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目的探讨综合护理对老年头面部皮肤癌根治术后患者康复的影响。方法选取2013年1月至2014年9月间山东省潍坊市临朐县人民医院收治的80例老年皮肤癌患者。采用随机数表法分为观察组和对照组,每组40例。观察组患者给予综合性护理干预,对照组患者给予常规护理。比较两组患者的住院时间、并发症发生情况、护理满意度和生存质量。结果观察组患者的住院时间和伤口感染发生率显著短于对照组患者,差异均有统计学意义(均P<0.05),观察组患者对临床护理工作的满意度为95.0%(38/40)显著高于对照组患者的75.0%(30/40),差异有统计学意义(P<0.05)。观察组患者的ADL评分和GQOL-74评分中的社会功能、心理功能和躯体功能评分分别为(16.32±3.78)分、(59.39±6.97)分、(66.84±9.34)分和(60.38±8.46)分,均比对照组的(11.62±3.21)分、(51.34±6.72)分、(56.14±8.26)分和(52.96±7.64)分高,差异均有统计学意义(均P<0.05)。结论综合护理能够有效促进老年头面部皮肤癌根治术后患者康复,提高患者护理满意度和自理能力。
Objective To investigate the effect of comprehensive nursing on the rehabilitation of patients with skin cancer after radical resection in the elderly. Methods From January 2013 to September 2014, 80 cases of elderly skin cancer were treated in Linqu County People’s Hospital of Weifang City, Shandong Province. Using random number table divided into observation group and control group, 40 cases in each group. Patients in observation group were given comprehensive nursing intervention and patients in control group were given routine nursing care. The length of hospital stay, complications, satisfaction with care and quality of life were compared between the two groups. Results The hospitalization time and the incidence of wound infection in observation group were significantly shorter than those in control group (all P <0.05). The satisfaction rate of clinical observation group was 95.0% (38/40) Which was significantly higher than that in the control group (75.0%, 30/40), the difference was statistically significant (P <0.05). The scores of ADL and GQOL-74 in the observation group were (16.32 ± 3.78), (59.39 ± 6.97), (66.84 ± 9.34) and (60.38 ± 8.46), respectively (11.62 ± 3.21) points, (51.34 ± 6.72) points, (56.14 ± 8.26) points and (52.96 ± 7.64) points higher than that of the control group respectively. The differences were statistically significant (all P <0.05). Conclusion Comprehensive nursing can effectively promote the rehabilitation of elderly patients with facial skin cancer after radical operation and improve patient satisfaction and self-care ability.