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目的:探讨围手术期有效健康教育对患者全肺切除术后长期生活质量(QOL)的影响。方法:随机将100例全肺切除术后患者分为二组,分别采取对患者及家属有效健康教育干预和无干预措施,采用欧洲癌症治疗与研究组织癌症生存量表核心量表(EORTC QLQ-C30,简称QLQ-C30)中文版评估病人的生活质量,对术前及术后1,3,6和12个月的QLQ-C30得分与参考值进行比较。结果:1)两组患者术后长期生活质量中的功能得分无统计学差异(P>0.05);2)症状方面,术后呼吸困难,疼痛明显加重;术后第6个月疲乏及经济困难明显加重;术后第12个月起,经济困难状况好转,较术前无明显差异(P>0.05);3)无干预组与有效健康教育组在体力功能、角色功能、情绪功能及总体状况方面有统计学差异(P<0.05);4)在术后,无干预组在疲劳和呼吸困难方面的QLQ-C30得分比有效健康教育组的低,且有统计学差异(P<0.05),但是在12月之后直至病人基本恢复与有效健康教育组之间无统计学差异(P>0.05)。结论:围手术期实施有效健康教育,可使全肺切除患者术后生活质量明显提高;比较两种护理措施术后生活质量,有效健康教育组较无干预组患者功能恢复较快,自觉不良症状更少。
Objective: To investigate the effect of perioperative effective health education on long-term quality of life (QOL) after pneumonectomy in patients. METHODS: 100 patients undergoing pneumonectomy were randomly divided into two groups. They took effective health education interventions and interventions for patients and their families, and used the European Cancer Therapy and Research Organization Cancer Survival Scale Core Scale (EORTC QLQ- The Chinese version of C30, referred to as QLQ-C30, evaluates the patient’s quality of life and compares QLQ-C30 scores with reference values before and after 1, 3, 6 and 12 months after surgery. Results: 1) The functional scores of long-term quality of life in both groups were not statistically different (P>0.05); 2) Symptoms, postoperative dyspnea, pain was aggravated; postoperative 6-month fatigue and economic difficulties Significantly aggravated; from the 12th month after the operation, the economic difficulty improved, no significant difference compared with before surgery (P>0.05); 3) Physical function, role function, emotional function and overall status of the intervention group and effective health education group There was a statistically significant difference (P<0.05); 4) Postoperatively, QLQ-C30 scores in fatigue and dyspnea were lower in the non-intervention group than in the effective health education group, and there was a statistically significant difference (P<0.05). However, there was no statistical difference between the patient’s basic recovery and effective health education group after December (P>0.05). Conclusion: Effective health education during perioperative period can significantly improve the postoperative quality of life in pneumonectomy patients. Comparing the quality of life after two kinds of nursing measures, the functional health education group has faster functional recovery than the non-intervention group. less.