人文健康管理在体检癌症筛查中的应用价值与可行性分析

Application value and feasibility analysis of humanistic health management for cancer screening in physical examination.

作者信息

Yan Lijin, Huang Zhiqi

机构信息

Department of Physical Examination Service, Hubei Hanchuan People's Hospital Hanchuan, Hubei Province, China.

Department of Intensive Care Unit, Hubei Hanchuan People's Hospital Hanchuan, Hubei Province, China.

出版信息

Am J Transl Res. 2021 Dec 15;13(12):14229-14237. eCollection 2021.

PMID:35035769

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8748086/

Abstract

OBJECTIVE

To investigate the application value and feasibility of humanistic health management in cancer screening in physical examination.

METHODS

A total of 100 carcinoma patients were randomly grouped into the control group and the experimental group, with 50 cases in each group. The patients in the control group received a general physical examination, while those in the experimental group received humanistic health care management model, health education, environmental management, private nursing and emergency management. The two groups were compared in missing item rate, health knowledge score, physical examination quality, basic literacy of nursing staff, adverse events and physical examination satisfaction.

RESULTS

There was 1 case of missing items in the ENT (ear nose throat branch) in the experimental group, with a missing item rate of 2.00%, and 7 cases of missing items in the control group, with a missing item rate of 14.00% (χ=9.000, P=0.003). The score of mastering health knowledge in the experimental group was higher than that in the control group (t=15.663, P<0.001). Compared with the control group, the experimental group experienced shorter time of physical examination and obtained higher reliability and efficiency of physical examination (all P<0.05) and higher scores of professional ethics, interpersonal communication, coordination ability, humanistic quality and civility of nursing staff (all P<0.05). In addition, the incidence of adverse events in the control group was 32.00% (16/50), which was higher than that in the experimental group (18.00%, 9/50; χ=3.920, P=0.048). There was no difference in satisfaction between the two groups (P>0.05).

CONCLUSION

Humanistic health management can improve the efficiency of medical examination, the mastery of health knowledge and reduce the rate of missed examinations and adverse accidents, thus improving the overall satisfaction of patients.

摘要

目的

探讨人文健康管理在体检癌症筛查中的应用价值及可行性。

方法

将100例癌症患者随机分为对照组和试验组，每组50例。对照组患者接受常规体检，试验组患者接受人文健康管理模式，包括健康教育、环境管理、专人护理及应急管理。比较两组的漏检率、健康知识得分、体检质量、护理人员基本素养、不良事件及体检满意度。

结果

试验组耳鼻喉科有1例漏检，漏检率为2.00%，对照组有7例漏检，漏检率为14.00%（χ=9.000，P=0.003）。试验组健康知识掌握得分高于对照组（t=15.663，P<0.001）。与对照组相比，试验组体检用时较短，体检可靠性和效率更高（均P<0.05），护理人员职业道德、人际沟通、协调能力、人文素养及文明程度得分更高（均P<0.05）。此外，对照组不良事件发生率为32.00%（16/50），高于试验组（18.00%，9/50；χ=3.920，P=0.048）。两组满意度差异无统计学意义（P>0.05）。