摘 要：
本研究旨在将延续护理模式应用于重症肾上腺肿瘤患者，并初步评价基于延续性护理干预对重症肾上腺肿瘤患者的护理效果。选取2019年7月至2020年6月收治的110例患者，分为两组：观察组（n = 55）接受常规治疗，对照组（n = 55）接受延续性护理治疗。第一次下床，术后72小时睡眠时间，术后72小时视觉模拟评分，住院时间，上肢肿胀消退时间，自评焦虑量表，症状检查表，生活质量评分，自评抑郁的癌症患者在两组之间的比较。统计学分析采用t检验和χ2检验。首次起床、上肢肿胀消退时间和住院时间显著缩短，术后72小时睡眠时间显著延长，术后72小时视觉模拟评分显著低于对照组。在接受护理干预后，躯体化评分、焦虑、抑郁症、焦虑自评量表、自评抑郁量表和生活质量评分明显更低，积极的应对方式和消极应对观察组的得分明显高于对照组。基于延续性模式的护理干预，可促进重症肾上腺肿瘤患者身体功能恢复，减轻心理压力和负面情绪，提高生活质量。
关键字：肾上腺肿瘤；延续性护理
Abstract：
This study aimed to apply the continuum of care model to patients with severe adrenal tumors and to initially evaluate the effects of continuous care interventions for the care of patients with severe adrenal tumors. A total of 110 patients admitted from July 2019 to June 2020 were divided into two groups: the observation group (n = 55) received usual treatment, and the control group (n = 55) received continuous care treatment. First time out of bed, 72 hours postoperative sleep, 72 hours postoperative visual analogue score, length of hospital stay, time to resolution of upper extremity swelling, self-rated anxiety scale, symptom checklist, quality of life score, self-rated depression of cancer patients compared between the two groups. The statistical analysis was performed using the t-test and the χ2 test. The time of first time to get up, the time of upper limb swelling subsiding and hospital stay were significantly shortened, the sleep time of 72 hours after surgery was significantly prolonged, and the visual analogue score of 72 hours after surgery was significantly lower than that of the control group. After receiving the nursing intervention, somatic scores, anxiety, depression, anxiety self-rating scale, self-rated depression scale, and quality of life scores were significantly lower, and positive coping style and passive coping observation groups scored significantly higher than control groups. Nursing interventions based on the continuation model can promote the recovery of physical functions in patients with severe adrenal tumors, reduce psychological stress and negative emotions, and improve quality of life.
Keywords: adrenal tumors; continuity of care
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