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聚焦解决护理模式在金属细针三维适形射频消融术治疗原发性肺癌中的应用
作者:管骅 黄华英 
单位:广东省深圳市人民医院
关键词:聚焦解决护理模式 金属细针三维适形 射频消融术 原发性肺癌 
分类号:
出版年·卷·期(页码):2015·43·第三期(366-370)
摘要:

【摘要】目的探讨聚焦解决护理模式在金属细针三维适形射频消融术治疗原发性肺癌中的应用效果。方法将本院收治的需要进行金属细针三维适形射频消融术的72例原发性肺癌患者随机分为试验组和对照组,对照组患者给予心理护理、健康教育、手术护理、术后护理等常规护理,试验组患者则按照描述问题、构建具体可行的目标、探查例外、给予反馈、评价进步的聚焦解决护理模式给予护理。采用症状自评量表(SCL-90)评价两组患者的心理状况,采用QOL-C30量表评估患者的生活质量,并比较两组患者对护理的满意度。结果试验组SCL-90评分显著低于对照组(P<0.05),QOL-C30量表功能量表评分、总体健康状况评分显著高于对照组(P<0.05),QOL-C30量表症状量表评分显著低于对照组(P<0.05),对护理满意率显著高于对照组(P<0.05)。结论将聚焦解决护理模式应用于金属细针三维适形射频消融术能够显著改善患者的心理状况,提高患者的生活质量及患者对护理工作的满意度,值得临床推广应用。

[Abstract] Objective To investigate application results of solution focused model of care on three-dimensional conformal metal needle radiofrequency ablation of primary lung cancer. Methods72 patients with primary lung cancer requiring three-dimensional conformal metal needle radiofrequency ablation in our hospital were randomly divided into experimental group and control group; the control group were given psychological care, health education, surgical care, postoperative care and other routine cares, while patients of experimental group given nursing according to solution focused model of care-the test description of the problem, building concrete and feasible goals, exploration of exception, giving feedback, and evaluation of progress. Symptom Checklist (SCL-90) was used to evaluate psychological conditions of two groups of patients, and QOL-C30 scale was used to assess quality of life of patients, then compare two groups of patients’ satisfaction with care. Results SCL-90 scores of the experimental group were significantly lower than the control group (P <0.05), function scores, overall health score of QOL-C30 scale was significantly higher than the control group (P <0.05), symptomscores of QOL-C30 were significantly lower than the control group (P <0.05), the nursing satisfaction rate was significantly higher than the control group (P <0.05). ConclusionsApplication of solution focused model of care on three-dimensional conformal metal needle radiofrequency ablation can significantly improve the psychological status of patients and improve, patient's quality of life and patient satisfaction with nursing work, which is worthy of clinical application.

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