摘要
目的:探讨心理弹性支持结合知信行(Knowledge,attitude,and practice,KAP)教育在食管癌切除机械吻合术后的实践效果。方法:选取2019年10月至2021年1月本院收治的92例行食管癌切除机械吻合术患者,根据术后干预方案不同,分为对照组与观察组,各46例。对照组术后采取常规干预,观察组在常规干预基础上另给予心理弹性支持结合KAP干预。对比干预前后心理弹性量表(Connor-Davidson Resilience Scale,CD-RISC)评分与健康知识掌握情况,并对比患者依从性,术后康复情况与生存质量,术后并发症及术后1 y生存率。结果:观察组干预后CD-RISC评分、健康知识掌握评分、患者依从性优良率均高于对照组(P<0.05);观察组下床活动时间、导管拔除时间、住院时间均短于对照组(P<0.05);术后3 m,观察组欧洲癌症研究与治疗组织生活质量测定量表(European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30,EORTC QLQ-C30)中的功能、总健康状况评分均高于对照组(P<0.05),症状评分低于对照组(P<0.05);观察组术后总并发症发生率低于对照组(P<0.05);两组术后1 y生存率无统计差异。结论:在食管癌切除机械吻合术后实施心理弹性支持结合KAP干预,虽对患者术后1y的生存情况影响较小,但可明显提高患者心理弹性状况,促进患者术后康复,并有助于改善患者近期生活质量及减少术后并发症的发生,具备临床推广应用价值。
Objective:To explore the practical effect of psychological elastic support combined with knowledge,attitude,and Practice(KAP)education after esophageal cancer resection and mechanical anastomosis.Methods:92 patients with esophageal cancer who underwent resection and mechanical anastomosis in our hospital from October 2019 to January 2021 were divided into control group and observation group,with 46 cases in each group,according to different postoperative intervention schemes.Patients in the control group were given routine intervention after operation,and patients in the observation group were given psychological elastic support combined with KAP intervention on the basis of routine intervention.The scores of Connor-Davidson Resilience Scale(CD-RISC)and the mastery of health knowledge before and after intervention,the patient's compliance,postoperative rehabilitation and quality of life,the occurrence of postoperative complications and the 1-year survival rates were compared between the two groups.Results:After intervention,the scores of CD-RISC,health knowledge mastery and the excellent and good compliance rate of patients in the observation group were obviously higher than those of the control group(P<0.05);the time of getting out of bed,catheter extraction and hospitalization in the observation group were obviously shorter than those in the control group(P<0.05);after 3 months of operation,the scores of function and general health in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30(EORTC QLQ-C30)scale in the observation group were obviously higher than those in the control group(P<0.05),and the symptom scores were obviously lower than those in the control group(P<0.05);the incidence of postoperative complications in the observation group was obviously lower than that in the control group(P<0.05).There was no significant difference in the 1-year survival rates between the two groups(P>0.05).Conclusion:The implementation of psychological elastic support combined with KAP intervention after resection and mechanical anastomosis of esophageal cancer has little impact on the survival of patients for 1 year after operation,but it can significantly improve the psychological elastic status of patients,promote the postoperative rehabilitation of patients,and help to improve the recent quality of life of patients and reduce the occurrence of postoperative complications,which has the value of clinical promotion and application.
作者
周凤丽
裴运丽
马肖寒
Zhou Feng-li;Pei yun-li;Ma Xiao-han(Department of general surgery,Shangqiu Hospital of Traditional Chinese medicine,Shangqiu 476000,Henan,China;Department of Hospital Infection Management,Shangqiu Hospital of Traditional Chinese medicine,Shangqiu 476000,Henan,China)
出处
《四川生理科学杂志》
2022年第10期1741-1744,1831,共5页
Sichuan Journal of Physiological Sciences
关键词
心理弹性支持
知信行
食管癌
机械吻合术
生存质量
Psychological elastic support
Knowledge,belief and practice
Esophageal cancer
Mechanical anastomosis
Quality of life
