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尹秀艳,崔莹▲,段清爽,宋萌萌,盛男.医护一体化临床路径在腹腔镜下子宫内膜癌根治术患者中的应用效果[J].中国医药科学,2019,(16):164-167        基金项目:
医护一体化临床路径在腹腔镜下子宫内膜癌根治术患者中的应用效果
Application effect of integrated medical and nursing clinical pathway in patients undergoing laparoscopic radical operation for endometrial cancer
  
DOI:
中文关键词:  医护一体化;子宫内膜癌;腹腔镜根治术
英文关键词:Medical and nursing integration;Endometrial cancer;Laparoscopic radical surgery
作者单位
尹秀艳,崔莹▲,段清爽,宋萌萌,盛男 牡丹江医学院附属红旗医院妇科,黑龙江牡丹江 157000 
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中文摘要:
      [摘要] 目的 探讨医护一体化临床路径对腹腔镜下子宫内膜癌根治术患者不良情绪、生活质量以及医疗满意度的影响。 方法 选取我院 2014 年 9 月~ 2015 年 10 月收治的 108 例行腹腔镜下子宫内膜癌根治术患者作为研究对象,采用随机数字表法分为观察组和对照组,每组 54 例。对照组患者采用常规护理模式,观察组患者则采用医护一体化临床路径管理模式,观察分析两组患者治疗前后的焦虑抑郁情绪及生活质量变化,并于治疗完成后对治疗过程中医疗质量及满意度进行评价。 结果 与对照组相比,治疗后观察组 SAS 和SDS 评分均明显降低(P < 0.05),EORTC QLQ-C30 问卷评分中整体健康状况、功能及单项评分明显增加(P< 0.05),且护理质量好评率以及满意度均明显提高(P < 0.05)。 结论 将医护一体化临床路径管理模式应用于腹腔镜下子宫内膜癌根治术患者,可通过加强医护患之间的密切联系以及医护间的无缝连接的工作形态,提高护理质量和满意度,进而改善患者不良情绪以及促进子宫内膜癌患者术后生活质量的提高。
英文摘要:
      [Abstract] Objective To explore the effect of integrated medical and nursing clinical pathway on adverse emotions,quality of life and medical satisfaction of patients undergoing laparoscopic endometrial cancer radical surgery.Methods One hundred and eight patients undergoing laparoscopic radical operation for endometrial cancer in our hospital from September 2014 to October 2015 were selected as the research objects,all them were divided into observation group and control group by random number table method,54 cases in each group.The patients in the control group were given routine nursing care,while the patients in the observation group were given integrated clinical pathway management.The changes of anxiety,depression and quality of life in the two groups before and after treatment were observed and analyzed,and the medical quality and satisfaction during the treatment were evaluated after the treatment was completed. Results Compared with the control group,the scores of SAS and SDS in the observation group were significantly lower after treatment (P < 0.05),and the overall health status,function and individual scores of EORTC QLQ-C30 questionnaire were significantly increased (P < 0.05),and the positive rate of nursing quality and satisfaction were significantly improved (P < 0.05). Conclusion The application of integrated medical and nursing clinical pathway management model in laparoscopic endometrial cancer radical surgery can improve nursing quality and satisfaction by strengthening the close relationship between doctors and patients and the working form of seamless connection between doctors and nurses,thereby improving patients'bad mood and promoting the life of patients with endometrial cancer after operation.
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