Ding Siyin, Zhong Mengyao, Liu Lagen, Wang Xinmin
Altern Ther Health Med. 2024 Jun 14.
The purpose of this study was to investigate the effectiveness of the Newman System model of care in the perioperative period for patients with endometrial cancer, to investigate the impact on psychological well-being, quality of life, and patient satisfaction.
One hundred and eight patients with endometrial cancer who were treated in our hospital from January 2020 to January 2023 were selected as research subjects and were randomly divided into the control group (n=54) and the research group (n=54); the control group received conventional nursing care, and the research group added nursing care based on the conventional nursing care with Newman's systematic nursing care model including primary, secondary and tertiary care, comparing the psychological state score, quality of life score, coping style score, and satisfaction with nursing care of the two groups.
After the intervention, the anxiety self-assessment scale (SAS) and depression self-assessment scale (SDS) scores decreased in both groups, with the research group having lower scores than the control group (P < .05). After the intervention, all Oncology Quality of Life Core Questionnaire (QLQ-C30) scores increased in both groups, with the research group having higher scores than the control group (P < .05). After the intervention, avoidance and submission scores decreased in both groups, with the research group having lower scores than the control group (P < .05); coping scores increased in both groups, with the research group having higher scores than the control group (P < .05). Satisfaction with care was higher in the research group than in the control group (P < .05).
The Newman's system model of care is effective in the perioperative period of endometrial cancer, helping to reduce patients' negative emotions, optimize coping, improve quality of life and nursing satisfaction, and has great value in clinical application and promotion.
本研究旨在探讨纽曼系统护理模式在子宫内膜癌患者围手术期的有效性，以及对患者心理健康、生活质量和满意度的影响。
选取2020年1月至2023年1月在我院接受治疗的108例子宫内膜癌患者作为研究对象，随机分为对照组（n = 54）和研究组（n = 54）；对照组接受常规护理，研究组在常规护理基础上增加基于纽曼系统护理模式的护理，包括一级、二级和三级护理，比较两组患者的心理状态评分、生活质量评分、应对方式评分及护理满意度。
干预后，两组患者的焦虑自评量表（SAS）和抑郁自评量表（SDS）评分均降低，研究组评分低于对照组（P < 0.05）。干预后，两组患者的肿瘤生活质量核心问卷（QLQ-C30）各项评分均升高，研究组评分高于对照组（P < 0.05）。干预后，两组患者的回避和屈服评分均降低，研究组评分低于对照组（P < 0.05）；两组患者的应对评分均升高，研究组评分高于对照组（P < 0.05）。研究组的护理满意度高于对照组（P < 0.05）。
纽曼系统护理模式在子宫内膜癌围手术期具有显著效果，有助于减轻患者负面情绪，优化应对方式，提高生活质量和护理满意度，在临床应用和推广方面具有重要价值。
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