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多学科协助下的延续性护理对肺癌术后患者的影响

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目的:分析多学科协助下的延续性护理对肺癌术后患者的影响.方法:选取 2022 年 1 月—2023 年 10 月福建医科大学肿瘤临床医学院收治的 100 例肺癌术后患者.根据双盲信封法将其分为对照组及观察组,各 50 例.对照组采用常规延续性护理,观察组采用多学科协助下的延续性护理.比较两组护理前后疲乏情况、疼痛情况、生活质量、自我效能感.结果:护理后,两组体力疲乏、脑力疲乏、动力下降、活动减少、综合疲乏评分均降低,观察组体力疲乏、脑力疲乏、动力下降、活动减少、综合疲乏评分均低于对照组,差异有统计学意义(P<0.05).护理后,观察组目前疼痛评分、平均疼痛评分、过去 24 h内最低及最高疼痛评分、过去 24 h内经疼痛处置后疼痛缓解评分均低于对照组,差异有统计学意义(P<0.05).护理后,两组社会/家庭状况、情感状况、生理状况、功能状况、附加关注评分、医患关系及总分均升高,观察组社会/家庭状况、情感状况、生理状况、功能状况、附加关注评分及总分均高于对照组,差异有统计学意义(P<0.05).护理后,两组正性态度、自我减压、自我决策评分均升高,观察组正性态度、自我减压、自我决策评分均高于对照组,差异有统计学意义(P<0.05).结论:利用多学科协助下的延续性护理能够提升肺癌术后患者生活质量,减轻疲乏程度及疼痛程度,促进患者康复.
Effect of Continuous Nursing under Multidisciplinary Assistance on Patients after Lung Cancer Surgery
Objective:To analyse the effect of continuous nursing under multidisciplinary assistance on patients after lung cancer surgery.Method:A total of 100 patients after lung cancer surgery who were admitted to the College of Oncology Clinical Medicine,Fujian Medical University from January 2022 to October 2023 were selected.They were divided into control group and observation group by double blind seal method,with 50 cases in each group.The control group received conventional continuous nursing,and the observation group received continuous nursing under multidisciplinary assistance.Fatigue condition,pain condition,quality of life and self-efficacy were compared between the two groups before and after nursing.Result:After nursing,the physical fatigue,mental fatigue,power decline,activity reduction,and comprehensive fatigue score were decreased in the two groups,the physical fatigue,mental fatigue,power decline,and activity reduction and comprehensive fatigue in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After nursing,the current pain score,the average pain score,the lowest and highest pain scores in the past 24 h,and the pain relief score after pain treatment in the past 24 h in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After nursing,the social/family status,emotional status,physiological status,functional status,additional attention scores,doctor-patient relationship and total scores of both groups were increased,and the social/family status,emotional status,physiological status,functional status,additional attention scores and total scores of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).After nursing,the scores of positive attitude,self-stress reduction and self-decision making in both groups were increased,and the scores of positive attitude,self-stress reduction and self-decision making in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:The use of continuous nursing under multidisciplinary assistance can improve the quality of life of patients after lung cancer surgery,reduce the degree of fatigue and pain degree,and promote patient recovery.

Multidisciplinary assistanceContinuous nursingPostoperative lung cancerQuality of life

薛晓琳、何慧敏、王敏玲、刘秀珠

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福建医科大学肿瘤临床医学院(福建省肿瘤医院) 福建福州 350014

多学科协助 延续性护理 肺癌术后 生活质量

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(25)