目的：探讨以4C模式为导向的延伸护理服务在贲门癌患者术后患者中的应用效果。方法：选取本院2019年12月至2021年7月收治的88例贲门癌患者作为研究对象,采用随机信封法分为对照组、干预组,各44例。两组均采用手术治疗,对照组给予常规护理,在此基础上干预组给予4C模式为导向的延伸护理服务。比较两组患者焦虑自评量表(Self-rating Anxiety Scale, SAS)、抑郁自评量表(Self-Rating Depression Scale, SDS)、自我效能量表(General Self-efficacy Scale, GSES)、生活质量量表(Quality of Life Scale, QOLS)评分、并发症发生率及护理满意度。结果：与对照组比较,干预组SAS、SDS评分降低(P＜0.05);干预组GSES、QLQ-C30评分较对照组降低(P＜0.05);干预组并发症发生率(4.55%)低于对照组(18.18%)(P＜0.05);干预组护理满意度(97.93%)高于对照组(81.82%)(P＜0.05)。结论：以4C模式为导向的延伸护理服务可提升贲门癌患者自我效能,减轻负性情绪,降低术后并发症发生风险,还可提高其生活质量及护理满意度。
Objective:To explore the application effect of 4C model-oriented extended nursing service in patients with cardiac cancer after surgery. Methods: A total of 88 patients with cardiac cancer who were treated in our hospital from December 2019 to July 2021 were selected as the research objects, and divided into the control group and the experimental group using sealed envelope randomization with 44 cases in each group. Both groups were treated with surgery, the control group was given routine nursing, and the experimental group was given extended nursing services oriented by the 4C model. The scores of self-rating anxiety scale (SAS), self-rating depression scale (SDS), self-efficacy scale (GSES), quality of life scale (QOLS), incidence rate of complication and nursing satisfaction were compared between the two groups. Results: Compared with the control group, the SAS and SDS scores of the experimental group were decreased after intervention(P＜0.05). After nursing intervention, the GSES and QLQ-C30 scores of the experimental group were lower than those in the control group (P＜0.05). The incidence rate of complications in the experimental group was 4.55%, which was lower than that of the control group(18.18%) (P＜0.05). Nursing satisfaction in the experimental group was 97.93%, which was higher than that in the control group (81.82%) (P＜0.05). Conclusion: Extended nursing service oriented by 4C model could improve the self-efficacy, reduce negative emotions, reduce the incidence rate of postoperative complications, and improve the quality of life and nursing satisfaction of patients with cardiac cancer after surgery.
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