洪瑛 洪琳

【摘要】 目的：探究早期卵巢癌围术期应用医护一体化护理的临床价值。方法：选取69例早期卵巢癌患者，随机分成常规组（34例，常规围术期护理）、观察组（35例，常规组+医护一体化护理）。对比护理前后两组负性情绪、依从性、并发症。结果：护理后观察组贝克焦虑量表（BAI）、贝克抑郁量表（BDI）评分均低于常规组，完全依从率高于常规组，并发症发生率低于常规组，差异均有统计学意义（P<0.05）。结论：早期卵巢癌围术期应用医护一体化护理可改善患者负性情绪、依从性，减少并发症。

【关键词】 医护一体化护理; 早期卵巢癌; 围术期

doi：10.14033/j.cnki.cfmr.2019.27.040 文献标识码 B 文章编号 1674-6805（2019）27-00-03

Application of Integrated Nursing Care in the Perioperative Period of Early Ovarian Cancer/HONG Ying，HONG Lin.//Chinese and Foreign Medical Research，2019，17（27）：-95

【Abstract】 Objective：To explore the clinical value of integrated nursing care in the early stage of ovarian cancer.Method：Sixty-nine patients with early ovarian cancer were randomly divided into the conventional group（34 cases，routine perioperative nursing） and the observation group（35 cases，routine+integrated nursing care）.The negative emotions before and after treatment，compliance and complications between the two groups were compared.Result：After the nursing，the BAI and BDI scores of the observation group were lower than those of the conventional group，the complete compliance rate of the observation group was higher than that of the conventional group，the complication rate was lower than that of the conventional group，the differences were statistically significant（P<0.05）.Conclusion：The application of integrated nursing care in the early stage of ovarian cancer can improve negative emotion，compliance and reduce complications.

【Key words】 Integrated nursing care; Early ovarian cancer; Perioperative period

First-authors address：Ezhou Traditional Chinese Medicine Hospital，Ezhou 436000，China

卵巢癌是女性高发恶性肿瘤，具有恶性程度高、长期生存率低等特征，手术切除是当前临床治疗中常用方式[1]。由于该病患者通常存在恐惧、焦虑等负性情绪，加上手术对机体造成的损伤，导致在治疗中依从性不高，难以保障治疗、恢复的顺利进行，给临床护理也提出了新的挑战[2]。医护一体化护理是新型护理模式，当前在多种疾病中均有着广泛的应用，但关于其在早期卵巢癌围术期应用效果的研究尚少。为此，本研究将展开分析，现作如下报道。

1 资料与方法

1.1 一般资料

2017年5月-2019年2月在笔者所在医院接受手术治疗的早期卵巢癌患者中抽取69例，随机分成常规组、观察组。入选标准：与《卵巢癌临床实践指南（第一版）》中早期卵巢癌诊断标准相符[3]，经病理检查证实，符合手术适应证。排除标准：其他肿瘤、其他妇科疾病、中枢神经系统疾病、重要器官功能异常、传染性疾病、精神异常。常规组34例，年龄38～74岁，平均（54.2±7.8）歲，肿瘤直径……