[1]崔 婧.综合护理联合延续性护理对胶质瘤病人生存质量的影响[J].中国临床神经外科杂志,2020,(02):118-120.[doi:10.13798/j.issn.1009-153X.2020.02.020]
 CUI Jing..Effect of comprehensive nursing combined with continuous nursing on quality of life in the patients with gliomas[J].,2020,(02):118-120.[doi:10.13798/j.issn.1009-153X.2020.02.020]
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综合护理联合延续性护理对胶质瘤病人生存质量的影响()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2020年02期
页码:
118-120
栏目:
护理技术
出版日期:
2020-02-25

文章信息/Info

Title:
Effect of comprehensive nursing combined with continuous nursing on quality of life in the patients with gliomas
文章编号:
1009-153X(2020)02-0118-03
作者:
崔 婧
100020 北京,首都医科大学附属北京朝阳医院急诊科(崔 婧)
Author(s):
CUI Jing.
Emergency Department, Beijing Chaoyang Hospital Affiliated to Capital Medical University, Beijing 100020, China
关键词:
胶质瘤生存质量综合护理延续护理
Keywords:
Comprehensive nursing Continuous nursing Glioma Quality of life Satisfaction
分类号:
R 739.41; R 473.6
DOI:
10.13798/j.issn.1009-153X.2020.02.020
文献标志码:
A
摘要:
目的 探讨综合护理联合延续性护理对胶质瘤病人生存质量的影响。方法 回顾性分析2017年2月至2018年12月收治的46例胶质瘤的临床资料,其中23例实施常规护理(对照组),23例在对照组基础上联合综合护理和延续性护理(观察组)。护理前和护理后3个月:①采用Braden量表评估压疮风险度;②以简易焦虑评分量表(SAS)和简易抑郁评分量表(SDS)评估焦虑和抑郁。护理结束时:①以欧洲癌症研究与治疗组织的生命质量核心量表(EORTC QOL-C30)评估生存质量;②根据病人主诉要求自制满意度问卷调查表评估护理满意度。结果 护理前,观察组Braden评分[(7.51±2.03)分]与对照组[(7.63±2.11)分]无显著差异(P>0.05);护理后,观察组Braden评分[(17.68±3.48)分]和对照组Braden评分[(14.65±3.29)]较术前均明显提高(P<0.05),而且观察组明显高于对照组(P<0.05)。护理前,两组SAS、SDS评分均无明显差异(P>0.05);护理后,两组SAS、SDS评分均明显降低,而且观察组SAS、SDS评分明显低于对照组(P<0.05)。观察组EORTC QOL-C30评分明显高于对照组(P<0.05)。观察组护理满意度(95.65%,22/23)明显高于对照组(68.18%,15/23;P<0.05)。结论 联合综合护理和延续护理可显著提高脑胶质瘤病人生存质量。
Abstract:
Objective To analyze the effect of comprehensive nursing combined with continuous nursing on the quality of life in the patients with gliomas. Methods Forty-five patients with gliomas treated in our hospital from February, 2017 to December, 2018 were randomly divided into control group, in which 22 patients received routine nursing and the observation group, in which 23 received comprehensive nursing and continuous nursing on the basis of routine nursing. The nursing effect, mood, the patients' quality of life and satisfaction were assessed and compared between both the groups. Results There were insignificant differences in pressure sore assessment scale--Braden scale, simple anxiety scale (SAS) and simple depression scale (SDS) scores between the two groups before the treatment (P>0.05). Braden score was significantly higher, and the SAS and SDS scores were significantly lower in the observation group than those in the control group (P<0.05). Item European Organization for Research and Treatment of Cancer, Quality of Life Questionnaire-Core 30 (EORTC QOL-C30) score was significantly higher in the observation group than that in the control group (P<0.05). The nursing satisfaction was significantly higher in the observation group than that in the control group (P<0.05). Conclusions The comprehensive nursing combined with continuous nursing can significantly improve the quality of life in the patients with gliomas and it is worthy of clinical spread.

参考文献/References:

[1] 梅彬彬,王 濯,沈梅芬,等. 基于慢性疾病轨迹模式护理 干预对原发性胶质瘤病人生命质量的影响[J]. 中国实用 护理杂志,2017,33(12):895-900.
[2] 谢小燕,刘雪琴,李 漓. 应用Braden量表评估压疮危险 因素[J]. 中华护理杂志,2004,39(12):941-942.
[3] 郑磊磊,李惠春. 常用焦虑及抑郁评估量表[J]. 中华全科 医师杂志,2016,15(5):334-336.
[4] Martire M, Panza E, Miceli F, et al. Validation of the polish version of the european organization for research and treat- ment of cancer quality of life questionnaire - core 15 - palliative care in patients with advanced cancer [J]. Pallia- tive Medicine, 2013, 27(5): 470.
[5] 郑 艳. 脑胶质瘤病人术后应用医护一体化护理措施对 病人的疗效及生活质量的影响[J]. 实用临床医药杂志, 2016,20(18):89-91.
[6] 王欣平,曹玉晶,王红妍,等. PDCA模式联合中医针灸护 理对减轻恶性脑胶质瘤术后放化疗不良反应的效果观 察[J]. 海军医学杂志,2017,38(4):353-357.
[7] 徐秀珍,孙 杰,于金然. 延续性护理在胶质瘤合并压疮 病人中的护理研究[J]. 中国妇幼健康研究,2017,28 (S3):236-237.
[8] 闫 珊,徐善才. 多学科护理照顾模式对脑胶质瘤术后病 人自我护理能力的影响[J]. 中国临床神经外科杂志, 2017,22(5):352-354.
[9] 陈建楠,徐国君,郭慧芳,等. 护理干预对胶质瘤术后放疗 病人生活质量、焦虑、抑郁和癌因性疲乏的影响[J]. 中国 医科大学学报,2016,45(12):1139-1142.
[10] 冯 娜,刘文尚,刘静静. 综合护理干预在脑胶质瘤术后 放化疗病人中的应用[J]. 实用临床医药杂志,2016,20 (18):95-97.
[11] 祝 蔚,王 辉. 自我管理教育对胶质瘤术后三维适形放 疗病人疗效及生活质量的影响[J]. 护理研究,2015,29 (23):2837-2840.
[12] 纪肖阳,刘耀华. 家庭护理干预对脑胶质瘤术后化疗病人 癌因性疲乏及生活质量的影响[J]. 中国肿瘤临床与康 复,2018,25(5):589-591.

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备注/Memo

备注/Memo:
(2019-08-20收稿,2019-09-27修回)
更新日期/Last Update: 2020-02-25