综合护理干预在妇科恶性肿瘤腹腔热灌注化疗患者中的应用效果
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摘要
目的探讨综合护理干预在妇科恶性肿瘤腹腔热灌注化疗患者中的应用效果。方法选择2015年9月～2017年7月在我院妇科二区住院实施腹腔热灌注化疗的112例妇科恶性肿瘤患者作为研究对象,按照随机数字表法将其分为观察组和对照组,每组各56例。对照组患者实施常规护理方法;观察组患者在对照组的护理基础上,实施综合护理干预。比较两组患者护理干预前后的焦虑、抑郁情绪变化,对两组患者的不良反应发生情况及护理满意度进行统计学分析。结果观察组患者的焦虑自评量表(SAS)、抑郁自评量表(SDS)得分均显著低于对照组,差异有统计学意义(P<0.05)。观察组患者的不良反应总发生率低于对照组,差异有统计学意义(P<0.05),观察组患者的护理总满意度高于对照组,差异有统计学意义(P<0.05)。结论综合护理干预应用于妇科恶性肿瘤腹腔热灌注化疗患者的效果良好,不仅能改善患者的焦虑、抑郁情绪,有效降低不良反应发生率,而且能够提高患者对护理的满意度,有效促进患者康复,值得推广应用。
Objective To explore the application effect of comprehensive nursing intervention in patients with gynecological malignant tumor undergoing hyperthermic intra peritoneal chemotherapy. Methods From September 2015 to July2017, 112 cases of gynecological malignant tumor who were hospitalized in the the second area of department of gynaecology in our hospital for hyperthermic intra peritoneal chemotherapy were selected as subjects. According to the random number table method, they were divided into observation group and control group, 56 cases in each group. The control group carried out routine nursing methods, on the basis of nursing care, the observation group implemented comprehensive nursing intervention. The changes of anxiety and depression before and after nursing intervention were compared between the two groups, and the occurrence of adverse reactions and nursing satisfaction in the two groups were statistically analyzed. Results The scores of self-rating anxiety scale(SAS) and self-rating depression scale(SDS)in the observation group were significantly lower than those in the control group, the differences were statistically significant(P<0.05). The total incidence of adverse reactions in the observation group was lower than that in the control group, and the difference was statistically significant(P<0.05). The total nursing satisfaction of the observation group was higher than that of the control group, and the difference was statistically significant(P<0.05). Conclusion Comprehensive nursing intervention was applied to patients′ with gynecological malignant tumor undergoing hyperthermic intra peritoneal chemotherapy. It can not only improve the patients′ anxiety and depression, reduce the incidence of adverse reactions, but also improve the patients′ satisfaction with nursing and effectively promote the recovery of patients which is worth promoting.
Objective To explore the application effect of comprehensive nursing intervention in patients with gynecological malignant tumor undergoing hyperthermic intra peritoneal chemotherapy. Methods From September 2015 to July2017, 112 cases of gynecological malignant tumor who were hospitalized in the the second area of department of gynaecology in our hospital for hyperthermic intra peritoneal chemotherapy were selected as subjects. According to the random number table method, they were divided into observation group and control group, 56 cases in each group. The control group carried out routine nursing methods, on the basis of nursing care, the observation group implemented comprehensive nursing intervention. The changes of anxiety and depression before and after nursing intervention were compared between the two groups, and the occurrence of adverse reactions and nursing satisfaction in the two groups were statistically analyzed. Results The scores of self-rating anxiety scale(SAS) and self-rating depression scale(SDS)in the observation group were significantly lower than those in the control group, the differences were statistically significant(P<0.05). The total incidence of adverse reactions in the observation group was lower than that in the control group, and the difference was statistically significant(P<0.05). The total nursing satisfaction of the observation group was higher than that of the control group, and the difference was statistically significant(P<0.05). Conclusion Comprehensive nursing intervention was applied to patients′ with gynecological malignant tumor undergoing hyperthermic intra peritoneal chemotherapy. It can not only improve the patients′ anxiety and depression, reduce the incidence of adverse reactions, but also improve the patients′ satisfaction with nursing and effectively promote the recovery of patients which is worth promoting.
引文
[1]李晶,林仲秋.妇科恶性肿瘤腹腔热灌注化疗临床应用专家共识[J].中国实用妇科与产科杂志,2017,33(9):926-932.
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[12]朱晓慧,甄莉,吴慧琴,等.腹腔热灌注化疗过程中管路不通的原因分析及护理[J].全科护理,2018,16(11):1367-1369.
[13]赵娜,徐爱丽.护理干预对早期卵巢癌患者术后行腹腔热灌注化疗的影响[J].河北医药,2018,40(15):2377-2379.
[14]王少静.综合护理干预在卵巢癌术后患者腹腔热灌注化疗中的应用效果观察[J].河南医学研究,2018,27(9):1701-1702.
[15]张静华.综合护理干预对妇科恶性肿瘤患者术后化疗的影响[J].齐鲁护理杂志,2012,18(23):27-28.
[16]陈雪莲.护理干预对妇科恶性肿瘤术后化疗病人生活质量的影响[J].全科护理,2013,11(10):912-913.
[2]姚田,李小平,王建六.妇科恶性肿瘤腹腔热灌注化疗研究进展[J].中国妇产科临床杂志,2017,18(6):559-561.
[3]丘爱平,陆勤,邓燕贞.整体护理在胃肠道肿瘤患者围术期腹腔热灌注化疗中的应用[J].齐鲁护理杂志,2016,22(18):12-14.
[4]吴素素.全面护理干预在进展期胃癌患者围术期腹腔热灌注化疗中的应用[J].齐鲁护理杂志,2017,23(14):77-78.
[5]徐晓霞,郭燕.胃肠道肿瘤患者围术期腹腔热灌注化疗的护理[J].中国实用护理杂志,2012,28(34):47-48.
[6]陈曦.32例腹腔热灌注化疗患者的护理[J].天津护理,2017,25(1):40-41.
[7]金风琴,辛庆锋,杨庆仁.42例晚期卵巢癌合并腹腔积液病人行腹腔热灌注化疗的护理[J].全科护理,2017,15(7):843-844.
[8]马莹,张小娟.全程护理干预在卵巢癌患者腹腔热灌注化疗中的应用[J].齐鲁护理杂志,2017,23(16):83-84.
[9]许玲.妇科恶性肿瘤化疗病人护理干预效果分析[J].全科护理,2010,8(5):1264-1265.
[10]李明天,吴枚禅,卢云媚.卵巢癌病人使用腹腔热灌注机化疗术中护理[J].全科护理,2014,12(4):162-163.
[11]林丽芳.综合护理干预模式在恶性肿瘤化疗患者中的应用[J].齐鲁护理杂志,2012,18(33):37-38.
[12]朱晓慧,甄莉,吴慧琴,等.腹腔热灌注化疗过程中管路不通的原因分析及护理[J].全科护理,2018,16(11):1367-1369.
[13]赵娜,徐爱丽.护理干预对早期卵巢癌患者术后行腹腔热灌注化疗的影响[J].河北医药,2018,40(15):2377-2379.
[14]王少静.综合护理干预在卵巢癌术后患者腹腔热灌注化疗中的应用效果观察[J].河南医学研究,2018,27(9):1701-1702.
[15]张静华.综合护理干预对妇科恶性肿瘤患者术后化疗的影响[J].齐鲁护理杂志,2012,18(23):27-28.
[16]陈雪莲.护理干预对妇科恶性肿瘤术后化疗病人生活质量的影响[J].全科护理,2013,11(10):912-913.