摘要
目的探讨系统性健康教育在骨肉瘤手术患者中的应用效果。方法根据干预方式的不同将90例骨肉瘤手术患者分为观察组和对照组,每组45例,对照组患者进行常规健康教育,观察组患者在对照组的基础上进行系统性健康教育。比较两组患者的心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、自我管理能力(自我管理能力测评量表)、运动功能[Fugl-Meyer运动功能评定量表(FMA)、运动功能状态量表(MSS)]、并发症发生情况及生活质量(生活质量量表)。结果干预后,两组患者SAS、SDS评分均低于本组干预前,观察组患者SAS、SDS评分均低于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者定期复查、科学膳食、遵医嘱服药、合理运动评分均高于本组干预前,观察组患者定期复查、科学膳食、遵医嘱服药、合理运动评分均高于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者FMA、MSS评分均高于本组干预前,观察组患者FMA、MSS评分均高于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者社会领域、心理领域、生活领域、躯体领域评分均高于本组干预前,观察组患者社会领域、心理领域、生活领域、躯体领域评分均高于对照组,差异均有统计学意义(P﹤0.05)。观察组患者术后并发症总发生率低于对照组(P﹤0.05)。结论系统性健康教育可改善骨肉瘤手术患者的心理状态,提高患者的自我管理能力、运动功能及生活质量,降低术后并发症发生风险,临床应用价值较高。
Objective To investigate the application effect of systemic health education in patients receiving osteosarcoma surgery.Method A total of 90 patients receiving osteosarcoma surgery were divided into observation group and control group according to different intervention methods,with 45 cases in each group.Patients in the control group were given routine health education,and patients in the observation group were given systematic health education on the basis of the control group.The psychological state[self-rating anxiety scale(SAS),self-rating depression scale(SDS)],selfmanagement ability(self-management ability assessment scale),active function[Fugl-Meyer assessment scale(FMA),motor status scale(MSS)],complications and quality of life(quality of life scale)were compared between the two groups.Result After the intervention,the SAS and SDS scores of the two groups were lower than those before the intervention,and the above scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).After the intervention,the scores of regular review,scientific diet,take the medication prescribed by the doctor,and reasonable exercise in the two groups were higher than those before the intervention,and the above scores of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).After the intervention,the FMA and MSS scores of the two groups were higher than those before the intervention,and the FMA and MSS scores of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).After the intervention,the scores of social domain,psychological domain,life field and physical domain of the two groups were higher than those before the intervention,and the above scores of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).The total incidence of postoperative complications in the observation group was lower than that in the control group(P<0.05).Conclusion Systematic health education could improve the psychological state of patients receiving osteosarcoma surgery,and improve their self-management ability,active function,and quality of life,reduce the risk of postoperative complications with high clinical application value.
作者
刘东方
李茂山
徐文龙
LIU Dongfang;LI Maoshan;XU Wenlong(Department of Orthopaedic,the Third People’s Hospital of He’nan Province,Zhengzhou 450003,He’nan,China)
出处
《癌症进展》
2023年第10期1098-1102,共5页
Oncology Progress
关键词
系统性健康教育
骨肉瘤
心理状态
自我管理能力
运动功能
生活质量
systematic health education
osteosarcoma
psychological state
self-management ability
active function
quality of life
