首页|质量反馈干预模式联合健康教育在纵隔肿瘤术后患者中的应用效果

质量反馈干预模式联合健康教育在纵隔肿瘤术后患者中的应用效果

扫码查看
目的:探讨质量反馈干预模式联合健康教育在纵隔肿瘤术后患者中的应用效果.方法:选取 2021 年 1 月—2023 年 1 月南华大学附属第二医院收治的 92 例纵隔肿瘤术后患者作为研究对象,根据随机数表法将患者分为试验组和参照组,各 46 例.参照组采用术后常规护理措施,试验组并给予质量反馈干预模式联合健康教育干预.比较两组术后康复指标、不同时段疼痛评分,并对干预前后急性生理与慢性健康评分(acute physiology and chronic health evaluation Ⅱ,APACHEⅡ)评分和卡氏功能状态评分量表(karnofsky performance status,KPS)评分进行比较,观察两组并发症发生情况.结果:试验组下床活动时间、排气时间、排便时间和胸管留置时间短于参照组,差异有统计学意义(t=16.425、14.969、16.558、31.025,P<0.05).试验组术后 6 h、24 h、24 h、72 h视觉模拟评分法(visual analogue scale,VAS)评分低于参照组,差异有统计学意义(t=19.433、6.841、9.334、16.493,P<0.05).干预前,两组APACHEⅡ评分、KPS评分比较,差异无统计学意义(P>0.05);干预后,两组APACHEⅡ评分、KPS评分较干预前改善,且试验组APACHEⅡ评分低于参照组,KPS评分高于参照组,差异有统计学意义(P<0.05).试验组并发症发生率为 6.52%,低于参照组的 21.74%,差异有统计学意义(字2=4.389,P=0.036).结论:质量反馈干预模式联合健康教育可促进纵隔肿瘤患者术后康复,减轻疼痛,提高生活质量,减少并发症.
Application Effect of Quality Feedback Intervention Model Combined with Health Education in Patients with Mediastinal Tumor after Surgery
Objective:To explore the application effect of quality feedback intervention model combined with health education in patients with mediastinal tumor after surgery.Method:Ninety-two patients with mediastinal tumor after surgery who treated in the Second Affiliated Hospital of University of South China from January 2021 to January 2023 were selected as the study objects,and the patients were divided into the experimental group and the reference group according to the random number table method,with 46 cases in each group.The reference group was given routine postoperative nursing measures,while the experimental group was given quality feedback intervention model combined with health education intervention.The postoperative rehabilitation indexes,pain scores at different periods were compared between two groups,and acute physiology and chronic health evaluation Ⅱ(APACHEⅡ)score and Karnofsky performance status(KPS)score were compared,the occurrence of complications in two groups was observed.Result:The time of getting out of bed,exhaust time,defecation time and chest tube indentation time in the experimental group were shorter than those in the reference group,and the differences were statistically significant(t=16.425,14.969,16.558,31.025,P<0.05);the visual analogue scale(VAS)scores of the experimental group at 6 h,24 h,24 h and 72 h after operation were lower than those of the reference group,the differences were statistically significant(t=19.433,6.841,9.334,16.493,P<0.05).Before intervention,there were no significant differences in the APACHEⅡ score and KPS score between two groups(P>0.05);after intervention,the APACHE Ⅱ scores and KPS scores of two groups were improved compared with those before intervention,and the APACHE Ⅱ score of the experimental group was lower than that of the reference group,and the KPS score was higher than that of the reference group,the differences were statistically significant(P<0.05).The complication rate of the experimental group was 6.52%,which was lower than 21.74%of the reference group,and the difference was statistically significant(字2=4.389,P=0.036).Conclusion:Quality feedback intervention model combined with health education can promote postoperative rehabilitation of patients with mediastinal tumor after surgery,reduce pain,improve quality of life and reduce complications.

Quality feedback interventionHealth educationMediastinal tumorApplication effect

罗恒芳、陈丽丹

展开 >

南华大学附属第二医院 湖南 衡阳 421001

质量反馈干预 健康教育 纵隔肿瘤 应用效果

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(25)