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目的探讨全程康复护理对股骨头肿瘤手术患者治疗效果、负性情绪及生活质量的影响。方法选取2015年3月至2016年2月间新疆医科大学第一附属医院收治的62例股骨头肿瘤患者,按照患者入院时间顺序分为观察组与对照组,每组31例。观察组患者在常规护理基础上采用全程康复护理,对照组患者采用常规护理。护理3个月后比较两组患者临床疗效、疼痛程度、焦虑情绪、生活质量评分及并发症发生情况。结果观察组患者临床总有效率为93.5%,高于对照组患者的61.3%,两组比较,差异有统计学意义(P<0.01)。两组患者疼痛程度和焦虑情绪与护理前比较,呈下降趋势,且观察组患者下降幅度大于对照组,差异均有统计学意义(均P<0.01)。护理3个月后,观察组患者的生理机能、生理职能和情感职能评分均明显高于对照组患者,差异均有统计学意义(均P<0.01)。观察组患者并发症发生率为19.4%,低于对照组患者的58.1%,两组比较,差异有统计学意义(P<0.01)。结论全程康复护理股骨头肿瘤术后患者的临床效果显著,可有效降低并发症发生率,减轻疼痛程度,提高生活质量,值得临床推广。
Objective To investigate the effect of full rehabilitation nursing on the treatment, negative emotions and quality of life in patients with femoral head cancer. Methods Sixty-two patients with femoral head tumors who were admitted to the First Affiliated Hospital of Xinjiang Medical University from March 2015 to February 2016 were divided into observation group and control group according to the order of admission, with 31 cases in each group. Observation group patients on the basis of routine care using full rehabilitation care, control group of patients with routine care. After 3 months of nursing, the clinical efficacy, pain level, anxiety, quality of life score and complications of the two groups were compared. Results The total clinical effective rate in the observation group was 93.5%, which was higher than that in the control group (61.3%). There was significant difference between the two groups (P <0.01). The degree of pain and anxiety in both groups showed a decreasing trend compared with that before nursing, and the decreasing rate in the observation group was greater than that in the control group (all P <0.01). After 3 months of nursing, the patients in the observation group had significantly higher scores on physiological function, physiological function and emotional function than those in the control group (all P <0.01). The complication rate in observation group was 19.4%, which was lower than that in control group (58.1%). There was significant difference between the two groups (P <0.01). Conclusion The complete clinical rehabilitation of nursing patients with femoral head tumor has significant clinical effect, which can effectively reduce the incidence of complications, reduce the degree of pain and improve the quality of life, which deserves clinical promotion.