Influence of self-management on symptoms and quality of life in patients with hepatobiliary surgery
10.3760/j.issn.1674-2907.2014.21.020
- VernacularTitle:自我管理对肝胆疾病手术患者症状及生活质量的影响
- Author:
Chunyan LUO
1
;
Jun CHEN
;
Xiuhua CHENG
Author Information
1. 430060 武汉市第三医院外科换药室
- Keywords:
Quality of life;
Symptoms;
Self-management;
Hepatobiliary surgery
- From:
Chinese Journal of Modern Nursing
2014;20(21):2642-2645
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the influence of self-management on perioperative-related symptoms and quality of life in patients with hepatobiliary surgery .Methods Totals of 120 patients with hepatobiliary surgery were randomly divided into the control group and the intervention group by using a random number table , with 60 cases in each group .Patients in the control group received routine clinical care , while those in the intervention group were used the self-management .Patients ’ perioperative-related symptoms were surveyed by the Chinese Version of the Memorial Symptom Assessment Scale ( MSAS-Ch) on the first admitted to the hospital, the seventh day after surgery and one day before discharge .Patients’ quality of life was surveyed by the WHO Quality of Life Scale on the first admitted to the hospital and one day before discharge .The scores of symptoms and quality of life were compared before and after intervention .Results The scores of MSAS-Ch and quality of life before the intervention were (0.82 ±0.36)and (11.15 ±3.11) in the control group, and (0.79 ±0.34) and (11.77 ±3.01) in the intervention group.There were no significant differences between two groups (t=0.469, 1.110, respectively;P>0.05).In the control group, the scores of symptoms on the first admitted to the hospital, the seventh day after surgery and one day before discharge were (0.82 ±0.36), (0.84 ±0.23) and (0.62 ±0.18), respectively.Those scores of the intervention group were (0.79 ±0.34), (0.43 ±0.21) and (0.18 ±0.09),respectively.The differences of time effect , group effect and interaction effect were statistically significant (P<0.05).After the invention, the score of physiology dimension in the control group and the total score and other six dimensions in the intervention group were significantly higher than those before the invention (P<0.05).Except for physiology dimension , the total score of quality of life and scores of other five dimensions in the intervention group were significantly higher than those in the control group (P<0.05).Conclusions Self-management can effectively reduce the level of diseased -related symptoms in patients after hepatobiliary surgery and improve patients ’ quality of life.
