首页|基于风向玫瑰图的综合管理对甲状腺癌术后康复的干预效果

基于风向玫瑰图的综合管理对甲状腺癌术后康复的干预效果

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目的:探讨基于风向玫瑰图的综合管理对甲状腺癌术后康复的干预效果.方法:选取2021年7月至2023年6月郑州大学第一附属医院收治的甲状腺癌手术患者280例,采用群随机将患者分为对照组和观察组,各140例.对照组实施常规护理,观察组在对照组基础上实施基于风向玫瑰图的综合管理.记录两组干预前、干预12周后Piper疲乏量表(PFS)、华西心晴指数量表(HEI)、中文版癌症自我管理效能感量表(C-SUPPH)、自我护理能力测定量表(ESCA)、Spitzer生活质量指数量表(SQLI)评分及并发症发生情况.结果:干预12周后,观察组PFS、HEI总分及各维度评分降低程度均大于对照组(P<0.05),C-SUPPH、ESCA、SQLI评分升高程度大于对照组(P<0.05).观察组并发症总发生率4.3%,低于对照组10.7%(P<0.05).结论:基于风向玫瑰图的综合管理可有效降低甲状腺癌术后癌因性疲乏程度,提高患者自我管理效能感与自我护理能力,降低并发症发生率.
Intervention effect of comprehensive management based on wind rose chart on postoperative rehabilitation of thyroid cancer
Aim:To explore the intervention effect of comprehensive management based on wind rose chart on the reha-bilitation of thyroid cancer patients after operation.Methods:A total of 280 thyroid cancer postoperation patients admitted to the First Affiliated Hospital of Zhengzhou University from July 2021 to June 2023 were selected,and allocated into control group and observation group using group randomization,with 140 cases in each group.The control group received routine nursing,while the observation group received a comprehensive management based on wind rose chart at the basis of the con-trol group.Before and after 12 weeks intervention,the Piper Fatigue Scale(PFS),the Huaxi Emotional-distress Index(HEI),the Chinese-version strategies used by people to promote health(C-SUPPH),the Excercise of Self-Care Agency Scale(ESC A),and the Spitzer Quality of Life Index(SQLI)scores were recorded,as well as the occurrence of complica-tions.Results:After 12 weeks intervention,compared with the control group,the decline degree of the total scale and di-mension scores of PFS and HEI were larger(P<0.05),the increase degree of C-SUPPH,ESCA,and SQLI scores were lar-ger(P<0.05)in the observation group.The total complication rate in the observation group was 4.3%,which was lower than that(10.7%)in the control group(P<0.05).Conclusion:The comprehensive management based on wind rose chart can effectively reduce the degree of cancer-related fatigue after thyroid cancer operation,improve patients'self-management efficacy and self-care ability,and reduce the incidence of complications.

thyroid cancerwind rose chartcomprehensive managementintervention effect

李湘汝、卢秀波、贾勐

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郑州大学第一附属医院甲状腺外科 郑州 450052

甲状腺癌 风向玫瑰图 综合管理 干预效果

2024

郑州大学学报(医学版)
郑州大学

郑州大学学报(医学版)

CSTPCD北大核心
影响因子:1.246
ISSN:1671-6825
年,卷(期):2024.59(4)
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