综合护理联合延续性护理对胶质瘤病人生存质量的影响

目的 探讨综合护理联合延续性护理对胶质瘤病人生存质量的影响。方法 回顾性分析2017年2月至2018年12月收治的46例胶质瘤的临床资料，其中23例实施常规护理（对照组），23例在对照组基础上联合综合护理和延续性护理（观察组）。护理前和护理后3个月:①采用Braden量表评估压疮风险度；②以简易焦虑评分量表（SAS）和简易抑郁评分量表（SDS）评估焦虑和抑郁。护理结束时:①以欧洲癌症研究与治疗组织的生命质量核心量表（EORTC QOL-C30）评估生存质量；②根据病人主诉要求自制满意度问卷调查表评估护理满意度。结果 护理前，观察组Braden评分（7.51±2.03）分]与对照组（7.63±2.11）分]无显著差异（P>0.05）；护理后，观察组Braden评分（17.68±3.48）分]和对照组Braden评分（14.65±3.29）]较术前均明显提高（P<0.05），而且观察组明显高于对照组（P<0.05）。护理前，两组SAS、SDS评分均无明显差异（P>0.05）；护理后，两组SAS、SDS评分均明显降低，而且观察组SAS、SDS评分明显低于对照组（P<0.05）。观察组EORTC QOL-C30评分明显高于对照组（P<0.05）。观察组护理满意度（95.65%，22/23）明显高于对照组（68.18%，15/23；P<0.05）。结论 联合综合护理和延续护理可显著提高脑胶质瘤病人生存质量。

Effect of comprehensive nursing combined with continuous nursing on quality of life in the patients with gliomas

Objective To analyze the effect of comprehensive nursing combined with continuous nursing on the quality of life in the patients with gliomas. Methods Forty-five patients with gliomas treated in our hospital from February, 2017 to December, 2018 were randomly divided into control group, in which 22 patients received routine nursing and the observation group, in which 23 received comprehensive nursing and continuous nursing on the basis of routine nursing. The nursing effect, mood, the patients' quality of life and satisfaction were assessed and compared between both the groups. Results There were insignificant differences in pressure sore assessment scale--Braden scale, simple anxiety scale (SAS) and simple depression scale (SDS) scores between the two groups before the treatment (P>0.05). Braden score was significantly higher, and the SAS and SDS scores were significantly lower in the observation group than those in the control group (P<0.05). Item European Organization for Research and Treatment of Cancer, Quality of Life Questionnaire-Core 30 (EORTC QOL-C30) score was significantly higher in the observation group than that in the control group (P<0.05). The nursing satisfaction was significantly higher in the observation group than that in the control group (P<0.05). Conclusions The comprehensive nursing combined with continuous nursing can significantly improve the quality of life in the patients with gliomas and it is worthy of clinical spread.