综合护理干预在宫颈癌放疗患者中的应用效果探讨
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摘要
目的探讨综合护理干预在宫颈癌放疗患者中的应用效果。方法随机选择该院在2012年1月—2017年12月期间接受放疗的患者100例,按照随机对照表法将全部患者分为观察组(50例)和对照组(50例)。对照组50例患者采用的是常规护理措施,观察组在常规护理的基础上采取综合护理干预,内容包括:心理护理、健康教育、饮食指导、不良反应的护理以及出院指导。比较两组患者不良反应发生率、生活质量评分及护理满意度。结果观察组中放射性皮炎8例(16.0%),造血系统不良反应5例(10.0%),膀胱放射反应3例(6.0%),放射性肠炎2例(4.0%),对照组中放射性皮炎17例(34.0%),造血系统不良反应13例(26.0%),膀胱放射反应10例(20.0%),放射性肠炎9例(18.0%),两组各项不良反应发生率相比均差异有统计学意义(χ~2=4.320,、4.336、4.332、5.005);观察组的心理维度(17.2±5.3)分、生理维度(15.4±4.1)分、环境维度(15.1±4.8)分、社会维度(14.8±4.5)分,对照组的心理维度(11.9±4.2)分、生理维度(9.6±3.3)分、环境维度(11.3±4.5)分、社会维度(10.7±3.6)分,各项评分均差异有统计学意义(t=5.542、7.792、4.083、5.031,P<0.01)。结论综合护理干预可以有效预防和减少宫颈癌放疗患者的不良反应,提高患者的生活质量,提高护理满意度,值得临床推广应用。
Objective To explore the application effect of comprehensive nursing intervention in patients with cervical cancer radiotherapy. Methods 100 patients who underwent radiotherapy between January 2012 and December 2017 were randomly selected. All patients were divided into observation group(50 cases) and control group(50 cases) according to the randomized table method. In the control group, 50 patients were treated with routine nursing measures.The observation group took comprehensive nursing intervention on the basis of routine nursing, including psychological nursing, health education, diet guidance, adverse reaction nursing and discharge guidance. The incidence of adverse reactions, quality of life scores and nursing satisfaction were compared between the two groups. Results In the observation group, 8 cases(16.0%) of radiation dermatitis, 5 cases(10.0%) of adverse reactions of hematopoietic system, 3 cases(6.0%) of bladder radiation reaction, 2 cases(4.0%) of radiation enteritis, and radiation dermatitis in control group17 cases of(34.0%), 13 cases(26.0%) had adverse reactions in the hematopoietic system, 10 cases(20.0%) had bladder radiation reaction, and 9 cases(18.0%) had radiation enteritis. The incidence of adverse reactions in both groups was(χ~2=4.320, 4.336, 4.332, 5.005, P<0.05); psychological dimensions of the observation group(17.2±5.3)points, physiological dimensions(15.4±4.1)points, environmental dimension(15.1±4.8)points, social dimension(14.8±4.5)points, the psychological dimension of the control group(11.9±4.2)points, physiological dimension(9.6±3.3)points, environmental dimension(11.3 ±4.5)points, social dimension(10.7 ±3.6)points, the different was statistically significant(t =5.542, 7.792,4.083, 5.031, P<0.01). Conclusion Comprehensive nursing intervention can effectively prevent and reduce the adverse reactions of patients with cervical cancer radiotherapy, improve the quality of life of patients and improve the satisfaction of nursing. It is worthy of clinical application.
Objective To explore the application effect of comprehensive nursing intervention in patients with cervical cancer radiotherapy. Methods 100 patients who underwent radiotherapy between January 2012 and December 2017 were randomly selected. All patients were divided into observation group(50 cases) and control group(50 cases) according to the randomized table method. In the control group, 50 patients were treated with routine nursing measures.The observation group took comprehensive nursing intervention on the basis of routine nursing, including psychological nursing, health education, diet guidance, adverse reaction nursing and discharge guidance. The incidence of adverse reactions, quality of life scores and nursing satisfaction were compared between the two groups. Results In the observation group, 8 cases(16.0%) of radiation dermatitis, 5 cases(10.0%) of adverse reactions of hematopoietic system, 3 cases(6.0%) of bladder radiation reaction, 2 cases(4.0%) of radiation enteritis, and radiation dermatitis in control group17 cases of(34.0%), 13 cases(26.0%) had adverse reactions in the hematopoietic system, 10 cases(20.0%) had bladder radiation reaction, and 9 cases(18.0%) had radiation enteritis. The incidence of adverse reactions in both groups was(χ~2=4.320, 4.336, 4.332, 5.005, P<0.05); psychological dimensions of the observation group(17.2±5.3)points, physiological dimensions(15.4±4.1)points, environmental dimension(15.1±4.8)points, social dimension(14.8±4.5)points, the psychological dimension of the control group(11.9±4.2)points, physiological dimension(9.6±3.3)points, environmental dimension(11.3 ±4.5)points, social dimension(10.7 ±3.6)points, the different was statistically significant(t =5.542, 7.792,4.083, 5.031, P<0.01). Conclusion Comprehensive nursing intervention can effectively prevent and reduce the adverse reactions of patients with cervical cancer radiotherapy, improve the quality of life of patients and improve the satisfaction of nursing. It is worthy of clinical application.
引文
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[2]邓晓薛,黄幼珍.护理干预应用于宫颈癌放疗患者急性胃肠道反应的观察[J].医学理论与实践,2016,29(24):3412-3413.
[3]程萍,郭月新.综合护理干预对宫颈癌放疗88例患者临床效果观察[J].黑龙江医药,2016,29(3):595-597.
[4]王玉华.探讨中晚期宫颈癌患者进行腔内放疗的护理措施[J].中国实用医药,2016,11(11):233-234.
[5]王丽,石洁.舒适护理模式对宫颈癌放疗患者毒副反应及生活质量的影响[J].国际护理学杂志,2016,35(22):2203-2206.
[6]龚智逊,徐英,徐晶晶,等.人文关怀护理对宫颈癌放疗患者的临床效果[J].检验医学与临床,2016,13(17):2494-2495.
[7]谢幸,苟文丽.妇产科学[M].8版.北京:人民卫生出版社,2013:304.
[8]曹桂霞.综合护理干预应用于宫颈癌放疗患者的临床效果研究[J].实用临床护理学杂志,2017,2(52):131-132.