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The effect of Snyder hope theory combined with medical and nursing integrated meticulous care on patients with colorectal cancer after operation

Published on Jun. 05, 2023Total Views: 1711 times Total Downloads: 511 times Download Mobile

Author: Qiong LI Xiao-Xia WEN Fang WANG Le-Chi YE Hong LIN

Affiliation: Department of Colorectal and Anal Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang Province, China

Keywords: Snyder hope theory Quality of life Integration of medical care Fine nursing Colorectal cancer

DOI: 10.12173/j.issn.1004-4337.202303180

Reference: Li Q, Wen XX, Wang F, Ye LC, Lin H. The effect of Snyder hope theory combined with medical and nursing integrated meticulous care on patients with colorectal cancer after operation[J]. Journal of Mathematical Medicine, 2023, 36(5): 363-369. DOI:10.12173/j.issn.1004-4337.202303180[Article in Chinese]

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Abstract

Objective  To analyze the impact of Snyder hope theory combined with medical and nursing integrated meticulous nursing care on pain scores and quality of life in postoperative patients with colorectal cancer.

Methods  92 patients with colorectal cancer (CRC) admitted to The First Affiliated Hospital of Wenzhou Medical University from January 2021 to December 2022 were selected for a randomized controlled trial. They were divided into a control group and a study group with 46 patients in each group. The control group received routine nursing care, while the research group received Snyder hope theory combined with integrated medical and nursing care. The psychological status of patients was evaluated using the Self-Rating Anxiety Scale (SAS)/Self-Rating Depression Scale (SDS), the pain level was evaluated using the Numerical Rating Scale (NRS), the hope level was evaluated using the Herth Hope Scale (HHI), and the quality of life was evaluated using the Short Form Health Questionnaire (SF-36).

Results  The SAS and SDS scores of the study group after nursing were lower than those of the control group (P<0.001); the NRS scores of the study group were lower than those of the control group on the 1st, 3rd, 5th, and 7th postoperative days (P<0.001); the study group showed higher scores for taking positive actions, maintaining close relationships with others, and having a positive attitude towards reality and the future after nursing care compared to the control group (P<0.05). After nursing, the SF-36 scores in the study group were higher than those in the control group (P<0.05); the satisfaction rate of the research group was higher than that of the control group (95.65% vs. 76.09%, P<0.05).

Conclusion  The application of Snyder hope theory combined with integrated medical and nursing care for patients after colorectal surgery is beneficial for reducing pain, promoting improvement in quality of life, improving patients' psychological state, increasing their hope level, and promoting increased satisfaction.

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1.赵王芳, 盛芝仁, 柳春波, 等. "互联网+护理服务"智能随访干预系统在结直肠肿瘤术后患者中的应用[J]. 护理与康复, 2023, 22(1): 37-41. [Zhao WF, Sheng ZR, Liu CB, et al. Application of "Internet plus Nursing Service" intelligent follow-up intervention system on patients after colorectal carcinoma surgery[J]. Nursing and Rehabilitation Journal, 2023, 22(1): 37-41.] DOI: 10.3969/j.issn.1671-9875.2023.01.008.

2.潘雨婷, 周思成, 曹少木, 等. 择期结直肠手术术前机械性肠道准备与抗生素肠道准备的研究进展[J]. 现代肿瘤医学, 2023, 31(3): 572-575. [Pan YT, Zhou SC, Cao SM, et al. Research progress of preoperative mechanical bowel preparation and antibiotic bowel preparation for elective colorectal surgery[J]. Journal of Modern Oncology, 2023, 31(3): 572-575.] DOI: 10.3969/j.issn.1672-4992.2023.03.036.

3.刘道勤, 徐佳, 封益飞, 等. 基于Snyder希望理论的护理模式在直肠癌根治术后永久性肠造口护理中的应用价值[J].实用临床医药杂志, 2022, 26(18): 131-135, 143. [Liu DQ, Xu J, Feng YF, et al. Application value of nursing mode based on Snyder's hope theory in permanent enterostomy nursing after radical rectal cancer surgery[J]. Journal of Clinical Medicine in Practice, 2022, 26(18): 131-135, 143] DOI: 10.7619/jcmp.20220724.

