The positive effect of whole-process health management on the quality of life of patients with upper gastrointestinal cancer after surgery
全程健康管理对上消化道肿瘤术后患者生存质量的正向影响

摘要

目的 探究延续性随访护理方式对上消化道肿瘤术后患者生存质量的正向影响。方法 选取2023年1月至2023年12月期间在本医院就诊的上消化道肿瘤患者100例，随机分为对照组和观察组，每组50人。对照组采用常规护理模式，观察组在常规护理基础上，采用延续性随访护理模式。通过对上消化道肿瘤术后患者进行为期一年的全程健康管理，评估其在复诊情况、营养状况、复发转移情况、并发症发生率、生存率及生活质量等方面的改善情况。结果 观察组患者术后复诊率、吻合口狭窄发生率、胃排空障碍发生率均低于对照组，差异有统计学意义（P<0.05）。观察组患者术后恢复正常普通饮食时间早于对照组，进食量和进食次数均高于对照组，差异有统计学意义（P<0.001）；采用SF-36量表评估两组患者的生存质量，结果显示观察组患者在生理功能、社会功能、情感职能等维度上的评分均高于对照组，差异有统计学意义（P<0.001）；检测两组患者的血清白蛋白、血红蛋白等营养指标，结果显示观察组患者的血清白蛋白、血红蛋白、BMI水平均高于对照组，差异有统计学意义（P<0.05）结论 以延续性随访护理进行全程健康管理，有效提高上消化道肿瘤术后患者的生存质量，降低并发症发生率，并改善患者营养状况。

Abstract

Objective To explore the positive effect of continuous follow-up nursing on the quality of life of patients with upper gastrointestinal cancer after surgery.
Methods A total of 100 patients with upper gastrointestinal tract tumors who were admitted to our hospital from January 2023 to December 2023 were randomly divided into control group and observation group, with 50 patients in each group. The control group was treated with routine care, and the observation group was followed by a continuous follow-up care model on the basis of routine care. Through a one-year whole-process health management of patients with upper gastrointestinal tract tumors, the improvement of follow-up visits, nutritional status, recurrence and metastasis, complication rate, survival rate and quality of life was evaluated.
Results The postoperative follow-up rate, anastomotic stenosis and gastric emptying disorder in the observation group were significantly lower than those in the control group (P<0.05). The patients in the observation group returned to normal diet earlier than the control group, and the amount and frequency of food were higher than those in the control group, and the difference was statistically significant(P<0.001). The SF-36 scale was used to evaluate the quality of life of the two groups, and the results showed that the scores of physiological function, social function and emotional function in the observation group were higher than those in the control group, and the difference was statistically significant(P<0.001). The serum albumin, hemoglobin and other nutritional indexes of the two groups were detected, and the results showed that the serum albumin, hemoglobin and BMI levels of the observation group were higher than those of the control group, and the difference was statistically significant(P<0.05).
Conclusion   The whole process of health management with continuous follow-up nursing can effectively improve the quality of life of patients with upper gastrointestinal tumors after surgery, reduce the incidence of complications, and improve the nutritional status of patients.