J Objective To investigate the effect of self-care mode under the framework of chronic disease trajectory on the prognostic survival quality of elderly patients with gastric carcinoma undergoing gastrectomy.Methods A total of 98 patients who underwent gastrectomy for gastric carcinoma at Henan Provincial People's Hospital from March 2020 to March 2022 were selected and divided into a control group(47 cases)and an experimental group(51 cases)according to whether they received the self-care mode under the framework of chronic disease trajectory after the surgery.There were 26 males and 21 females in the control group;they were(76.90±6.43)years old.There were 26 males and 25 females in the experimental group;they were(73.76±6.38)years old.The control group took conventional nursing care;in addition,the experimental group took the chronic disease trajectory stage-guided self-care mode(CDTIM).The scores of Post-Gastrectomy Syndrome Assessment Scale(PGSAS-45),unplanned admission rates within 1 month after surgery,scores of Psychological Resilience Scale(CD-RISC),and patient satisfaction were compared between the two groups after the nursing intervention.x2 and t tests were applied.Results After the nursing intervention,the score of PGSAS-45 in the experimental group was higher than that in the control group[(510.25±90.66)vs.(470.26±70.06)],with a statistical difference(t=10.002,P＜0.05).After the nursing intervention,the unplanned admission rate in the experimental group was lower than that in the control group[19.61％(10/51)vs.38.30％(18/47)],with a statistical difference(x2=4.19,P＜0.05).After the nursing intervention,the score of CD-RISC in the experimental group was higher than that in the control group[(66.15±10.25)vs.(57.25±8.39)],with a statistical difference(t=4.826,P＜0.05).After the nursing intervention,the score of patient satisfaction in the experimental group was higher than that in the control group[(95.26±10.33)vs.(92.22±9.39)],with a statistical difference(t=2.672,P＜0.05).Conclusion The self-care mode under the framework of chronic disease trajectory for elderly patients after gastrectomy for gastric carcinoma is effective and can improve their prognostic survival quality,so it is worthy of clinical promotion.
关键词
胃癌/切除术/预后/慢性疾病轨迹框架/自我护理/老年患者
Key words
Gastric carcinoma/Resection/Prognosis/Framework of chronic disease trajectory/Self-care/Elderly patients
维普
万方数据