4.吕欢欢, 刘萌, 王芳. 以行为改变理论为基础的全程护理在结直肠术后造口患者中的应用效果[J].河南医学研究, 2022, 31(17): 3259-3261. [Lv HH, Liu M, Wang F. Application effect of full-course nursing based on behavior change theory in patients with ostomy after colorectal surgery[J]. Henan Medical Research, 2022, 31(17): 3259-3261.] DOI: 10.3969/j.issn.1004-437X.2022.17.057.

5.顾晋, 汪建平, 孙燕, 等. 中国结直肠癌诊疗规范(2017年版)[J]. 中华临床医师杂志(电子版), 2018, 12(1): 21. [Gu J, Wang JP, Sun Y, et al. Chinese knotting standards for diagnosis and treatment of colorectal cancer (2017 edition)[J]. Chinese Journal of Clinicians (Electronic Edition), 2018, 12(1): 21] DOI: CNKI:SUN:ZLYD.0.2018-01-003.

6.赵江楠, 沈彩霞, 张斌. 基于集束化护理的ERAS护理对结直肠肿瘤切除术患者术后恢复及预后的影响[J]. 海南医学, 2022, 33(2): 266-269. [Zhao JN, Shen CX, Zhang B. Effect of enhanced recovery after surgery nursing based on cluster nursing on postoperative recovery and prognosis of patients with colorectal tumor resection[J]. Hainan Medical Journal, 2022, 33(2): 266-269.] DOI: 10.3969/j.issn.1003-6350.2022.02.036.

7.曹慧, 李兰, 韦丽娇, 等. 基于加速康复外科理念的吴茱萸粗盐热敷联合穴位针灸理疗对结直肠癌术后肠功能恢复的影响研究[J]. 结直肠肛门外科, 2021, 27(6): 621-625. [Cao H, Li L, Wei LJ, et al. Effects of crude salt and Evodia rutaecarpa hot compress combined with acu-point acupuncture and physiotherapy based on the concept of enhanced recovery after surgery on intestinal function recovery for colorectal cancer[J]. Journal of Colorectal & Anal Surgery, 2021, 27(6): 621-625.] DOI: 10.19668/j.cnki.issn1674-0491.2021.06.027.

8.李兰, 韦瑞丽, 曹慧, 等. 快速康复外科理念指导下采用吴茱萸粗盐热敷腹部对结直肠癌术后患者肠道功能恢复的影响[J]. 结直肠肛门外科, 2021, 27(5): 508-510, 514. [Li L, Wei RL, Cao H, et al. Effects of abdominal heating pad with crude salt of Evodia rutaecarpa guided by the concept of enhanced recovery after surgery on intestinal function recovery in patients undergoing colorectal cancer surgery[J]. Journal of Colorectal & Anal Surgery, 2021, 27(5): 508-510, 514.] DOI: 10.19668/j.cnki.issn1674-0491.2021.05.025.

9.马俊红. 空气压力波治疗仪联合优质护理对腹腔镜下结直肠肿瘤切除术患者术后生命质量的影响[J]. 医疗装备, 2021, 34(12): 140-141. [Ma JH. The effect of air pressure wave therapy instrument combined with high-quality nursing on the quality of life of patients after laparoscopic colorectal tumor resection[J]. Chinese Journal of Medical Device, 2021,34(12): 140-141.] DOI: 10.3969/j.issn.1002-2376.2021.12.071.

10.王霞, 毛玲, 仰筱旺, 等. 基于聚焦解决模式的精细化造口干预对直肠癌术后患者病耻感及生活质量的影响[J]. 中国基层医药, 2021, 28(4): 627-631. [Wang X, Mao L, Yang XW, et al. Effect of refined ostomy based on solution-focused approach on stigma and quality of life in rectal cancer patients after surgery[J]. Chinese Journal of Primary Medicine and Pharmacy, 2021, 28(4): 627-631.] DOI: 10.3760/cma.j.issn.1008-6706.2021.04.033.

11.刘晓微, 王茜茜, 郑文钦. 早期肠内营养联合优化护理对结直肠肿瘤切除术后营养状态及康复的影响[J]. 中外医学研究, 2019, 17(21): 166-168. [Liu XW, Wang QQ, Zheng WQ. Effect of early enteral nutrition combined with optimized nursing on nutritional status and rehabilitation after resection of colorectal cancer[J]. Chinese and Foreign Medical Research, 2019, 17(21): 166-168.] DOI: 10.14033/j.cnki.cfmr.2019.21.071.

