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目的探讨综合护理干预对妇科肿瘤患者术后的影响。方法选择2014年5月—2015年7月收治的妇科肿瘤患者120例,根据随机数字表法分为干预组与对照组分别60例。对照组给予常规护理,干预组给予综合护理干预,两组均随访半年。对比两组术后睡眠时间、首次下床时间以及住院时间;术后半年采用国内肿瘤患者生活质量评分试行草案评估两组生活质量;干预前后采用中国人状态-特质焦虑量表评分评价两组焦虑状态;术后半年比较两组性交疼痛、阴道干涩、失眠的发生情况。计量资料比较采用t检验,计数资料比较采用χ~2检验,P<0.05为差异有统计学意义。结果干预组术后睡眠时间、首次下床时间以及住院时间[(5.94±1.87)、(12.83±4.06)h、(7.17±2.08)d]均较对照组[(7.90±2.13)、(18.60±5.91)h、(9.91±3.09)d]缩短,比较差异有统计学意义(均P<0.05)。干预组生活质量评分[(4.67±1.03)、(4.52±0.92)、(4.37±1.03)、(4.71±1.28)、(4.52±1.08)分]高于对照组[(2.91±0.93)、(3.12±0.85)、(3.06±0.72)、(2.51±0.64)、(3.17±0.75)分],比较差异有统计学意义(均P<0.05)。干预后干预组状态-特质焦虑量表评分[(34.80±7.16)分]较对照组降低[(46.08±6.67)分],比较差异有统计学意义(均P<0.05)。干预组性交疼痛、阴道干涩、失眠发生率(5.0%、10.0%、13.3%)低于对照组(20.0%、25.0%、36.7%),比较差异有统计学意义(均P<0.05)。结论综合护理干预可缩短妇科肿瘤患者住院时间、改善其术后生活质量及焦虑状态,降低并发症发生率。
Objective To investigate the effect of comprehensive nursing intervention on postoperative gynecologic oncology patients. Methods 120 cases of gynecologic oncology patients who were admitted from May 2014 to July 2015 were divided into intervention group and control group according to the random number table. The control group was given routine nursing, intervention group was given comprehensive nursing intervention, both groups were followed up for six months. The postoperative sleep time, time to first bed and length of hospital stay were compared between the two groups. Six months after operation, the quality of life of the two groups was assessed by using the draft of the domestic cancer patients’ quality of life test. Before and after the intervention, the Chinese state-trait anxiety scale was used to evaluate the anxiety State; six months after surgery compared painful intercourse, vaginal dryness, insomnia occurred. Measurement data were compared using t test, count data were compared using χ ~ 2 test, P <0.05 for the difference was statistically significant. Results Compared with the control group [(7.90 ± 2.13), (18.60 ±)], the time to first bed and the length of hospital stay in the intervention group were significantly lower than those in the control group [(5.94 ± 1.87), (12.83 ± 4.06) h, (7.17 ± 2.08) 5.91) h, (9.91 ± 3.09) d], the differences were statistically significant (all P <0.05). The quality of life scores in the intervention group were significantly higher than those in the control group [(4.67 ± 1.03), (4.52 ± 0.92), (4.37 ± 1.03), (4.71 ± 1.28), (4.52 ± 1.08) ± 0.85), (3.06 ± 0.72), (2.51 ± 0.64) and (3.17 ± 0.75) points respectively. There was significant difference between the two groups (all P <0.05). After intervention, the state-trait anxiety scale score [(34.80 ± 7.16) min] in the intervention group was lower than that in the control group [(46.08 ± 6.67) min), with significant difference (all P <0.05). The incidence of intercourse pain, vaginal dryness and insomnia (5.0%, 10.0%, 13.3%) in the intervention group were lower than those in the control group (20.0%, 25.0%, 36.7%), with significant difference (all P <0.05). Conclusion Comprehensive nursing intervention can shorten the hospitalization time of gynecologic oncology patients, improve their postoperative quality of life and anxiety, and reduce the incidence of complications.