论文部分内容阅读
目的探讨医护一体化护理对食管癌根治术患者疾病不确定感及焦虑的影响。方法选取2016年1月至2016年6月间北京肿瘤医院收治的实施医护一体化护理的42例食管癌根治术患者为观察组,选取2015年7月至2015年12月间同院收治的实施常规护理的40例食管癌根治术患者为对照组。采用住院患者不确定感量表调查患者疾病不确定感,采用汉密尔顿焦虑、抑郁量表调查患者不良情绪,采用护理满意度调查问卷评价患者的护理满意度。结果观察组患者护理后的焦虑和抑郁评分分别为(8.21±1.52)分和(9.58±1.63)分,低于对照组患者的(10.32±1.89)分和(11.92±1.75)分,差异均有统计学意义(均P<0.05)。观察组患者护理后的不确定性因素和复杂性因素评分分别为(40.48±6.82)分和(24.33±6.59)分,均低于对照组患者的(44.53±7.30)分和(28.47±6.54)分,差异均有统计学意义(均P<0.05)。观察组患者在获取信息、服务态度、心理支持、护理安全和治疗环境方面的满意度评分分别为(16.21±3.45)分、(16.27±4.18)分、(12.14±2.04)分、(25.65±4.12)分和(20.18±3.24)分,均高于对照组患者的(12.42±3.13)分、(12.05±3.18)分、(9.22±2.75)分、(21.47±4.30)分和(19.21±3.77)分,差异均有统计学意义(均P<0.05)。结论医护一体化护理能够减轻食管癌根治术患者的焦虑抑郁情绪和疾病不确定感,提高患者的护理满意度。
Objective To investigate the effect of integrated medical care on the uncertainty and anxiety of esophageal cancer patients undergoing radical operation. Methods Forty-two patients with esophageal cancer treated at Beijing Cancer Hospital from January 2016 to June 2016 were enrolled in this study. Patients in our hospital were enrolled in this study. Patients in our hospital from July 2015 to December 2015 were enrolled in this study. 40 cases of esophageal cancer patients undergoing radical surgery as the control group. Uncertainty scale of inpatients was used to investigate the uncertainty of patients ’disease. The Hamilton anxiety and depression scale were used to investigate the patients’ bad emotions. The nursing satisfaction questionnaire was used to evaluate the patient’s satisfaction degree. Results The scores of anxiety and depression after treatment in the observation group were (8.21 ± 1.52) and (9.58 ± 1.63) points lower than those in the control group (10.32 ± 1.89) and (11.92 ± 1.75) points, respectively Statistical significance (all P <0.05). The score of uncertainty and complexity in the observation group were (40.48 ± 6.82) and (24.33 ± 6.59) points, respectively, which were lower than those in the control group (44.53 ± 7.30) and (28.47 ± 6.54) Points, the differences were statistically significant (all P <0.05). The scores of satisfaction in the observation group were (16.21 ± 3.45) points, (16.27 ± 4.18) points, (12.14 ± 2.04) points and (25.65 ± 4.12 points) respectively in obtaining information, attitude, psychological support, nursing safety and treatment environment ) And (20.18 ± 3.24) points in the control group were significantly higher than those in the control group (12.42 ± 3.13), (12.05 ± 3.18), (9.22 ± 2.75), (21.47 ± 4.30) and (19.21 ± 3.77) Points, the differences were statistically significant (all P <0.05). Conclusion Integrated medical care can relieve anxiety, depression and disease uncertainty in esophageal cancer patients and improve their satisfaction with nursing care.