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全程健康管理模式在食管癌患者生活质量评估和预后改善中的应用研究
引用本文:杨华,吴慧娟,郭燕,孙娟华. 全程健康管理模式在食管癌患者生活质量评估和预后改善中的应用研究[J]. 中国医学装备, 2021, 0(1): 115-118
作者姓名:杨华  吴慧娟  郭燕  孙娟华
作者单位:空军军医大学第一附属医院肿瘤科
基金项目:国家自然科学基金面上项目(81872420)“BRAP调控DDR在抑制奥沙利铂诱导肝癌细胞老化及逆转化疗耐药中的作用及机制研究”。
摘    要:目的:探讨全程健康管理模式在食管癌患者生存质量评估和预后改善中的应用价值.方法:选取医院临床收治的68例食管癌化疗患者,采用随机数表法将其分为对照组和观察组,每组34例,对照组采用常规护理管理模式,观察组采用全程健康管理模式.自制认可度与满意度调查表调查两组预后改善认可度和护理满意度,评估患者生活质量,对比分析两组患者...

关 键 词:食管癌  全程健康管理  生活质量  并发症  焦虑

Application research of whole-process health management mode in the assessment of the QOL and prognosis improvement of patients with esophageal cancer
Affiliation:(Department of Oncology,The First Affiliated Hospital of Air Force Medical University,Xi'an 710032,China)
Abstract:Objective:To explore the application value of whole-process health management mode in the assessment of quality of life(QOL)and prognosis improvement of patients with esophageal cancer.Methods:A total of 68 inpatients with esophageal cancer were selected and were divided into control group and observation group using random number table method,with 34 patients in each group.The control group adopted the conventional care management mode,and the observation group adopted the whole-process health management mode to assess the QOL of patients.The selfdesigned recognition and satisfaction questionnaire were used to investigate the recognition of prognosis improvement and the nursing satisfaction in the two groups.The QOL scale and generalized anxiety disorder-7(GAD-7)scores,the incidence of complications,the recognition of prognosis improvement,the nursing satisfaction and the compliance of clinical treatment between the two groups were compared and analyzed.Results:The scores of QOL and GAD-7 of observation group were significantly better than those of control group on the 10th day after treatment,the differences of them between the two groups were statistically significant(t=4.790,t=3.222,P<0.05),respectively.The proportion of complications of observation group was significantly lower than that of control group post treatment(x2=8.173,P<0.05).The recognition of prognosis recognition,the nursing satisfaction and the compliance of clinical treatment of observation group were significantly higher than those of control group(t=2.845,t=4.472,t=2.365,P<0.05),respectively.Conclusions:The whole-process health management mode can effectively improve the QOL of patients after chemotherapy,and reduce the anxiety state and the incidence of postoperative complications,and improve the coping ability of patients in diagnosis and treatment,which has higher clinical application value.
Keywords:Esophageal cancer  Whole-process health management  Quality of life  Complication  Anxiety
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