Donabedian三维质量评价模型在男性早期胃癌患者内镜下粘膜剥离围手术期护理中的应用效果

Pub Date : 2023-01-01 DOI:10.22514/jomh.2023.078
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引用次数: 0

摘要

探讨Donabedian三维质量评价模型对早期男性胃癌患者内镜下粘膜剥离围手术期高质量护理的效果。78例男性早期胃癌患者随机分组,对照组39例接受常规护理,干预组39例接受常规护理并结合三维质量评价模型。比较两组患者的焦虑、抑郁、疼痛、生活质量及并发症等临床康复指标。干预组临床护理恢复指标得分高于对照组。两组健康调查问卷(SF-36)各维度得分均优于对照组,差异有统计学意义(p <0.05)。干预组并发症发生率为5.12%,对照组为20.5%。干预组并发症发生率低于对照组,差异有统计学意义(p <0.05)。应用三维质量评价模型治疗早期胃癌男性患者行内镜下粘膜剥离术,可提高临床恢复和生活质量,减少焦虑、抑郁、疼痛和并发症。
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Application effect of a Donabedian three-dimensional quality evaluation model in perioperative nursing of early gastric cancer male patients undergoing endoscopic mucosal dissection
The effect of Donabedian three-dimensional quality evaluation model is explored for the high-quality nursing during perioperative period of endoscopic mucosal dissection in early gastric cancer male patients. Seventy-eight early gastric cancer male patients were randomly grouped as 39 cases in control having received routine care, while 39 in the intervention group having received routine care combined with the three-dimensional quality evaluation model. Clinical recovery indicators including anxiety, depression, pain, life quality and complications were compared for the two groups. The intervention group’s clinical nursing recovery indicator scored higher than that of the control. The scores of each the short-form 36 item health survey questionnaire (SF-36) dimension were better than those of control, and the differences were statistically significant (p < 0.05). The incidence of complications in intervention group was 5.12%, and that in the control was 20.5%. The intervention group experienced less complications than the control, and the difference was statistically significant (p < 0.05). Treating early gastric cancer male patients with endoscopic mucosal dissection using three-dimensional quality evaluation model can improve clinical recovery and life quality, and reduce anxiety, depression, pain and complications.
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