。
回顾性分析2019年1月至2020年1月我院肿瘤科收治的61例卵巢癌患者的临床资料。根据护理方法不同，将患者分为对照组（n = 31）和观察组（n = 30）。比较分析两组患者术后并发症、干预前后自我护理能力及生活质量评分、睡眠质量和负面情绪。
观察组患者对健康知识的掌握程度高于对照组，术后并发症发生率低于对照组。干预后，两组SDS、SAS及PSQI评分均较干预前显著降低（<0.05），且观察组评分显著低于对照组（<0.05）。干预后，两组自我护理能力及生活质量评分均高于干预前（<0.05），且观察组患者评分高于对照组（<0.05）。患者总体护理满意度较高。
通过CNP进行健康教育可帮助患者更好地了解疾病，减轻心理负担，改善睡眠质量。通过健康教育告知患者术后康复锻炼方法，能够降低并发症发生率，提高患者自我护理能力和生活质量。
