Gärtner U, Braun G D, Held K, Friedrich H, Reimers H J, Schmidt J, Schröck R, Biskup M
Paracelsus Klinik, Bad Gandersheim.
Med Klin (Munich). 1996 Aug 15;91(8):501-8.
To what extent do cancer patients use an inpatient aftercare programme and how is its effect been estimated by them? How is the progress of "general physical complaints", "psychosocial stress" and "satisfaction with life" in some cases over a period of up to eight months?
To 201 patients with breast or intestinal cancer respectively, who were going to be or had already been admitted to an inpatient aftercare, standardised and unstandardized questionnaire were presented to be filled out at 4 or 5 different dates before and during the programme as well as 3 and 6 months later.
Many patients tried to take part in the aftercare programme actively. Even 6 months later 95.6% estimated it as being "successful" and 70% said that there had been a lasting positive effect after the treatment. The "general physical complaints" and "psychosocial stress" grew significantly less during the inpatient aftercare programme and "satisfaction with life" improved. After the treatment these effects were declining again.
The results indicate that many patients, who participate in an inpatient aftercare programme, profit by it directly. As the positive effects partially get lost during the following months, the patients should be prepared more intensely for the time after dismission with its higher level of strain and should get an especially attentive ambulant care at home.
癌症患者在多大程度上使用住院后续护理计划，以及他们如何评估其效果？在长达八个月的时间里，某些病例中“一般身体不适”“心理社会压力”和“生活满意度”的进展情况如何？
分别向201例乳腺癌或肠癌患者发放标准化和非标准化问卷，这些患者即将或已经入住进行住院后续护理，在该计划实施前、实施期间的4或5个不同时间点以及3个月和6个月后填写问卷。
许多患者积极尝试参与后续护理计划。即使在6个月后，95.6%的患者认为该计划“成功”，70%的患者表示治疗后有持续的积极效果。在住院后续护理计划期间，“一般身体不适”和“心理社会压力”的增加明显减少，“生活满意度”有所提高。治疗后这些效果再次下降。
结果表明，许多参与住院后续护理计划的患者直接从中受益。由于积极效果在接下来的几个月中部分丧失，患者应该为出院后压力更大的时期做好更充分的准备，并应在家中得到特别细心的门诊护理。
