摘要
目的探讨从医院到家庭(H to H)延续护理对介入治疗中晚期肝癌患者负性情绪和生活质量的影响。方法选取2013年5月至2015年5月西安交通大学医学院第一附属医院收治的中晚期肝癌患者494例,按照随机数字表法随机分为对照组和观察组,每组247例。对照组常用常规护理方法,观察组采用H to H延续护理,共进行8周。观察记录两组患者护理前、护理后的负性情绪和生活质量指标变化情况。负性情绪包括焦虑和抑郁情绪,生活质量包括健康指数、情感指数和生活满意度。结果护理后,观察组患者的抑郁自评量表(SDS)和焦虑自评量表(SAS)评分分别降低至(37.45±5.32)分和(39.42±5.23)分,对照组患者的SDS和SAS评分分别降低至(53.56±6.12)分和(56.43±5.54)分。护理后,两组患者的SDS和SAS评分均有所降低,且观察组患者的SDS和SAS评分均明显低于对照组,差异有统计学意义(P<0.05)。护理后,观察组健康指数、情感指数和生活满意度分别提高至(8.96±1.89)分、(7.01±1.76)分、(9.76±1.87)分,对照组健康指数、情感指数和生活满意度分别提高至(6.99±1.91)分、(5.89±1.63)分、(7.89±1.77)分。两组患者健康指数、情感指数和生活满意度都有所提高,但观察组明显高于对照组,差异有统计学意义(P<0.05)。结论介入治疗中晚期肝癌患者采用H to H延续护理能够更好地改善患者焦虑和抑郁负性情绪,提高生活质量。
Objective To survey the effect of H2 H extended care on negative emotion and quality of life in patients with advanced hepatocellular carcinoma. Methods Four hundred and ninety-four patients with advanced hepatocellular carcinoma treated in First Affiliated Hospital of Xi＇an Jiaotong University from May 2013 to May 2015 were selected,and the patients were randomly divided into observation group（ 247patients） and control group（ 247 patients） according to random number table method. Patients in the control group received routine nursing care,and patients in the observation group used H2 H continuing nursing care for a total of 8 weeks. Negative emotions and quality of life between the two groups were observed and recorded before and after nursing care. Negative emotions included anxiety and depression and quality of life included health,emotional and life satisfaction. Results After nursing care,SDS and SAS score in the observation group was reduced to 37. 45 ± 5. 32 and 39. 42 ± 5. 23 respectively. SAS and SDS score in the control group was reduced to 53. 56 ± 6. 12 and 56. 43 ± 5. 54. After nursing care,SDS and SAS score decreased in both the two groups,with the observation group significantly lower than the control group. The difference between the two groups was statistically significant（ P〈0. 05）. After nursing care,index of health,emotion and life satisfaction for the observation group increased to 8. 96 ± 1. 89,7. 01 ± 1. 76 and9. 76 ± 1. 87 respectively and to 6. 99 ± 1. 91,5. 89 ± 0. 63 and 7. 89 ± 1. 77 respectively for the control group. After the nursing care,Increases in the index of health,emotion and life satisfaction in the observation group patients were higher than those in the control group with a statistically significant difference（ P〈0. 05）. Conclusion H2 H extended care in patients with advanced hepatocellular carcinoma can improve the patient＇s negative emotions of anxiety and depression as well as the quality of life.
出处
《中国肿瘤临床与康复》
2016年第9期1119-1121,共3页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
H
to
H延续护理
肝肿瘤
负性情绪
生活质量
H2H extended care
Liver neoplasms
Negative emotion
Quality of life
