摘要
目的研究医护一体化护理模式对卵巢癌患者负性情绪及预后的影响。方法选取2019年11月—2020年12月洛阳市某医院收治的卵巢癌患者80例为研究对象,采用随机数字表法分为对照组与研究组,各40例。对照组患者给予常规护理,研究组患者给予医护一体化护理,2组患者均护理至出院,并随访6个月。比较2组患者出院时的护理满意度,随访6个月时的化疗依从性;比较2组患者护理前与随访6个月时的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分;比较2组患者护理期间的化疗并发症发生情况。结果出院时,研究组患者对各项护理工作满意度评分均高于对照组,差异均有统计学意义(P<0.05)。随访6个月时,研究组患者的化疗总依从率为90.00%,高于对照组的65.00%,差异有统计学意义(P<0.05)。护理前,2组患者SAS、SDS评分比较,差异均无统计学意义(P>0.05);随访6个月时,2组患者SAS、SDS评分低于护理前,且研究组低于对照组,差异均有统计学意义(P<0.05)。护理期间,研究组患者的化疗并发症发生率为7.50%,低于对照组的30.00%,差异有统计学意义(P<0.05)。结论医护一体化模式护理可有效提高卵巢癌患者化疗依从性和护理满意度,缓解其负性情绪,缩短康复时间,改善疾病预后,值得在临床上推广应用。
Objective To study the effect of integrated medical-nursing care model on negative emotions and prognosis of ovarian cancer patients.Methods Eighty cases of ovarian cancer patients admitted to a hospital in Luoyang from November 2019 to December 2020 were selected as study subjects and divided into control group and study group using a random number table,both with 40 cases.Patients in the control group were given conventional care,while patients in the study group received integrated medical-nursing care,and patients in both groups were cared for until discharge and followed up for 6 months.The patients in the two groups were compared in terms of satisfaction with care at discharge,compliance with chemotherapy at 6 months of follow-up,Self-rating anxiety scale(SAS)and Self-rating depression scale(SDS)scores before and after care,and chemotherapy complications during care.Results At the time of discharge,the satisfaction scores of patients in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).At 6-month follow-up,the overall chemotherapy compliance rate of patients in the study group was 90.00%,which was higher than that of the control group(65.00%),with statistically significant differences(P<0.05).Before care,there was no statistically significant difference between the SAS and SDS scores of patients in the 2 groups(P>0.05);at the 6-month follow-up,the SAS and SDS scores of patients in the 2 groups were lower than before care,and the study group was lower than the control group,with statistically significant differences(P<0.05).During the care period,the incidence of chemotherapy complications was 7.50%in the study group,which was lower than 30.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion The integrated medical-nursing care model can effectively improve chemotherapy compliance and nursing satisfaction of ovarian cancer patients,relieve their negative emotions,shorten recovery time and improve disease prognosis,and therefore,it is worthy of clinical application.
作者
李晓蒙
王想
姜惠
Li Xiaomeng;Wang Xiang;Jiang Hui(The Second Ward of Gynecology Department,Kaiyuan Campus,The First Affiliated Hospital of HenanUniversity of Science and Technology,Luoyang Henan 471000,China)
出处
《保健医学研究与实践》
2022年第2期124-126,130,共4页
Health Medicine Research and Practice
基金
河南省医学科技攻关计划项目(2018020841)。
关键词
卵巢癌
医护一体化
护理模式
负性情绪
Ovarian cancer
Integrated medical-nursing care
Nursing care model
Negative emotions
