摘要
目的探讨健康管理对食管癌术后患者生活质量及并发症的影响。方法将2014年8月至2016年8月收治的40例食管癌手术患者作为对照组,给予常规管理措施;将2016年9月至2018年2月收治的40例食管癌手术患者作为观察组,在常规管理的基础上进行健康管理。术前和术后4周,采用生活质量(QOL)量表评估两组患者的生活质量,采用广泛性焦虑量表-7(GAD-7)评估两组患者的焦虑抑郁情况。术后1天和术后4周比较两组患者并发症改善情况。结果术后4周,两组患者躯体功能、心理功能、生理功能和社会功能评分均高于本组术前,焦虑和抑郁发生率均低于本组术前,差异均有统计学意义(P﹤0.05);且观察组患者躯体功能、心理功能、生理功能和社会功能评分均明显高于对照组患者(P﹤0.01),焦虑和抑郁发生率均低于对照组患者(P﹤0.05)。术后4周,观察组患者并发症总发生率为5.0%,低于对照组患者的20.0%,差异有统计学意义(P﹤0.05);且观察组患者的并发症总发生率低于本组术后1天,差异有统计学意义(P﹤0.05)。结论健康管理可降低食管癌术后患者并发症发生率,改善焦虑和抑郁情绪,提高食管癌患者术后的生活质量。
Objective To investigate the effect of health management on postoperative quality of life(QOL)and occurrence of complications in patients with esophageal cancer.Method Forty patients with esophageal cancer from August,2014 to August,2016 were enrolled as control group,receiving conventional nursing care;and another forty patients from September,2016 to February,2018 were included as study group,which was administered with health management in addition to conventional nursing care.Before surgery and in 7 weeks after surgery,the QOL scale was used to evaluate the patient’s quality of life,and the generalized anxiety disorder-7(GAD-7)scale was applied to assess the anxiety and depression of those patients.Besides,the improvement of complications in all patients 1 day after surgery and in 4 weeks after surgery was compared.Result In 4 weeks after surgery,the physical function,psychological function,physiological function and social function scores in both groups were increased,and incidence of anxiety and depression were decreased compared to those before surgery,indicating statistically significant differences(P<0.05);furthermore,the physical function,psychological function,physiological function,and social function scores in study group were significantly higher than those in control group(P<0.01),meanwhile,the incidence of anxiety and depression were lower compared to control group(P<0.05).In 4 weeks after surgery,the overall incidence of complications in study group was 5.0%,which was lower than the 20.0%observed in control group,showing statistically significant difference(P<0.05);and the incidence of complications in study group was decreased compared to that in 1 day after surgery,demonstrating statistical significance(P<0.05).Conclusion Health management can significantly lower the postoperative incidence of complications in patients with esophageal cancer,improving their anxiety and depression,and ameliorating the postoperative quality of life.
作者
刘琼
李晓莉
马吉莲
LIU Qiong;LI Xiaoli;MAJilian(Department of Disinfection Supply, Aba Prefecture People’s Hospital, Barkam 624000,Sichuan, China;Department of Nursing Care, Aba Prefecture People’s Hospital, Barkam 624000,Sichuan, China;Department of Surgery, Aba Prefecture People’s Hospital, Barkam 624000,Sichuan, China)
出处
《癌症进展》
2019年第11期1351-1353,1356,共4页
Oncology Progress
关键词
健康管理
食管癌
生活质量
并发症
health management
esophageal cancer
quality of life
complication
