【摘要】 目的 探讨基于循证支持的延续护理对食管癌患者术后自我管理、对疾病自信程度及生活质量的影响。方法 将行外科手术治疗的106例食管癌患者按随机数字表法分为两组,各53例。出院后对照组采取常规出院指导,观察组给予循证支持的延续性护理干预。比较出院时及出院3个月两组患者的自我管理能力、对疾病的自信程度、生活质量及不良症状发生率。结果 出院时两组各量表评分比较差异无统计学意义(P>0.05)。出院3个月,自我管理量表、健康促进策略量表、生活质量问卷评分均显著高于对照组(P<0.01)。观察组反流性食管炎、吻合口狭窄和胃肠功能紊乱及其他不良症状发生率显著低于对照组(P<0.01)。结论 循证支持的延续护理能有效提高食管癌患者术后自我管理能力、对疾病的自信程度及生活质量,降低不良症状发生率,值得临床推广。更多还原

【Abstract】 Objective To investigate the effect of continuing nursing based on evidence-based support on self-management, self-efficacy and life quality in patients with esophageal cancer. Method 106 cases with esophageal cancer underwent surgical treatment were randomly divided into two groups, 53 cases in each group. The control group was treated with routine discharge care, and the observation group was treated with continuing nursing based on evidence-based support. On discharge and at 3 months after discharge,compare the self-management ability, self-efficacy, life quality and adverse reaction rate between the two groups. Result The difference of all scale scores between the two groups after discharge had no statistic significance(P>0. 05). 3 months after discharge, scores of SMS, SUPPH, GQOLI scales in the observation group were all significantly higher than those in the control group(P<0. 01). The occurrence rate of reflux esophagitis, anastomotic stenosis, gastrointestinal dysfunction and other adverse symptoms in the observation group was significantly lower than that in the control group(P<0. 01). Conclusion Continuing nursing based on evidence-based support can effectively improve the self-management, self-efficacy and life quality of patients with esophageal cancer after operation, reduce the incidence of adverse symptoms, it is worthy of clinical promotion.更多还原