Zhu Yingying, Liu Liangru, Li Dandan, Feng Ziwei, Tang Jiazhu
Altern Ther Health Med. 2024 Jun 14.
To evaluate the effectiveness of perioperative empathic care for patients with cervical cancer and its impact on their postoperative recovery and psychological well-being.
A total of 196 patients diagnosed with cervical cancer and treated at our hospital between December 2019 and January 2021 were recruited and assigned via random number table method to receive either conventional nursing care (conventional group) or empathic care (experimental group), with 98 cases in each group. The inclusion criteria for cervical cancer patients were FIGO stage I-III, aged 18-65 years, and no prior cancer treatment. The empathic care provided to the experimental group involved enhanced communication, emotional support, and shared decision-making. Outcome measures included postoperative recovery indices, numeric rating scale (NRS) scores, Pittsburgh Sleep Quality Index (PSQI), Self-Rating Anxiety Scale (SAS) scores, Hamilton depression scale (HAMD) scores, and Strategies Used by People to Promote Health (SUPPH) scores.
Independent t tests were used to analyze the differences in postoperative recovery indices between the two groups. Patients in the experimental group who received empathic care had significantly shorter mean time to passing gas (2.35 ± 0.61 days vs. 3.41 ± 0.56 days, P < .05), shorter mean time to postoperative defecation (3.28 ± 0.71 days vs. 4.75 ± 0.63 days, P < .05), and shorter mean length of hospital stay (7.18 ± 1.04 days vs. 11.52 ± 1.25 days, P < .05) compared to the conventional group.Before the nursing intervention, there were no significant differences between the two groups in NRS scores, PSQI scores, SAS scores, HAMD scores, and SUPPH scores (all P > .05). After the nursing intervention, ANOVA was used to analyze the differences. Patients in the experimental group had lower mean NRS scores (2.96 ± 0.84 vs. 4.36 ± 1.02, P < .05), lower mean PSQI scores (8.45 ± 1.11 vs. 12.15 ± 1.52, P < .05), lower mean SAS scores (33.08 ± 3.35 vs. 47.65 ± 4.32, P < .05), and lower mean HAMD scores (30.44 ± 3.37 vs. 41.82 ± 4.05, P < .05) compared to the conventional group.
This study demonstrates that perioperative empathic care can significantly improve postoperative recovery and psychological well-being in patients with cervical cancer. Patients receiving empathic care exhibited faster return of gastrointestinal function, shorter hospital stays, and better outcomes on measures of pain, sleep quality, anxiety, and depression. These findings suggest that incorporating empathic care into standard oncology nursing practice could have a positive impact on patient experience and clinical outcomes. Beyond the benefits for individual patients, widespread adoption of empathic care approaches has the potential to enhance the overall quality of cancer care, improve resource utilization, and contribute to more holistic, patient-centered models of healthcare delivery. Further research is warranted to evaluate the long-term effects of empathic care and its applicability across diverse oncology populations.
评估围手术期共情护理对宫颈癌患者的有效性及其对患者术后恢复和心理健康的影响。
选取2019年12月至2021年1月在我院确诊并接受治疗的196例宫颈癌患者，采用随机数字表法将其分为两组，分别接受常规护理（常规组）或共情护理（实验组），每组98例。宫颈癌患者的纳入标准为国际妇产科联盟（FIGO）分期I-III期、年龄18-65岁且既往未接受过癌症治疗。为实验组提供的共情护理包括加强沟通、情感支持和共同决策。观察指标包括术后恢复指标、数字评分量表（NRS）评分、匹兹堡睡眠质量指数（PSQI）、自评焦虑量表（SAS）评分、汉密尔顿抑郁量表（HAMD）评分以及促进健康行为量表（SUPPH）评分。
采用独立样本t检验分析两组术后恢复指标的差异。接受共情护理的实验组患者平均排气时间显著缩短（2.35±0.61天 vs. 3.41±0.56天，P<.05），术后平均排便时间缩短（3.28±0.71天 vs. 4.75±0.63天，P<.05），平均住院时间缩短（7.18±1.04天 vs. 11.52±1.25天，P<.05）。在护理干预前，两组在NRS评分、PSQI评分、SAS评分、HAMD评分和SUPPH评分方面均无显著差异（均P>.05）。护理干预后，采用方差分析分析差异。实验组患者的平均NRS评分较低（2.96±0.84 vs. 4.36±1.02，P<.05），平均PSQI评分较低（8.45±
