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基于4C模式的延续性护理在食管癌根治术后患者中的应用效果

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目的:观察基于 4C模式的延续性护理在食管癌根治术后患者中的应用效果.方法:选取 2020 年 1 月至 2022 年 8 月该院收治的 80 例食管癌根治术患者进行前瞻性研究,根据随机数字表法将其分为对照组和观察组各 40 例.对照组予以常规护理,观察组在对照组基础上予以基于 4C模式的延续性护理.比较两组护理前后自我效能感[癌症自我管理效能感量表(SUPPH)]评分、生命质量[欧洲癌症研究与治疗组织生命质量测定量表(EORTC QLQ-C30)]评分和术后并发症发生率.结果:护理后,两组正性态度、自我减压、自我决策等SUPPH评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);两组躯体功能、角色功能、情绪功能、认知功能、社会功能、整体生命质量等EORTC QLQ-C30 评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组术后并发症发生率为 5.00%(2/40),低于对照组的 20.00%(8/40),差异有统计学意义(P<0.05).结论:在常规护理基础上予以基于 4C模式的延续性护理可提高食管癌根治术后患者自我效能感、生命质量评分,降低术后并发症发生率,其效果优于单纯常规护理.
Application effects of continuous nursing based on 4C mode in postoperative patients with esophageal cancer undergoing radical surgery
Objective:To observe application effects of continuous nursing based on 4C mode in postoperative patients with esophageal cancer undergoing radical surgery.Methods:From January 2020 to August 2022,80 patients who esophageal cancer undergoing radical surgery in the hospital were selected for the prospective study.According to the random number table method,they were divided into control group and observation group,40 cases in each group.The control group was given routine nursing,while the observation group was given the continuous nursing based on 4C mode on the basis of that of the control group.The scores of self-efficacy[strategies used by people promote health(SUPPH)],quality of life[European Organization for Research and Treatment of Cancer quality of life questionnaire core 30(EORTC QLQ-C30)],and the incidence of postoperative complications were compared between the two groups before and after the nursing.Results:After the nursing,the SUPPH scores of positive attitude,self-decompression and self-decision in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The EORTC QLQ-C30 scores of physical function,role function,emotional function,cognitive function,social function and overall quality of life in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of postoperative complications in the observation group was 5.00%(2/40),which was lower than 20.00%(8/40)in the control group,and the difference was statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the continuous nursing based on 4C mode can improve the self-efficacy scores and the quality of life scores of the postoperative patients with esophageal cancer undergoing radical surgery,and reduce the incidence of complications.Moreover,it is superior to single routine nursing.

Esophageal cancer undergoing radical surgery4C modecontinuous nursingSelf-efficacyQuality of lifeComplication

郭秀娟

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安阳市肿瘤医院胸一病区,河南 安阳 455000

食管癌根治术 4C模式 延续性护理 自我效能感 生命质量 并发症

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(3)
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