Abstract:

Objective　To investigate the effect of self-care mode under the framework of chronic disease trajectory on the prognostic survival quality of elderly patients with gastric carcinoma undergoing gastrectomy. Methods　A total of 98 patients who underwent gastrectomy for gastric carcinoma at Henan Provincial People's Hospital from March 2020 to March 2022 were selected and divided into a control group (47 cases) and an experimental group (51 cases) according to whether they received the self-care mode under the framework of chronic disease trajectory after the surgery. There were 26 males and 21 females in the control group; they were (76.90±6.43) years old. There were 26 males and 25 females in the experimental group; they were (73.76±6.38) years old. The control group took conventional nursing care; in addition, the experimental group took the chronic disease trajectory stage-guided self-care mode (CDTIM). The scores of Post-Gastrectomy Syndrome Assessment Scale (PGSAS-45), unplanned admission rates within 1 month after surgery, scores of Psychological Resilience Scale (CD-RISC), and patient satisfaction were compared between the two groups after the nursing intervention. χ² and t tests were applied. Results　After the nursing intervention, the score of PGSAS-45 in the experimental group was higher than that in the control group [(510.25±90.66) vs. (470.26±70.06)], with a statistical difference (t=10.002, P<0.05). After the nursing intervention, the unplanned admission rate in the experimental group was lower than that in the control group [19.61% (10/51) vs. 38.30% (18/47)], with a statistical difference (χ²=4.19, P<0.05). After the nursing intervention, the score of CD-RISC in the experimental group was higher than that in the control group [(66.15±10.25) vs. (57.25±8.39)], with a statistical difference (t=4.826, P<0.05). After the nursing intervention, the score of patient satisfaction in the experimental group was higher than that in the control group [(95.26±10.33) vs. (92.22±9.39)], with a statistical difference (t=2.672, P<0.05). Conclusion　The self-care mode under the framework of chronic disease trajectory for elderly patients after gastrectomy for gastric carcinoma is effective and can improve their prognostic survival quality, so it is worthy of clinical promotion.

Key words:

Gastric carcinoma, Resection, Prognosis, Framework of chronic disease trajectory, Self-care, Elderly patients

摘要：

目的　探讨慢性疾病轨迹框架下自我护理模式对老年胃癌切除术患者的预后生存质量。方法　选取2020年3月至2022年3月河南省人民医院就诊并接受胃癌切除术的患者，共98例，依据术后是否接受慢性疾病轨迹框架下自我护理模式分为对照组（47例）和试验组（51例）。对照组男26例、女21例，年龄（76.90±6.43）岁，行常规护理方案；试验组男26例、女25例，年龄（73.76±6.38）岁，在对照组护理方案基础上接受慢性疾病轨迹分期指导下自我护理模式（CDTIM）。比较两组患者经护理干预后胃切除术后综合征评估量表（PGSAS-45）评分、非计划入院率、心理弹性量表（CD-RISC）评分、患者满意度。统计学方法采用χ²检验、t检验。结果　干预后，试验组PGSAS-45评分高于对照组［（510.25±90.66）分比（470.26±70.06）分］，差异有统计学意义（t=10.002，P<0.05）。干预后，试验组患者1个月内非计划入院率低于对照组［19.61%（10/51）比38.30%（18/47）］，差异有统计学意义（χ²=4.19，P<0.05）。干预后，试验组CD-RISC评分高于对照组［（66.15±10.25）分比（57.25±8.39）分］，差异有统计学意义（t=4.826，P<0.05）。干预后，试验组患者满意度调查评分高于对照组［（95.26±10.33）分比（92.22±9.39）分］，差异有统计学意义（t=2.672，P<0.05）。结论　慢性疾病轨迹框架下自我护理模式在胃癌切除术后老年患者护理中的效果明显，可提高其预后生存质量，值得临床推广。

关键词:

胃癌, 切除术, 预后, 慢性疾病轨迹框架, 自我护理, 老年患者