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协同护理模式对腹腔镜胃癌D2根治术病人负性情绪及生活质量的影响
引用本文:张继红,徐宇红,汤黎明,岳静燕,虞萍.协同护理模式对腹腔镜胃癌D2根治术病人负性情绪及生活质量的影响[J].护理研究,2014(7):2454-2456.
作者姓名:张继红  徐宇红  汤黎明  岳静燕  虞萍
作者单位:南京医科大学附属第二人民医院阳湖院区,213161
基金项目:江苏省卫生厅科技项目,编号:D2010023.
摘    要:目的]探讨协同护理模式对腹腔镜胃癌D2根治术病人负性情绪及生活质量的影响。方法]将69例腹腔镜胃癌D2根治术病人随机分为观察组35例和对照组34例,对照组给予常规护理,观察组在常规护理基础上给予协同护理模式。在病人入院和出院时采用焦虑自评量表(SAS)及抑郁自评量表(SDS)进行评估,出院1个月后采用生活质量问卷(QLQ C30)进行评定。结果]出院时观察组 SAS及 SDS 评分显著低于对照组(P〈0.05);出院1个月后观察组QLQ C30评分显著高于对照组(P〈0.05)。结论]协同护理模式可有效缓解腹腔镜胃癌 D2根治术病人负性情绪,提高病人生活质量。

关 键 词:胃癌  D2  根治术  腹腔镜  协同护理模式  负性情绪  生活质量

Influence of collaborative care model on negative emotion and quality of life of gastric cancer patients undergoing laparoscopic D2 radical gastrectomy
Institution:Zhang Jihong, Xu Yuhong, Tang Liming, et al (Yanghu Hospital Distric of Affiliated Second People's Hospital of Nanjing Medical University,Jiangsu 213161 China)
Abstract:To probe into influence of collaborative care model on negative emotion and quality of life of gastric cancer patients undergoing laparoscopic D2 radical gastrectomy.Methods:A total of 6 9 cases of gastric cancer patients undergoing laparoscopic D2 radical gastrectomy were devid-ed into observation group with 35 cases and control group with 34 cases in accordance with the sequence of admission.The patients in control group received routine care and patients in observation group received not only common care but also collaborative care model.At the time of admission and discharge,all patients were evaluated by using anxiety and self rating scale (SAS)and depression self rating scale (SDS),and they were as-sessed by using quality of life questionnaire (QLQ C30)at 1 month after discharge.Results:SAS and SDS scores in observation group at discharging were significantly lower than that of control group(P〈0.05 );QLQ C30 score in observation group at 1 month after discharge were significantly higher than that of control group.Conclusion:Collaborative care model can relieve negative emotion of gastric cancer patients undergoing laparoscopic D2 radical gastrectomy and improve their quality of life at the same time.
Keywords:D2 radical gastrectomy for gastric cancer patients  laparoscope  collaborative care model  negative emotion  quality of life
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