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目的探讨160例老年卵巢癌患者围术期护理效果。方法选取2014年1月至2015年12月间哈尔滨医科大学附属临床第一医院收治的160例老年卵巢癌患者,采用随机数字表法分为观察组与对照组,每组80例。观察组患者采用围术期护理,对照组患者采用常规护理,观察两组患者护理前后焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、生存质量评分(心理领域、生理领域、环境领域和社会领域)及不良反应情况。结果护理后,观察组患者SAS和SDS评分与对照组比较为(36.70±6.39)分vs(42.32±7.20)分和(38.92±7.81)分vs(44.38±6.29)分,差异均有统计学意义(均P<0.05)。观察组患者心理领域、生理领域、环境领域和社会领域各评分与对照组比较为(14.94±3.27)分vs(11.29±3.11)分、(15.37±4.01)分vs(12.23±3.87)分、(15.29±4.21)分vs(12.63±3.81)分、(16.39±4.12)分vs(13.28±3.92)分,差异均有统计学意义(均P<0.05)。观察组患者不良反应总发生率为6.3%(5/80),小于对照组患者的31.3%(25/80),差异有统计学意义(P<0.05)。结论 80例老年卵巢癌患者采用围术期护理,能够有效减少并发症,提高治疗疗效。
Objective To investigate the effect of perioperative nursing in 160 elderly patients with ovarian cancer. Methods A total of 160 elderly patients with ovarian cancer who were admitted to the First Affiliated Hospital of Harbin Medical University from January 2014 to December 2015 were randomly divided into observation group and control group with 80 cases in each group. The patients in the observation group were treated with perioperative nursing. The patients in the control group were treated with routine nursing care. The scores of SAS, SDS and quality of life before and after treatment were observed in both groups (psychological field, physiology Field, environmental field and social field) and adverse reactions. Results After nursing, the score of SAS and SDS in the observation group was (36.70 ± 6.39) vs (42.32 ± 7.20) points and (38.92 ± 7.81) points vs (44.38 ± 6.29) points respectively, the differences were statistically significant (All P <0.05). (14.94 ± 3.27) points vs (11.29 ± 3.11) points, (15.37 ± 4.01) points vs (12.23 ± 3.87) points in the observation group patients in the psychological, physiological, environmental and social fields, 15.29 ± 4.21) vs (12.63 ± 3.81), (16.39 ± 4.12) vs (13.28 ± 3.92), respectively, all with statistical significance (all P <0.05). The total incidence of adverse reactions in the observation group was 6.3% (5/80), which was smaller than that in the control group (31.3%, 25/80) (P <0.05). Conclusion 80 cases of elderly patients with ovarian cancer using perioperative nursing, can effectively reduce the complications and improve the therapeutic effect.