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目的:探讨延续性护理干预对腹腔镜胃癌根治术后患者健康状况及生活质量的影响。方法:回顾性分析宁波市第一医院行腹腔镜胃癌根治术的120例胃癌患者临床病历情况,其中行常规护理干预者为对照组(60例),于对照组护理基础上行延续性护理干预者为干预组(60例)。于干预前、干预3个月后分别采用健康促进生活方式量表Ⅱ、自我护理能力测定量表调查其健康行为、自我护理能力。比较两组患者干预前、后生存质量评分情况;并检测两组患者干预前、后体重、白蛋白、血红蛋白及总蛋白水平变化。结果:干预3个月后,两组患者健康行为及自我护理能力各项评分均较干预前明显改善,然干预组改善更为显著,P<0.05。经干预3个月后,两组患者生存质量各项评分较干预后显著改善,但干预组改善更为显著,P<0.05。两组患者干预3个月后体重、白蛋白、血红蛋白及总蛋白水平较干预前明显提高,P<0.05;然除血红蛋白外,干预组各项指标升高程度较对照组显著,P<0.05。结论:实施延续性护理干预有助于腹腔镜胃癌根治术后患者健康行为及自我护理能力的提高,改善其健康状况,从而更好地改善其生存质量。
Objective: To investigate the effect of continuous nursing intervention on the health status and quality of life of patients after laparoscopic radical gastrectomy. Methods: The clinical records of 120 patients with gastric cancer who underwent laparoscopic radical gastrectomy in the First Hospital of Ningbo City were retrospectively analyzed. Among them, 60 were routine nursing interventions, and the patients in the control group were treated with continuous nursing intervention Intervention group (60 cases). Before the intervention, 3 months after the intervention, the Health Promotion Lifestyle Scale (II) and Self-care Ability Scale were used to investigate their health behavior and self-care ability. The quality of life before and after intervention was compared between the two groups. The changes of body weight, albumin, hemoglobin and total protein were detected before and after intervention. Results: After 3 months of intervention, the scores of health behavior and self-care ability of both groups were significantly improved compared with that before intervention, but the improvement in intervention group was more significant (P <0.05). After intervention for 3 months, the scores of quality of life in both groups were significantly improved after intervention, but the improvement in intervention group was more significant (P <0.05). The levels of body weight, albumin, hemoglobin and total protein in the two groups after intervention were significantly higher than before intervention (P <0.05). Except for hemoglobin, the indexes in intervention group were significantly higher than those in control group (P <0.05). Conclusion: The implementation of continuous nursing intervention is helpful to improve the patients’ health behaviors and self-care ability after laparoscopic radical gastrectomy, and improve their health condition so as to better improve their quality of life.