基于卡罗莱纳关怀模式的人文关怀对卵巢癌患者术后康复及生活质量的影响。
Influence of humanistic care based on Carolina care model for ovarian cancer patients on postoperative recovery and quality of life.
作者信息
Gao Min, Zhang Lin, Wang Yan, Li Li, Wang Chunjie, Shen Qian, Wang Yuhan, Liao Bizhen
机构信息
Department of Obstetrics and Gynecology, University-Town Hospital of Chongqing Medical University Chongqing, China.
Department of Obstetrics and Gynecology, The First Affiliated Hospital of Chongqing Medical University Chongqing, China.
出版信息
Am J Transl Res. 2021 Apr 15;13(4):3390-3399. eCollection 2021.
OBJECTIVE
Our aim was to explore the influence of humanistic care based on Carolina care model on postoperative recovery and quality of life in patients with ovarian cancer (OC).
METHODS
In this prospective study, we selected 85 OC patients and randomly divided them into the Carolina group (n = 43) given humanistic care based on Carolina care model and the control group (n = 42) given routine nursing intervention. The postoperative recovery and Functional Assessment of Cancer Therapy-Ovary Cancer (FACT-O) scores were compared between the two groups.
RESULTS
After intervention, the time of first flatus and defecation after surgery, the time of first ambulation and the length of average postoperative hospital stay were much shorter, and the pain score, total complication rate, self-rating anxiety scale and self-rating depression scale scores as well as Cortisol, C-reactive protein and fasting blood glucose levels at 48 hours postoperatively were significantly lower in the Carolina group than in the control group. The nursing satisfaction in the Carolina group was markedly higher than that in the control group (97.67% vs. 78.57%, P<0.01). After 3 months of follow-up, the Carolina group showed higher dimension scores of FACT-O than the control group (all P<0.001).
CONCLUSION
Humanistic nursing care based on Carolina care model can significantly ameliorate the recovery of OC patients, reduce the physical and psychologic stress response, and effectively enhance the nursing satisfaction and quality of life.
目的
探讨基于卡罗莱纳关怀模式的人文关怀对卵巢癌（OC）患者术后恢复及生活质量的影响。
方法
在这项前瞻性研究中，我们选取了85例OC患者，并将他们随机分为卡罗莱纳组（n = 43），给予基于卡罗莱纳关怀模式的人文关怀，以及对照组（n = 42），给予常规护理干预。比较两组患者的术后恢复情况及癌症治疗功能评估-卵巢癌（FACT-O）评分。
结果
干预后，卡罗莱纳组术后首次排气和排便时间、首次下床活动时间及术后平均住院时间均明显缩短，术后48小时的疼痛评分、总并发症发生率、自评焦虑量表和自评抑郁量表评分以及皮质醇、C反应蛋白和空腹血糖水平均显著低于对照组。卡罗莱纳组的护理满意度明显高于对照组（97.67%对78.57%，P<0.01）。随访3个月后，卡罗莱纳组的FACT-O维度评分高于对照组（均P<0.001）。
结论
基于卡罗莱纳关怀模式的人文护理能显著改善OC患者的恢复情况，减轻身心应激反应，并有效提高护理满意度和生活质量。
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