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Nursing Science 2024
中医护理联合人文关怀对肠造口患者负性情绪、自我护理能力及生活质量的影响
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Abstract:
目的：探讨中医护理联合人文关怀在结直肠癌肠造口患者中的应用效果。方法：选取2023年10月至2024年4月贵州省某三级甲等医院肛肠科收治的70例行肠造口术的结直肠癌患者，采用随机数字法分为对照组和干预组，每组35例。对照组给予常规护理措施干预，干预组在对照组基础上予以中医护理联合人文关怀。比较2组患者干预前后负性情绪、自我护理能力、生活质量及满意度发生情况。结果：干预后2组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)评分显著低于干预前评分(P < 0.05)；自我护理能力量表评分(ESCA)、生活质量量表评分均显著高于干预前评分(P < 0.05)；护理满意度显著提高(P < 0.05)。结论：中医护理联合人文关怀应用于肠造口患者中，不仅可以全面关注患者的身心健康，改善患者负性情绪，还可提高患者自我护理能力及生活质量，提升患者护理满意度。
Objective: To investigate the application effect of traditional Chinese medicine nursing combined with humanistic care in patients with colorectal cancer enterostomy. Methods: A total of 70 patients with colorectal cancer who underwent enterostomy were enrolled in the Department of Anorectal Medicine of a tertiary hospital in Guizhou Province from October 2023 to April 2024, and were divided into control group and intervention group by random number method, with 35 cases in each group. The control group was given conventional nursing intervention, and the intervention group was given traditional Chinese medicine nursing combined with humanistic care on the basis of the control group. The occurrence of negative emotion, self-care ability, quality of life and satisfaction between the two groups before and after intervention were compared. Results: The scores of anxiety self-rating anxiety scale (SAS) and self-rating depression scale (SDS) in the two groups were significantly lower than those before intervention (P < 0.05). The scores of Exercise of Self-Care Agency (ESCA) and Quality of Life Scale were significantly higher than those before intervention (P < 0.05). Nursing satisfaction was significantly improved (P < 0.05). Conclusion: The application of TCM nursing combined with humanistic care to patients with enterostomy can not only pay comprehensive attention to the physical and mental health of patients, improve patients’ negative emotions, but also improve patients’ self-care ability and quality of life, and improve patients’ nursing satisfaction.
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