摘要
目的探讨集中护理模式对结直肠癌术后治疗依从性及生活质量(quality of life,QOF)的影响.方法选取2015-01/2017-07在杭州市大江东医院诊断并治疗的结直肠癌患者220例,随机分为对照组(110例)和集中护理组(110例),对照组采用常规护理,集中护理组采用集中护理模式,比较两组护理后依从性,包括定期检查率及服药依从性自我效能量表(medication adherence self-efficacy scale,MASES),以及护理前后两组抑郁(self-rating anxiety scale,SAS)、焦虑(self-rating depression scale,SDS)水平以及自我护理能力(exercise of self-care agency scale,ESCA)和支持性需求(supportive care needs survey short form 34,SCNS-SF34),同时比较护理前后生活质量(european organization for research on treatment of cancer,EORTC QLQ-C30).结果集中护理组定期检查率及MASES评分显著高于对照组(t=-8.815,-26.387;P=0.000,0.000);护理前两组SAS及SDS无明显差异(P>0.05),护理后均显著降低(P<0.05),其中集中护理组显著低于对照组(t=11.912,10.599,P=0.000,0.000);护理前两组ESCA及SCNS-SF34无明显差异(P>0.05),护理后两组均显著提高(P<0.05),其中集中护理组3 mo后、6 mo后ESCA(t=-6.119,-7.931,P=0.000,0.000)显著高于对照组,SCNS-SF34(t=6.822,10.717,P=0.000,0.000)也显著高于对照组;护理前两组EORTC无明显差异(P>0.05),护理6 mo后,两组EORTC中功能领域均显著提高(P<0.05),其中集中护理显著高于对照组(P<0.05),两组症状领域均显著降低(P<0.05),其中集中护理组显著低于对照组(P<0.05).结论集中护理模式能够有效提高结直肠癌患者治疗依从性,同时显著提高其生活质量.
AIM To observe the effect of centralized nursing on the compliance and quality of life（QOF） in patients after radical operation for colorectal cancer.METHODS From January 2015 to July 2017, 220 colorectal cancer patients treated at Dajiang East Hospital of Hangzhou were randomly divided into a control group（110 cases） and a study group（110 cases）. The control group received traditional nursing, and the study group received centralized nursing. The compliance, including regular examination rate and medication compliance（medication adherence self-efficacy scale, MASES）, the self-rating anxiety scale（SAS） and self-rating depression scale（SDS） scores, the self-nursing（exercise of self-care agency scale, ESCA） score, supportive need（supportive care needs survey short form 34, SCNS-SF34）, and QOF（European organization for research on treatment of cancer, EORTC QLQ-C30） were compared between the two groups.RESULTS The regular examination rate and MASES score in the study group were significantly higher than those in the control group（t =-8.815,-26.387; P = 0.000, 0.000）. There was no significant difference in SAS or SDS score between the two groups before nursing care（P〈0.05）. SAS and SDS scores were significantly decreased after nursing care in both groups（P〈0.05）, and the two scores in the study group were significantly lower than those in the control group（t = 11.912, 10.599, P = 0.000, 0.000）. There was no significant difference in ESCA or SCNS-SF34 score between the two groups before nursing care（P〉0.05）. ESCA and SCNS-SF34 scores were significantly increased after nursing care in both groups（P〈0.05）, and the two scores in the study group at 3 and 6 months were significantly higher than those in control group（ESCA： t =-6.119,-7.931, P = 0.000, 0.000; SCNS-SF34： t = 6.822, 10.717, P = 0.000, 0.000）. There was no significant difference in EORTC score between the two groups before nursing care（P〉0.05）. After 6 mo ofnursing care, the functional domain score in the EORTC was significantly increased in both groups（P〈0.05）, and the score in the study group was significantly higher than that in the control group（P〈0.05）. The symptom domain score in the EORTC was significantly decreased in both groups（P〈0.05）, and the score in the study group was significantly lower than that of the control group（P〈0.05）. CONCLUSION Centralized nursing can significantly improve compliance and QOF in patients after radical operation for colorectal cancer.
作者
丁亚利
Ya-Li Ding(the first Department of Surgery,Dajiang East Hospital of Hangzhou,Hangzhou 311225,Zhejiang Province,China)
出处
《世界华人消化杂志》
CAS
2018年第19期1186-1192,共7页
World Chinese Journal of Digestology
关键词
集中护理模式
结直肠癌
依从性
生活质量
Centralized nursing
Colorectal cancer
Compliance
Quality of life