12.吴双. 基于积极心理学的延续护理联合PDSA循环对结直肠手术患者自我效能及生活质量的影响[J]. 齐齐哈尔医学院学报, 2020, 41(23): 3032-3035. [Wu S. Effect of continuous nursing based on positive psychology combined with PDSA circulation on self-efficacy and quality of life of patients undergoing colorectal surgery[J]. Journal of Qiqihar University of Medicine, 2020, 41(23): 3032-3035.] DOI: 10.3969/j.issn.1002-1256.2020.23.050.

13.刘燕, 路志红, 李建立, 等. 手术室护理干预对腹腔镜下结直肠肿瘤切除术患者术后康复的影响[J]. 中国肿瘤临床与康复, 2020, 27(4): 509-512. [Liu Y, Lu ZH, Li JL, et al. Effect of operating room nursing intervention on postoperative recovery in patients undergoing laparoscopic resection of colorectal tumors[J]. Chinese Journal of Clinical Oncology and Rehabilitation, 2020, 27(4): 509-512.] DOI: 10.13455/j.cnki.cjcor.2020.04.33.

14.高婷婷, 孔节. 手术室护理对腹腔镜下结直肠肿瘤切除术患者手术效果及术后恢复的影响观察[J]. 基层医学论坛, 2020, 24(9): 1249-1250. [Gao TT, Kong J. Observation of the effect of operating room nursing on the surgical effect and postoperative recovery of patients undergoing laparoscopic colorectal tumor resection[J]. The Medical Forum, 2020, 24(9): 1249-1250.] DOI: 10.19435/j.1672-1721.2020.09.041.

15.王俊华, 武椿, 张静, 等. 基于Snyder希望理论的延续性康复护理对喉癌术后出院患者的影响[J]. 护理实践与研究, 2021, 18(23): 3587-3591. [Wang JH, Wu C, Zhang J, et al. Effects of continuous rehabilitation nursing based on Snyder hope theory on discharged patients after laryngeal cancer surgery[J]. Nursing Practice and Research, 2021, 18(23): 3587-3591.] DOI: 10.3969/j.issn.1672-9676.2021.23.026.

16.姚海欣, 徐晓微, 王惠, 等. 医护一体化项目管理模式在经颈静脉肝内门体分流术患者中的应用研究[J]. 中国全科医学, 2020, 23(S2): 258-261. [Yao HX, Xu XW, Wang H, et al. Application of the integrated project management model in patients undergoing transjugular intrahepatic portosystemic shunt[J]. Chinese General Practice, 2020, 23(S2): 258-261.] http://www.cnki.com.cn/Article/CJFDTotal-QKYX2020S2093.htm.

17.李雪艳, 牟弘毅, 杜婷婷, 等. 家庭协作护理对结直肠癌化疗患者照顾负担及应对方式研究[J]. 医院管理论坛, 2021, 38(5): 62-65. [Li XY, Mou HY, Du TT, et al. Study on influence of family cooperative care on care burden and coping style of caregivers of colorectal cancer patients during chemotherapy[J]. Hospital Management Forum , 2021, 38(5): 62-65.] DOI: 10.3969/j.issn.1671-9069.2021.05.017.

18.刘明胜, 陈文超, 蔡颖畅. 半枝莲醇提取物调控circ_0092283/miR-198对结直肠癌细胞克隆形成和凋亡的影响[J]. 中国药师, 2021, 24(9): 1606-1611. [Liu MS, Chen WC, Cai YC. Effects of ethanol extract from bcutellaria barbata on colonization and apoptosis of colorectal cancer cells by regulating circ_0092283/miR-198[J]. Chinese Pharmacologist, 2021, 24(9): 1606-1611.]DOI: 10.19962/j.cnki.issn1008-049X.2021.09.004.

19.单丹妮, 宋芳华, 姜雪滨, 等. 替吉奥胶囊联合奥沙利铂治疗晚期结直肠癌疗效及对患者血清TGF-β1与Smad的影响观察[J]. 药物流行病学杂志, 2021, 30(4): 235-238. [Shan DN, Song FH, Jiang XB, et al. Efficacy and safety of tegafur, gineracil and oteracil potassium capsules combined with oxaliplatin in the treatment of advanced colorectal cancer and its effect on serum TGF-β1 and Smad[J]. Chinese Journal of Pharmacoepidemiology, 2021, 30(4): 235-238.] DOI: 10.19960/j.cnki.issn1005-0698.2021.04.004.

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