叶张艳　潘雅珍　季庆华

[摘要] 目的 评估责任制护理对宫颈癌患者护理质量的价值。 方法 选取2016年7月～2017年4月收治的宫颈癌患者140例作为研究对象，按照单双号法分为对照组（70例）和干预组（70例），对照组实施常规护理，干预组实施责任制护理，比较两组生活质量、并发症发生率、护理满意度。 结果 护理后干预组物质生活、心理状态、社会功能、躯体功能等护理质量评分明显高于对照组，组间差异具有统计学意义（P<0.05）；对照组并发症发生率高于干预组，护理满意度低于干预组，两组间差异存在统计学意义（P<0.05）。 结论 责任制护理可显著改善宫颈癌患者的生活质量，预防和减少并发症，提高护理满意度，可作为理想护理方案推广使用。

[关键词] 宫颈癌；责任制护理；护理质量；并发症

[中图分类号] R473.73 [文献标识码] B [文章编号] 1673-9701（2018）20-0161-04

Evaluation of the value of primary nursing in treatment of patients with cervical cancer

YE Zhangyan PAN Yazhen JI Qinghua YANG Huifen

Department of Obstetrics and Gynecology， the Central Hospital of Lishui City in Zhejiang Province， Lishui 323000， China

[Abstract] Objective To evaluate the value of primary nursing in treatment of patients with cervical cancer. Methods 140 patients with cervical cancer who were treated in our hospital from July 2016 to April 2017 were selected and randomly divided into control group（70 cases） and intervention group（70 cases） by the odevity method. The patients in control group were treated with routine care， while the intervention group received primary nursing. We compared life quality， incidence of complications and nursing satisfaction of each group. Results The nursing quality scores of life quality， mental state， social function and physical function in intervention group after nursing were significantly higher than the control group and there were significant differences between the scores of two groups（P<0.05）. The morbidity of complications in the control group was higher than the intervention group， while the nursing satisfaction in the control group was lower than the intervention group. Both the differences between the two group were significant（P<0.05）. Conclusion Primary nursing in treatment of patients with cervical cancer can significantly improve life quality of the patients， prevent and reduce the incidence of complications and enhance degree of nursing satisfaction， deserving popularization as an ideal nursing plan.

[Key words] Cervical cancer； Primary nursing； Nursing quality； Complications

宮颈癌是临床妇科非常常见的一种恶性肿瘤，其严重威胁广大患者的身体健康和生命安全[1-3]。该病癌前病变时间比较长，但具有一定的可逆性，而尽早检查和控制宫颈癌危险因素，早期予以科学诊断和针对性治疗，有利于显著提高疾病治愈率，改善预后[4-5]。现阶段临床针对宫颈癌或癌前病变指征明显的患者首选手术治疗，围术期护理质量的高低会直接对手术疗效和患者生存质量产生影响。责任制护理是通过合理利用患者的社会关系，强化性生活方面的科学指导、有效预防并发症、加强心理干预、创建和谐友好的护患关系等多方面系统性护理干预的方式。本文选取2016年7月～2017年4月收治的宫颈癌患者140例作为研究对象，按照单双号法分为对照组和干预组，对照组实施常规护理，干预组实施责任制护理，现报道如下。

1 资料与方法

1.1 一般资料

选取2016年7月～2017年4月收治的宫颈癌患者140例作为研究对象，纳入标准：（1）所有患者均符合《妇科学》中宫颈癌的相关诊断标准；……