[1]严凤,陈庆丽,李娜.中医情志护理结合快速康复在前列腺癌患者围术期中的应用[J].西部中医药,2021,34(02):122-126.[doi:10.12174/j.issn.2096-9600.2021.02.33]
　YAN Feng,CHEN Qingli,LI Na.TCM Emotional Care Combined with Rapid Rehabilitation Applied in Perioperative Management of Prostate Cancer Patients[J].Western Journal of Traditional Chinese Medicine,2021,34(02):122-126.[doi:10.12174/j.issn.2096-9600.2021.02.33]
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中医情志护理结合快速康复在前列腺癌患者围术期中的应用
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
34
期数:
2021年02期
页码:
122-126
栏目:
出版日期:
2021-02-15

文章信息/Info

Title:
TCM Emotional Care Combined with Rapid Rehabilitation Applied in Perioperative Management of Prostate Cancer Patients
作者:
严凤, 陈庆丽, 李娜
南京医科大学第一附属医院，江苏 南京 210000
Author(s):
YAN Feng, CHEN Qingli, LI Na
The First Affiliated Hospital to Nanjing Medical University, Nanjing 210000, China
关键词:
前列腺癌; 中医护理; 情志护理; 快速康复; 负性情绪; 控尿功能; 生存质量
Keywords:
prostate cancer; TCM nursing; emotional care; rapid rehabilitation; negative emotion; urinary continence function; quality of life
分类号:
R248
DOI:
10.12174/j.issn.2096-9600.2021.02.33
摘要:
目的探讨中医情志护理结合快速康复在前列腺癌患者围术期中的应用。 方法选取102例前列腺癌患者为研究对象，按随机数字表法分为对照组和观察组，每组51例。对照组给予常规护理，观察组在对照组基础上给予中医情志护理结合快速康复护理。对比两组围手术期指标（肛门排气时间、引流管拔除时间、进食时间、下床活动时间、住院时间）及入院时、出院后1个月时负性情绪［状态特质焦虑量表（state-trait anxiety inventory，STAI）、贝克抑郁问卷（baker inventory depression，BID）］、生存质量［癌症患者生命质量测定量表（quality of life questionnaire-core 30，QLQ-C30）］变化，并记录其住院期间的相关并发症发生率及出院1个月后控尿功能［国际尿控协会（international continence society，ICS）尿失禁分级］改善情况。 结果观察组肛门排气时间、引流管拔除时间、进食时间、下床活动时间、住院时间均明显低于同期对照组（P＜0.05）；出院后1个月时，两组患者STAI量表中各分量表评分及BID量表评分均较入院时显著下降（P＜0.05），且观察组明显低于同期对照组（P＜0.05）；两组QLQ-C30量表各维度评分较入院时均有显著上升（P＜0.05），且观察组明显高于对照组（P＜0.05）；住院期间，观察组患者出血、恶心呕吐发生率均明显低于对照组（P＜0.05），而两组肌肉萎缩、尿路感染、膀胱痉挛发生率比较差异无统计学意义（P＞0.05）；出院后1个月时，两组ICS尿失禁分级比较差异无统计学意义（P＞0.05）。 结论给予前列腺癌围手术期患者中医情志护理结合快速康复护理，可显著改善其负性情绪，促进术后恢复，提升生存质量。
Abstract:
ObjectiveTo discuss the application of TCM emotional care and rapid rehabilitation in perioperative management of prostate cancer patients. MethodsA total of 102 patients were selected as research objects, and allocated to the control group and the observation group according to random number table method, 51 cases each group. The control group accepted conventional care, and the observation group TCM emotional care and rapid rehabilitation. To compare perioperative indexes (anal exhaust time, drainage tube removal time, eating time, the time of ambulation and hospitalization time), the changes of QLQ-C30, negative emotions (STAT and BID) on admission and one month after discharging between both groups, and record the incidences of the related complications during hospitalization, the improvements of urinary continence function [International continence society (ICS) urinary incontinence classification] one month after discharging. ResultsAnal exhaust time, drainage tube removal time, eating time, the time of ambulation and hospitalization time of the observation group were lower than these of the control group at the corresponding period notably (P<0.05); one month after discharging, the scores of each subscale in STAI scale and BID scales of both groups lowered notably than these on admission (P<0.05), and the observation group was lower than the control group at the corresponding period (P<0.05); the scores of different dimensions of QLQ-C30 scales of both groups rose notably than these on admission (P<0.05), and the observation group was higher than the control group apparently (P<0.05); during hospitalization, the observation group was lower than the control group in the incidences of bleeding, nausea and vomiting notably (P<0.05), while the difference had no statistical meaning in the incidence of muscle atrophy, urinary tract infection and bladder spasm between both groups (P>0.05); the comparison had no statistical meaning in ICS urinary incontinence classification between both groups one month after discharging (P>0.05). ConclusionTCM emotional care and rapid rehabilitation in perioperative management of prostate cancer patients could notably improve their negative emotions, promote postoperative recovery, and it could lift quality of life.

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备注/Memo

备注/Memo:
严凤（1988—），女，护师。研究方向：临床护理。
更新日期/Last Update: 2021-02-15