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| Effect of Nursing Intervention Based on Chronic Disease Track Mode in Patients with Esophageal Cancer under Thoracoscope |
| LEI Xiuwen, ZHU Xiaolei |
| Zhang Ye People's Hospital Affiliated to Hexi University, Zhangye 734000, China |
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Abstract Objective: To explore the effect of nursing intervention based on chronic disease track mode in patients with esophageal cancer under thoracoscope. Method: A total of 120 patients with esophageal cancer who underwent thoracoscopic surgery in the Cardiothoracic Oncology Department of Zhang Ye People's Hospital Affiliated to Hexi University from January 2018 to May 2021 were selected, used the method of random numbers, all patients were divided into control group 60 cases and observation group 60 cases. The patients in the control group received routine nursing intervention, the patients in the observation group received nursing intervention based on the chronic disease track mode on the basis of the control group. The negative emotions [Hamilton depression scale (HAMD), Hamilton anxiety scale (HAMA)], self-management effectiveness [Chinese version of strategies used by people to promote health (SUPPH)], quality of life [quality of life measurement scale (EORTCQOL-C30)], disease knowledge awareness, and compliance behavior before and after treatment were compared between the two groups. The compliance behavior and postoperative complications of the two groups were compared. Result: Before intervention, there were no significant differences in HAMA scores, HAMD scores, self-management efficiency scores, quality of life scores and disease knowledge awareness scores between the two groups (P>0.05). After intervention, the scores of HAMA and HAMD in the two groups were lower than those before intervention, and the scores of self-management efficacy, quality of life and disease knowledge were higher than those before intervention (P<0.05). After intervention, the scores of HAMA and HAMD in the observation group were lower than those in the control group, and the scores of self-management efficacy, quality of life and disease knowledge were higher than those in the control group (P<0.05). After intervention, the score of compliance behavior in the observation group was higher than that in the control group (P<0.05). The incidence of postoperative complications in the observation group was lower than that in the control group (P<0.05). Conclusion: The nursing intervention based on the chronic disease track mode is applied to the population of esophageal cancer patients undergoing thoracoscopic surgery, which is beneficial to improve the patients' adverse emotional reaction, improve the patients' self-management efficiency and quality of life, increase the patients' knowledge of disease and the level of medical compliance, and reduce the incidence of postoperative complications, it is worth popularizing and applying in clinical work.
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Received: 08 October 2022
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