| 周福君,杨迅,李猛,曹成.综合护理方案对食管癌术后胃食管反流患者症状、自我管理和生活质量的影响[J].济宁医学院学报,2025,48(2):157-161 |
| 综合护理方案对食管癌术后胃食管反流患者症状、自我管理和生活质量的影响 |
| The impact of a comprehensive nursing care plan on symptoms, self-management,and quality of life in patients with gastroesophageal reflux after esophageal cancer surgery |
| 投稿时间：2023-12-20 |
| DOI：10.3969/j.issn.1000-9760.2025.02.012 |
| 中文关键词: 食管癌术后;胃食管反流;自我管理能力;综合护理;生活质量 |
| 英文关键词: Postoperative esophageal cancer;Gastroesophageal reflux;Self-management ability;Comprehensive nursing care;Quality of life |
| 基金项目:安徽省教育厅质量工程项目(2021gkszgg003);安徽省教育厅自然科学类重点项目(2022AH052389) |
| 作者 | 单位 | E-mail | | 周福君 | 安徽城市管理职业学院健康养老学院, 合肥 230012 | | | 杨迅 | 安徽医科大学第一附属医院普胸外科, 合肥 230032 | | | 李猛 | 安徽医科大学第一附属医院普胸外科, 合肥 230032 | | | 曹成 | 安徽医科大学第一附属医院普胸外科, 合肥 230032 | caochengaysfy@163.com |
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| 中文摘要: |
| 目的 探索综合护理方案对食管癌术后胃食管反流患者症状、自我管理和生活质量的影响。方法 纳入本院普胸外科2021年2月至2023年2月期间收治的食管癌术后胃食管反流患者100例作为研究对象。随机分为对照组和观察组,每组50例。住院及随访期间,对照组接受常规护理方案;观察组在常规护理方案的基础上,给予提升自我管理能力的综合护理方案。分别于管理方案干预前、干预后(随访完成),比较两组症状积分、自我管理能力评分、生活质量评分。统计分析干预后所有受试者的症状积分、PAM和WHOQOL-BREF评分的总均值,并进行相关性分析。结果 观察组干预后的各项症状积分显著低于干预前及对照组(P＜0.05)。干预后,观察组患者的自我管理能力评分、生活质量评分均明显高于干预前及对照组(P＜0.05)。相关性分析显示,干预后观察组患者PAM评分与症状积分呈负相关(P＜0.05),与WHOQOL-BREF评分呈正相关(P＜0.05)。结论 综合护理方案能有效减轻食管癌术后胃食管反流患者的症状,提升自我管理能力,这与生活质量的提升存在关联。 |
| 英文摘要: |
| Objective To explore the impact of a comprehensive nursing care plan on symptoms,self-management,and quality of life in patients with gastroesophageal reflux after esophageal cancer surgery. Methods This study included 100 patients with gastroesophageal reflux after esophageal cancer surgery treated in the digestive department of our hospital from February 2021 to February 2023.Patients were randomly divided into a control group and an observation group,with 50 patients in each group.During hospitalization and follow-up,the control group received conventional nursing care,while the observation group received a comprehensive nursing care plan to enhance self-management abilities in addition to conventional care.Symptom scores,self-management ability scores,and quality of life scores were compared between the two groups before and after the intervention (at the end of follow-up).The total average scores of symptom scores,patient activation measure (PAM),and WHOQOL-BREF after intervention were statistically analyzed,and correlation analysis was conducted. Results The observation group showed significantly lower symptom scores after intervention compared to those before intervention and the control group (P＜0.05).After intervention,patients in the observation group had significantly higher self-management ability scores and quality of life scores compared to those before intervention and the control group (P＜0.05).Correlation analysis revealed a significant negative correlation between patients' PAM scores and symptom scores (P＜0.05),and a significant positive correlation with WHOQOL-BREF scores (P＜0.05). Conclusion A comprehensive nursing care plan can effectively alleviate symptoms in patients with gastroesophageal reflux after esophageal cancer surgery,enhance self-management abilities,and is associated with an improvement in quality of life. |
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