首页|基于Peplau人际关系理论的出院计划对甲状腺癌手术患者心理健康、社会功能及生存质量的影响

基于Peplau人际关系理论的出院计划对甲状腺癌手术患者心理健康、社会功能及生存质量的影响

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目的:探讨基于Peplau人际关系理论的出院计划对甲状腺癌手术患者心理健康、社会功能及生存质量的影响.方法:将 2022 年 1 月—2023 年 6 月在大冶市人民医院甲乳胸外科接受治疗的 186 例患者作为研究对象,按随机数表法将患者分为对照组和观察组,各 93 例.对照组接受常规院外护理,观察组接受基于Peplau人际关系理论的出院计划干预,比较两组心理健康、社会功能、生存质量和护理满意度的差异.结果:护理前,两组心理健康测试问卷(DCL-90)评分比较,差异无统计学意义(P>0.05);护理后,两组DCL-90 评分较护理前降低,且观察组低于对照组,差异有统计学意义(P<0.05).护理前,两组生活质量综合评价量表(GQOLI-74)各维度评分比较,差异无统计学意义(P>0.05);护理后,两组躯体功能、社会功能、心理功能、角色功能评分较护理前升高,且观察组高于对照组,差异有统计学意义(P<0.05).观察组服务态度、护理技能、沟通情况、疾病相关知识掌握情况评分高于对照组,差异有统计学意义(P<0.05).结论:基于Peplau人际关系理论的出院计划应用于甲状腺手术患者,能改善心理健康状态,提高社会功能和生存质量,还可提高护理满意度.
Impact of Discharge Plan Based on Peplau's Theory of Interpersonal Relations on Mental Health,Social Function and Quality of Life of Patients with Thyroid Cancer Surgery
Objective:To investigate the impact of discharge plan based on Peplau's theory of interpersonal relations on mental health,social function and quality of life of patients with thyroid cancer surgery.Method:A total of 186 patients who underwent thyroid cancer surgery in the Department of Thyroid and Breast Surgery of People's Hospital of Daye City from January 2022 to June 2023 were selected as the study subjects,they were randomly divided into the control group and the observation group according to the random number table method,with 93 cases in each group.The control group was given routine out-of-hospital care,and the observation group was given discharge plan based on Peplau's theory of interpersonal relations on the basis of the control group.The differences in mental health,social function,quality of life and nursing satisfaction between two groups were compared.Result:Before nursing,there was no significant difference in the scores of mental health test questionnaire(DCL-90)between two groups(P>0.05);after nursing,the DCL-90 scores of two groups were lower than those before nursing,and that in the observation group was lower than that in the control group,the differences were statistically significant(P<0.05).Before nursing,there were no significant differences in the scores of each dimension of generic quality of life inventory 74(GQOLI-74)between two groups(P>0.05);after nursing,the scores of physical function,social function,psychological function and role function in two groups were higher than those before nursing,and which in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).The scores of service attitude,nursing skills,communication and disease-related knowledge in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:The application of discharge plan based on Peplau's theory of interpersonal relations in patients with thyroid cancer surgery can improve mental health,social function and quality of life,and improve nursing satisfaction.

Thyroid cancerPeplau's theory of interpersonal relationsDischarge planMental healthSocial functionQuality of life

冯娇芳、黄婷、曹珊、石思思

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大冶市人民医院 湖北 大冶 435100

甲状腺癌 Peplau人际关系理论 出院计划 心理健康 社会功能 生存质量

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(12)
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