延续性护理用于口腔鳞状细胞癌患者术后生存质量及心理状态的效果评价-现代医学

延续性护理用于口腔鳞状细胞癌患者术后生存质量及心理状态的效果评价

单位：四川省肿瘤医院手术室, 四川成都 610047

分类号：R473.78

出版年·卷·期（页码）：2019·47·第二期（210-214）

摘要：

目的：延续性护理用于口腔鳞状细胞癌患者术后生存质量及心理状态的效果评价。方法：选取2016年1月至2017年9月本院收治的口腔鳞状细胞癌患者共58例，随机分为对照组和研究组，对照组采用常规护理，研究组采用常规护理联合延续性护理。两组患者在半年后对术后并发症、患者自我管理能力及患者生存质量和心理健康进行评估。结果：2组患者在出院前并发症发生率差异无统计学意义（χ²=0.78，P>0.05），但是在出院后半年内并发症发生率差异具有统计学意义（χ²=5.47，P<0.05）；2组患者在护理后在自我管理能力方面均有提高（P<0.05），但是相较于对照组，延续性护理干预对患者自我管理能力提高效果更为显著（P<0.05）；对2组患者分别采取不同的护理干预后，可见2组患者生存质量均较护理前有所好转，且延续性护理和常规护理联合组较常规护理组生存质量提高更为明显（P<0.05）。此外，可见延续性护理组对患者心理健康方面有着积极的作用。结论：延续性护理有助于提高口腔鳞状细胞癌患者院外康复，有助于患者提高生存质量和心理健康，值得在临床中进行推广。

Objective:To evaluate of the effect of continuous nursing on the postoperative survival quality and psychological state of patients with oral squamous cell carcinoma.Methods:58 patients with oral squamous cell carcinoma treated in our hospital from January 2016 and September 2017 were chosen and divided into control group receiving conventional care and research group receiving continuous nursing on top of conventional care. After six months, the postoperative complications, patients' self-management ability and the survival quality and mental health of the patients in the two groups were evaluated.Results:There was no statistically significant difference between the two groups in the incidence of complications before discharge(χ²=0.78,P>0.05). However, the difference in the incidence of complications in the six months after discharge was statistically significant(χ²=5.47,P<0.05). All the patients improved their self-management ability after nursing(P<0.05). However, compared with the control group, continuous nursing intervention had a more significant effect on patients' self-management ability(P<0.05). Quality of life was improved, and survival quality improvement was more apparent in the continuos nursing group(P<0.05). In addition, there was positive effect on the mental health of patients.Conclusion:Continuous nursing is helpful to improve the external rehabilitation of patients with oral squamous cell carcinoma. It is helpful for patients to improve their quality of life and mental health, and it is worth promoting in clinical practice.

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