多形式延续护理对前列腺癌根治术患者的影响
Effect of multiform continuation care on patients undergoing radical prostatectomy
摘要目的:分析多形式延续护理对前列腺癌根治术患者的影响。方法:以昆山市第二人民医院泌尿外科在2019年1月至2023年1月收治的行前列腺癌根治术患者100例为研究对象,并根据入院顺序将其分为对照组与观察组各50例。对照组实行常规延续护理,观察组实行多形式延续护理。于患者出院前1 d与出院15 d、出院30 d时,使用症状自评量表(Self-reporting Inventory,SCL-90)评价负面情绪状态,另于患者出院前1 d与出院30 d时,使用心理弹性量表(Connor-davidson Resilence Scale,CD-RISC)、前列腺癌患者生活质量子量表(Quality of Questionnaire for Prostate Cancer 25,QLQ-PR25),评价两组患者的心理弹性及生活质量。结果:出院前1 d与出院15 d、出院30 d时,两组SCL-90量表评分组间、时间点及交互作用差异均有统计学意义(均 P<0.05)。出院前1 d两组的SCL-90量表评分差异无统计学意义( P>0.05),出院15 d与出院30 d,SCL-90量表评分低于对照组差异均有统计学意义(均 P<0.05)。出院前1 d,两组CD-RISC量表评分与各项QLQ-PR25指标评分比较差异均无统计学意义(均 P>0.05)。出院30 d时,观察组CD-RISC量表评分高于对照组,而EORTC QLQ-C30量表中的正性条目评分高于对照组,负性条目评分低于对照组差异均有统计学意义(均 P<0.05)。 结论:多形式延续护理能够改善前列腺癌根治术患者的情绪状态,强化心理弹性,同时大幅度提升生活质量。
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abstractsObjective:To analyze the effect of multiple continuation care on patients with radical prostate cancer.Methods:A total of 100 patients undergoing radical resection of prostate cancer admitted to the hospital from January 2019 to January 2023 were taken as the study objects.They were divided into control group and observation group according to the admission order, with 50 cases in each group.The control group implemented routine continuation care, and the observation group implemented multi-form continuation care.The Self-reporting Inventory (SCL-90) was used to evaluate negative emotional states 1 day before discharge, 15 days and 30 days after discharge.One day before and 30 days after discharge, Connor-davidson Resilence Scale (CD-RISC) and Quality of Questionnaire for Prostate Cancer 25(QLQ-PR25)were used to evaluate the mental resilience and quality of life of the two groups.Results:There were statistically significant differences in SCL-90 scales 1 day before hospital discharge, 15 days and 30 days after discharge between the two groups, time point and interaction ( P<0.05).One day before discharge, there was no significant difference in SCL-90 scores between the two groups ( P>0.05).The SCL-90 scale score of the observation group was lower than that of the control group at 15 days and 30 days after discharge, and the difference was statistically significant( P<0.05).One day before discharge, there was no significant difference in CD-RISC scale score and QLQ-PR25 index score between 2 groups ( P>0.05).Thirty days after discharge, the score of CD-RISC scale in observation group was higher than that of control group, the score of positive items in European Organization for Research and Treatment of Cancer QLQ-30 (EORTC QLQ-C30) scale was higher than that of control group, and the score of negative items was lower than that of control group, and the difference was statistically significant( P<0.05). Conclusions:Multiple forms of continuous care can improve the emotional state of patients with radical prostate cancer surgery, strengthen the psychological elasticity, and greatly improve the quality of life.
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