多学科协作连续性护理对宫颈癌患者心理状态及生活质量的影响
Effect of multidisciplinary collaborative continuous nursing on the psychological state and quality of life of patients with cervical cancer.
作者信息
Han Dongfang, Wang Dajun, Yang Jia, Li Xiaomei
机构信息
Department of Gynecology and Obstetrics, The First Affiliated Hospital of Xi'an Jiaotong University Xi'an, Shaanxi Province, China.
Qide Academy of Xi'an Jiaotong University Xi'an, Shaanxi Province, China.
出版信息
Am J Transl Res. 2021 Jun 15;13(6):6654-6661. eCollection 2021.
OBJECTIVE
To explore the effect of multidisciplinary collaborative continuous nursing on the psychological state and quality of life of cervical cancer patients.
METHODS
A total of 132 patients with cervical cancer who were hospitalized in our hospital were selected as the research subjects, and they were randomized into the observation group (n=66) and the control group (n=66). The control group was given regular continuous nursing, while the observation group was given three-month multidisciplinary collaborative continuous nursing. It was conducted through WeChat, telephone follow-up, face-to-face consultation and lectures, giving guidance on diet, medication, pain control, psychological health, self-care, review time, recognition and processing of postoperative complications, daily activities, social behaviors and so on. Patients' anxiety, depression, quality of life, cancer-related fatigue, complication incidence, and sleep quality were compared between the two groups.
RESULTS
Self-rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) were applied for evaluation. The anxiety and depression scores of patients in the observation group were significantly lower than those in the control group (both P<0.001). The scores on physical functioning, general health, social role functioning, emotional role functioning, and mental health, in the observation group were higher than those in the control group (all P<0.01). Compared with patients in the control group, those in the observation group had higher scores on behavioral/severity, affective meaning, sensory and cognition/mood (all P<0.001). Patients in the observation group had lower complication incidence of postoperative nausea, abdominal pain, wound infection and intestinal obstruction (P<0.05). Besides, the sleep quality scores of patients in the observation group were also lower than those in the control group (all P<0.001).
CONCLUSION
The application of multidisciplinary collaborative continuous nursing for patients with cervical cancer is effective. It can improve patients' depression, anxiety, quality of life, cancer-related fatigue, sleep quality, and reduce the incidence of complications. Therefore, it is worthy of clinical application and promotion.
目的
探讨多学科协作延续性护理对宫颈癌患者心理状态及生活质量的影响。
方法
选取我院收治的132例宫颈癌患者作为研究对象，将其随机分为观察组（n = 66）和对照组（n = 66）。对照组给予常规延续性护理，观察组给予为期三个月的多学科协作延续性护理。通过微信、电话随访、面对面咨询及讲座等方式，在饮食、用药、疼痛控制、心理健康、自我护理、复查时间、术后并发症的识别与处理、日常活动、社会行为等方面给予指导。比较两组患者的焦虑、抑郁、生活质量、癌因性疲乏、并发症发生率及睡眠质量。
结果
采用焦虑自评量表（SAS）和抑郁自评量表（SDS）进行评估。观察组患者的焦虑和抑郁评分均显著低于对照组（均P < 0.001）。观察组在生理功能、总体健康、社会角色功能、情感角色功能和心理健康方面的得分均高于对照组（均P < 0.01）。与对照组患者相比，观察组患者在行为/严重程度、情感意义、感觉和认知/情绪方面的得分更高（均P < 0.001）。观察组患者术后恶心、腹痛、伤口感染及肠梗阻的并发症发生率较低（P < 0.05）。此外，观察组患者的睡眠质量评分也低于对照组（均P < 0.001）。
结论
多学科协作延续性护理应用于宫颈癌患者效果显著。它可以改善患者的抑郁、焦虑、生活质量、癌因性疲乏、睡眠质量，并降低并发症的发生率。因此，值得临床应用与推广。
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