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| Construction on intervention model of personalized comfort nursing and narrative care in perioperative period of patients with excision of parotid tumor |
| TONG Junping1 WANG Ning2▲ LI Jing3 DONG Chuang4 LI Ning1 |
1.Department of Otolaryngology, China National Petroleum Corporation Central Hospital, Hebei Province, Langfang 065000, China;
2.Department of Nursing, China National Petroleum Corporation Central Hospital, Hebei Province, Langfang 065000, China;
3.Department of Neurosurgery, China National Petroleum Corporation Central Hospital, Hebei Province, Langfang 065000, China;
4.Department of Endocrinology, China National Petroleum Corporation Central Hospital, Hebei Province, Langfang 065000, China |
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Abstract Objective To investigate the effect on construction of the intervention model of personalized comfort nursing and narrative care in perioperative period of patients with excision of parotid tumor. Methods From January 2014 to September 2017, in China National Petroleum Corporation Central Hospital, 96 patients undergoing elective general anaesthesia operation of parotid tumor were selected, according to the random number table method, they divided into usual ursing group (control group) and personalized comfort nursing combined with narrative care group (experiment group), with 48 cases in each group. the control group was given with usual care during the perioperative period, based on which the experiment group was implemented with the intervention model of personalized comfort nursing combined with "narrative care" for psychological care, then Zung anxiety and depression self-rating scale (SAS and SDS), KPS marking criterion and self-identity scale were used separately to evaluate the conditions of anxiety and depression, quality of life, sense of self-identity of all patients before and after operation 1 week, patients′ complications after operation 1 week were conducted, the questionnaire on satisfaction to nursing was handed to the patients′ relatives and had a statistics. Results After surgery 1 week, the scores of SAS, SDS and sense of self-identity in the experiment group were significantly better than the control group, the differences were statistically significant (P < 0.05), the scores of SAS in two groups were lower than before operation, the differences were statistically significant (P < 0.05); socres of SDS in the experiment group were significantly lower than before operation, the differences were statistically significant (P < 0.05), there was no those statistically significant difference in the control group (P > 0.05); KPS increasement point in the experiment group was obviously higher than the control group, the differences were statistically significant (P < 0.05); compared with before operation, the scores of sense of self-identity only in the experiment group increased, the differences were statistically significant (P < 0.05), the Cronbach′s α of self-identity Scale was 0.85 after reliability analysis; the incision infection rate in the experiment group was lower than the control group, the difference was statistically significant (P < 0.05); the satisfaction of patients′ relatives in the experiment group was higher than the control group, the difference was statistically significant (P < 0.05). Conclusion During the process of providing nursing to the patients undergoing resection of parotid tumor, the implementation of personalized comfort nursing and narrative care may significantly improve the emotion of anxiety and depression and comfort degree, as well raise the quality of life and sense of self-identity of patients, meanwhile, reduce the postoperative incision infection rate, as well as greatly enhance the satisfaction of patients’ family members.
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