|
|
Effect of medical and nursing integration health education on healthy behavior and symptom distress of patients with pituitary tumor after operation |
ZHONG Chunlian TAO Yunna XU Yeping XU Xiaomei |
Department of Neuro-Oncology, No.904 Hospital of the Joint Logistics Support Force, Jiangsu Province, Wuxi 214000, China |
|
|
Abstract Objective To explore the application effect of medical and nursing integration health education of patients with pituitary tumor after operation. Methods From January 2015 to December 2018, 80 patients with pituitary tumors who admitted to the No. 904 Hospital of the Joint Logistics Support Force were selected. According to the time of surgical treatment, they were divided into 40 cases in the intervention group (from January 2017 to December 2018) and 40 cases in the control group (from January 2015 to December 2016). The control group was given health education by specialist nurses, and the intervention group was given health education by medical and nursing integration health educution. Followed up for six months, the scores of healthy behavior, symptom distress and quality of life were compared between the two groups. Results Before education, there were no significant differences in healthy behavior scores between the two groups (P > 0.05). Follow up for six months, the healthy behavior scores of the two groups were higher than those of the same group before education (P < 0.05 or P < 0.01); and the scores of health responsibility, self-actualization, interpersonal support, stress coping, and healthy behaviors total scores of the intervention group were higher than those of the control group (P < 0.05 or P < 0.01). Before education, there were no significant differences in symptom distress scores between the two groups (P > 0.05). Follow up for six months, the symptom distress scores of the two groups were lower than those of the same group before education (P < 0.01); the scores of neuropsychiatric damage, endocrine disorders, nasal dysfunction, and total scores of the intervention group were lower than those of the control group (P < 0.05 or P < 0.01). Before education, there was no significant difference in quality of life scores between the two groups (P > 0.05). Follow up for six months, the quality of life scores of the two groups were higher than those of the same group before education (P < 0.05 or P < 0.01); and the scores of physiological function, overall health, vitality, emotional function, and mental health scores of intervention group were higher than those of the control group (P < 0.05). Conclusion The medical and nursing integration health education can help promote the development of healthy behavior of patients with pituitary tumor after operation, relieve the degree of symptom distress, and improve the quality of life of patients after operation.
|
|
|
|
|
[1] 刘莹.垂体瘤和颅咽管瘤2例术后电解质紊乱发生的特点及护理[J].临床合理用药杂志,2019,12(4):167-168.
[2] 王宁,刘立军,陈妮娜.神经内镜与神经导航辅助显微镜下经鼻蝶入路切除垂体瘤的疗效比较[J].中国神经创伤外科杂志,2019,5(1):20-23.
[3] 黄瀛,林正奎,劳永聪.医护一体化健康宣教模式在晚期恶性肿瘤骨转移患者中的应用[J].中国癌症防治杂志,2016,8(3):188-190.
[4] 张娣,郑金旭,罗彩凤,等.医护患一体化延续性健康教育在缓解期COPD患者中的应用[J].中国健康教育,2016, 32(10):879-883.
[5] Vigué B,Leblanc PE,Moati F,et al. Mid-regional pro-adrenomedullin(MR-proADM),a marker of positive fluid balance in critically ill patients:results of the ENVOL study [J]. Crit Care,2016,20(1):363.
[6] 任学芳,任琳,徐燕,等.APP客户端在垂体瘤术后患者延续护理中的应用[J].中国现代护理杂志,2017,23(24):3073-3076.
[7] 孙艳杰,肖霞,程岗.个性化健康教育在垂体瘤患者不同治疗阶段的实施[J].解放军护理杂志,2014,31(14):69-70,76.
[8] Pullen C,Wallker SN,Fiandt K. Determinants of healthpronmoting lifestyle bchaviors in rural older women [J]. Fam Community Health,2001,24(2):49-72.
[9] 丁建平,沈梅芬,吴超,等.垂体腺瘤患者术后症状困扰量表的初步修订[J].中国实用护理杂志,2016,32(31):2401-2405.
[10] 方积乾.生存质量测定方法及其应用[M].北京:北京医科大学出版社,2000:8-11.
[11] 李炎轩,庞博然,杨运俊,等.垂体肿瘤的免疫治疗[J].中华医学杂志,2018,98(9):712-714.
[12] 陈汉文,孙冰,孙海玲,等.垂体瘤患者术后垂体功能减退危险因素分析研究[J].中华全科医学,2018,21(11):1296-1299.
[13] 郑励力,孙青芳,卞留贯.经蝶切除无功能垂体腺瘤对病人生活质量的影响[J].临床外科杂志,2019,27(10):850-852.
[14] 吴超,沈梅芬,颜琪,等.垂体瘤术后病人应对方式、希望水平与生活质量的结构方程模型[J].护理研究,2016, 30(12):4402-4406.
[15] 陈彬,徐成婷,夏宁.经皮穴位电刺激对脑垂体瘤手术患者术后并发症及生活质量的影响[J].世界中西医结合杂志,2018,13(7):67-70,74.
[16] 王娟,唐丽梅,田惠杰,等.医护一体化模式在脑卒中患者健康教育中的应用现状[J].护理实践与研究,2017, 14(7):29-31.
[17] 管鲜花,张海英,陈旗滨.医护一体化查房在阿尔茨海默病患者行肠内营养护理中的应用及对患者SF-36评分的影响[J].中国现代医生,2020,58(11):184-187.
[18] 邓丽贞,潘凯斯,杨志,等.医护一体化的综合管理应用于妊娠期糖尿病管理的效果观察[J].中国医药科学,2019,9(7):163-165.
[19] 谢萍,罗双萍,陈欢.规范化一体化急救模式在脑卒中院外急救中应用及对患者预后的影响[J].中国急救复苏与灾害医学杂志,2020,15(4):395-397,401.
[20] 赵文霞,王斌,郑俊青.多元化健康教育模式预防一氧化碳中毒患者迟发脑病的临床试验研究[J].现代预防医学,2016,43(16):3057-3060,3068.
[21] 司梅.医护一体化联合微信互动平台在妊娠期糖尿病患者中的应用[J].护理实践与研究,2019,16(7):92-93.
[22] 陈育红,强万敏,李苗苗.医护一体化“云病房”在化疗间歇期乳腺癌患者PICC导管管理中的应用[J].中国护理管理,2018,18(9):1169-1174.
[23] 杨东霞,曲慧丽,宋真,等.医护一体化健康教育提高乳腺癌氟维司群注射患者依从性效果研究[J].中华现代护理杂志,2017,23(31):4017-4020.
[24] 潘丹丹,顾建瑶,姚冬梅.微信平台辅助下多元化健康教育在心脏瓣膜置换手术患者的应用[J].实用临床护理学电子杂志,2019,4(12):172,196.
[25] 万爱红,韩玉琴,宋爱华,等.同伴支持教育对农村城市化2型糖尿病患者生命质量的影响[J].中国实用护理杂志,2018,34(5):325-330.
[26] 杜姗菱,林锋,吴彪,等.医护一体化随访模式对肺结核合并乙肝患者预后的影响[J].重庆医学,2016,45(18):2586-2588.
[27] 吴挺实,陈钰,梁勇.个体化健康教育模式对改善稳定期慢阻肺患者行为和生活质量的作用[J].中国健康教育,2017,33(9):855-858.
[28] 张杰,王应兰.可视化健康教育对COPD稳定期患者健康行为及生活质量的影响[J].中国健康教育,2019,35(11):1036-1039,1055. |
|
|
|