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症状管理理论指导下的综合护理在甲状腺癌术后患者中的应用效果

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目的 探讨症状管理理论指导下综合护理在甲状腺癌术后患者中的应用效果.方法 选取2021年6月至2023年3月在郑州大学第一附属医院河医院区就诊的102例甲状腺癌患者,按照护理方法分为研究组(51例)和常规组(51例).常规组接受常规护理干预,研究组在常规组基础上接受症状管理理论指导下的综合护理,比较两组嗓音障碍[嗓音障碍指数量表(VHI)]、负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、自护能力[自我护理能力测定表(ESCA)]、癌因性疲乏[Piper疲乏自评量表(PFS)]、并发症、生活质量[生活质量核心量表(QLQ-C30)].结果 干预后研究组功能、生理、情感评分及VHI总分低于常规组(P<0.05);干预后研究组SAS、SDS、PFS、QLQ-C30评分低于常规组(P<0.05);干预后研究组ESCA评分为高于常规组(P<0.05);研究组并发症总发生率[1.96%(1/51)]低于常规组[15.69%(8/51)](P<0.05).结论 症状管理理论指导下的综合护理可改善患者嗓音障碍、负性情绪,缓解患者癌因性疲乏,提升患者自护能力,还可预防并发症发生,改善患者生活质量.
Application Effect of Comprehensive Nursing Under the Guidance of Symptom Management Theory in Patients After Thyroid Cancer Surgery
Objective To explore the application effect of comprehensive nursing under the guidance of symptom management theory in patients after thyroid cancer surgery.Methods A total of 102 patients with thyroid cancer treated in the First Affiliated Hospital of Zhengzhou University He Hospital from June 2021 to March 2023 were selected and divided into study group(51 cases)and routine group(51 cases)according to nursing methods.The routine group received conventional nursing intervention,while the study group received comprehensive nursing under the guidance of symptom management theory on the basis of the routine group.The two groups were compared with voice disturbance[voice handicap index(VHI)],negative mood[self-rating anxiety scale(SAS),self-rating depression scale(SDS)],self-care ability[exercise of self-care agency scale(ESCA)],cancer-related fatigue[Piper fatigue scale(PFS)],complications,quality of life[quality of life questionnaire core 30(QLQ-C30)].Results The functional,physiological,emotional scores and VHI total score of the study group were lower than those of the routine group after intervention(P<0.05).After intervention,the SAS,SDS,PFS and QLQ-C30 scores in the study group were lower than those in the routine group(P<0.05).After intervention,the ESCA score in the study group was higher than that in the routine group(P<0.05).The total incidence of complications in the study group was lower than that in the routine group(P<0.05).Conclusion Comprehensive care under the guidance of symptom management theory can improve patients'voice disorders,negative emotions,alleviate cancer-related fatigue,enhance patients'self-care ability,prevent complications,and improve patients'quality of life.

symptom management theorycomprehensive nursingthyroid cancervoice disorderscancer related fatigue

孙会想、杨华、陈俊霞

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郑州大学第一附属医院河医院区接诊处,河南郑州 450052

症状管理理论 综合护理 甲状腺癌 嗓音障碍 癌因性疲乏

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(1)
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