| 陈微 胡海燕 王婷 王荣 朱立波.持续质量改进对老年直肠癌造口患者术后生活质量的干预效果[J].,2015,15(28):5472-5274 |
| 持续质量改进对老年直肠癌造口患者术后生活质量的干预效果 |
| Fast-tract Surgery Nursing on the Mental Situations of Elderly Patients withColectal Cancer |
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| DOI： |
| 中文关键词: 持续质量改进 直肠癌 护理 老年患者 干预效果 |
| 英文关键词: Fast-tract surgery Colectal cancer Nursing Elderly patients Intervention effects |
| 基金项目:国家自然科学基金青年科学基金项目(30901795） |
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| 中文摘要: |
| 目的：探讨持续质量改进护理方法对老年直肠癌患者术后抑郁、焦虑状态的影响。方法：选择2012 年5 月-2014 年5 月在我
院接受手术治疗的老年直肠癌患者100 例，根据术后采取的干预措施不同，将患者分为研究组和对照组，每组各50 例。对照组采
取常规护理干预措施，研究组在此基础上采用持续质量改进护理模式。观察并比较两组患者的手术效果，分别于干预前后应用焦
虑自评量表（SAS）评价患者焦虑情况，应用抑郁自评量表（SDS）评价患者抑郁情况，并比较两组患者对护理服务的满意度。结果：
与对照组比较，研究组患者手术时间短、术中出血量少、术后排气早，且住院时间短，差异具有统计学意义（P＜0.05）。干预后，两组
患者SDS 和SAS 评分均显著优于干预前，且研究组显著优于对照组，差异具有统计学意义（P<0.05）；两组患者躯体化、强迫症、抑
郁、焦虑及偏执等心理状态均显著优于干预前，且研究组显著优于对照组，差异具有统计学意义（P＜0.05）。研究组对护理服务的
满意度为97.4%，对照组为88.7%，研究组患者满意度显著高于对照组，差异具有统计学意义（P＜0.05）。结论：持续质量改进护理
干预对老年直肠癌手术患者具有良好的干预效果，能够显著改善患者的焦虑、抑郁情绪，提高患者的临床疗效，值得临床推广应
用。 |
| 英文摘要: |
| Objective:To study the effect of individualized nursing intervention on breast cancer patients with negative emotion
and quality of sleep.Methods:100 elderly patients with colectal cancer who were treated in our hospital from May 2012 to May 2014
were selected and according to the different intervention methods, the patients were divided into the study group and the control group,
with 50 cases in each group. The patients in the control group were treated with the conventional metods, while the patients in the study
group were treated with the fast-track nursing method. Then the self rating anxiety scale (SAS) was applied to assess the anxiety of
patients, the self rating depression scale (SDS) was applied to assess the depression of patients. and the nursing satisfaction of patients in
the two groups were observed and compared.Results：Compared with the control group, the operation time in the study group was
shorter, the blood loss was lower, the time for exsufflation was earlier, and the hospitalization was shorter(P<0.05). After the intervention,
the SAS and SDS scores in the two groups were significantly lower than before, and the study group was more obvious than those of the
control group with statistically significant differences (P<0.05). After the intervention, the somatization, obsessive-compulsive disorder,
depression, anxiety and paranoia in the two groups were significantly lower than before, and the study group was more obvious than those
of the control group with statistically significant differences (P<0.05). The nursing satisfaction of the study group was 97.4%, which was
higher than 88.7% of the control group with statistically significant difference (P<0.05).Conclusion:The fast-tract surgery nursing
intervention can significantly improve the negative emotions of elderly patients with coloctal cancer surgery which is worthy of clinical
promotion. |
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