摘要
目的探讨康复护理对下肢骨肿瘤微波灭活保肢术后患者疗效和生活质量的影响。方法选取2012年5月至2013年5月间青岛市市立医院收治的74例下肢骨肿瘤患者,采用等距随机抽样法分为观察组和对照组,每组37例。观察组患者采用康复护理模式,对照组患者采用常规护理模式,对比两组患者护理前后的视觉模拟评分(VAS)和生活质量评分,及护理后的肢体功能、并发症发生率和生存率。结果护理前,两组患者的VAS和生活质量评分比较,差异无统计学意义(P>0.05)。护理后观察组患者各时间段VAS评分均低于对照组患者,生活质量评分均高于对照组患者,差异均有统计学意义(均P<0.05)。护理后,观察组患者的生存率和肢体功能优良率分别为89.2%和94.6%,均明显高于对照组的64.9%和78.4%,差异均有统计学意义(均P<0.05)。观察组患者并发症发生率为8.1%,明显低于对照组的29.7%,差异有统计学意义(P<0.05)。结论康复护理可有效提高微波灭活保肢手术治疗下肢骨肿瘤患者的生活质量,缓解疼痛症状,降低并发症发生率,对肢体功能的恢复产生积极影响,宜广泛推广。
Objective To study the effect of rehabilitation nursing on postoperative efficacy and quality of life in patients with bone tumors in lower extremity receiving limb-salvage surgery with microwave hyperthermia. Methods Seventy-four patients with bone tumors in lower extremity admitted to Qingdao Municipal Hospital from May 2012 to May 2013 were selected and randomly divided into an observation group and a control group using isometric random sampling with 37 patients in each group. The observation group received rehabilitation nursing and the control group received routine nursing. Visual analogue scale（ VAS） score,quality of life,physical function,complication rate and survival rate were compared between the two groups before and after nursing care. Results There was no significant difference in VAS quality of life scores between the two groups before nursing（ P〈0. 05）. The VAS scores at each time points were lower in the observation group than in the control group and quality of life scores were higher in the observation group than in the control group after nursing（ all P〈0. 05）. The survival rate and rate of qualified limb function was 89. 2% and 94. 6% respectively for the observation group which was higher than 64. 9% and 78. 4% respectively of the control group（ all P〈0. 05）. The incidence of complications was 8. 1% in the observation group which was significantly lower than 29. 7% of the control group（ P〈0. 05）. Conclusion Rehabilitation nursing can effectively improve the quality of life,alleviate the symptoms of pain,reduce the complication rate and has a positive impact on recovery of limb function in patients with bone tumors in lower extremity receiving limb-salvage surgery with microwave hyperthermia. It should be widely applied and promoted.
出处
《中国肿瘤临床与康复》
2018年第2期221-224,共4页
Chinese Journal of Clinical Oncology and Rehabilitation
基金
青岛市科技指导计划项目(KJZD-14-10-NSH)
关键词
微波灭活保肢手术
下肢骨肿瘤
康复护理
VAS评分
Limb-salvage surgery with microwave hyperthermia
Bone neoplasrrlS in lower ex-tremity
Rehabilitation nursing
Visual analogue scale score
