摘要
目的探讨双轨互动护理干预对结肠癌根治术患者自我保健、沟通能力与生活质量的影响。方法选择2019年6月—2021年6月于医院收治的结肠癌根治术患者80例为研究对象,按照组间匹配的原则分为观察组和对照组,每组40例。对照组实施常规护理干预,观察组则实施双轨互动护理干预。比较两组患者自我保健能力、沟通能力、生活质量、各项康复指标、护理满意度和心理状态的差异。结果护理后,观察组患者运动管理、疾病观察、卫生管理、饮食管理、饮水管理评分均高于对照组,差异有统计学意义(P<0.05)。护理后,观察组患者与护理团队沟通能力、护患基本语言沟通能力、护患基本非语言沟通能力、情感感知能力、情感支持能力、困难情境沟通能力及总分均高于对照组,差异有统计学意义(P<0.05)。护理后,观察组患者生活质量评分高于对照组;观察组患者焦虑自评量表(SAS)评分和抑郁自评量表(SDS)评分低于对照组,差异均有统计学意义(P<0.05)。观察组患者排便时间、禁食时间、肛门排气时间和肠鸣音恢复时间均短于对照组,差异有统计学意义(P<0.05)。观察组患者护理满意度高于对照组,差异有统计学意义(P<0.05)。结论双轨互动护理干预可提高结肠癌根治术患者的自我保健能力和沟通能力,改善生活质量。
Objective To explore the effect of dual-track interactive nursing intervention on self-care,communication skills and living quality of patients undergoing radical resection of colon cancer.Methods To select 80 patients undergoing radical resection of colon cancer who were admitted to the hospital from June 2019 to June 2021 as the study objects.According to the principle of matching between groups,they were divided into an observation group and a control group,with 40 cases in each group.The control group implemented routine nursing intervention,and the observation group implemented dual-track interactive nursing intervention.The diff erences in self-care ability,communication ability,quality of life,various rehabilitation indicators,nursing satisfaction and psychological state of the two groups of patients were compared.Results After nursing,the scores of exercise management,disease observation,hygiene management,diet management and drinking water management of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).After nursing,the ability to communicate with the nursing team,basic verbal communication ability,basic nonverbal communication ability,emotional perception ability,emotional support ability,diffi cult situation communication ability and total score of the observation group were higher than those of the control group,and the diff erences were statistically signifi cant(P<0.05).After nursing,the quality of life score in the observation group was higher than that in the control group,the self-rating anxiety scale(SAS)score and self-rating depression scale(SDS)score in the observation group were lower than those in the control group,and the diff erences were statistically signifi cant(P<0.05).The defecation time,fasting time,anal exhaust time,and bowel sound recovery time of the observation group were shorter than those of the control group,and the differences were statistically significant(P<0.05).The nursing satisfaction of patients in the observation group was higher than that in the control group,and the diff erence was statistically signifi cant(P<0.05).Conclusion The application of the dual-track interactive nursing intervention can improve the self-care ability and communication ability of patients undergoing radical resection of colon cancer,and improve the quality of life.
作者
王春雪
WANG Chunxue(Beijing Tshinghua Changgung Hospital,Beijing,102200,China)
出处
《护理实践与研究》
2021年第22期3411-3415,共5页
Nursing Practice and Research
关键词
双轨互动护理干预
结肠癌根治术
自我保健
沟通能力
生活质量
Dual-track interactive nursing intervention
Radical resection of colon cancer
Self-care
Communication ability
Quality of life
