预防性护理在前列腺癌患者放疗中的应用效果
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摘要
目的探讨预防性护理在前列腺癌患者放疗中的应用效果。方法选取2015年10月至2018年11月来我院治疗的60例前列腺癌患者为研究对象,将其按照随机数字表法分为对照组和试验组,各30例。两组患者均给予放疗。对照组采用常规护理干预,试验组采用预防性护理干预。比较两组患者的护理效果。结果干预前,两组患者的症状领域与功能领域评分比较,差异无统计学意义(P>0.05);干预后,两组患者的症状领域评分均降低,且试验组显著低于对照组(P<0.05);干预后,两组患者的性功能与干预前比较,差异无统计学意义(P>0.05);两组患者干预后的性功能评分比较,差异无统计学意义(P>0.05)。试验组患者的总体依从性高于对照组患者(P<0.05)。干预前,两组患者的主观幸福感评分无显著差异(P>0.05);干预后,两组患者的主观幸福感评分均升高,且试验组显著高于对照组(P<0.05)。试验组的放射性肠炎总发生率明显低于对照组(P<0.05)。结论对前列腺癌放疗患者实施预防性护理干预,对其生活质量、治疗依从性以及主观幸福感的提升有明显的促进作用,且对放射性肠炎的发生有较好的控制效果,临床意义重大,值得大力推广应用。
Objective To explore the application effect of preventive nursing in prostate cancer patients with radiotherapy.Methods Sixty patients with prostate cancer who were treated in our hospital from October 2015 to November 2018 were selected as the research objects, and the patients were divided into control group and experimental group according to random number table method, with 30 cases in each group. Both groups were given radioterapy. The control group was given routine nursing intervention, while the experimental group was given preventive nursing intervention. The nursing effects of the two groups were compared. Results Before intervention, there were no significant differences in the scores of symptom domain and function domain between the two groups(P >0.05); after intervention, the scores of symptom domain of the two groups decreased, and those in the experimental group were significantly lower than the control group(P <0.05); there was no significant difference in sexual function score between the two groups before and after intervention(P>0.05); there was no significant difference in sexual function score after intervention between the two groups(P>0.05). The overall compliance of the experimental group was higher than that of the control group(P <0.05). Before intervention, there was no significant difference in subjective well-being score between the two groups(P>0.05); after intervention, the subjective well-being score of both groups increased, and that in the experimental group was significantly higher than the control group(P<0.05). The total incidence of radiation enteritis in the experimental group was significantly lower than that in the control group(P <0.05).Conclusion Preventive nursing intervention for patients with prostate cancer undergoing radiotherapy can significantly improve quality of life, treatment compliance and subjective well-being. It has a good control effect on the occurrence of radiation enteritis and significant clinical significance, which is worthy of promotion and application.
Objective To explore the application effect of preventive nursing in prostate cancer patients with radiotherapy.Methods Sixty patients with prostate cancer who were treated in our hospital from October 2015 to November 2018 were selected as the research objects, and the patients were divided into control group and experimental group according to random number table method, with 30 cases in each group. Both groups were given radioterapy. The control group was given routine nursing intervention, while the experimental group was given preventive nursing intervention. The nursing effects of the two groups were compared. Results Before intervention, there were no significant differences in the scores of symptom domain and function domain between the two groups(P >0.05); after intervention, the scores of symptom domain of the two groups decreased, and those in the experimental group were significantly lower than the control group(P <0.05); there was no significant difference in sexual function score between the two groups before and after intervention(P>0.05); there was no significant difference in sexual function score after intervention between the two groups(P>0.05). The overall compliance of the experimental group was higher than that of the control group(P <0.05). Before intervention, there was no significant difference in subjective well-being score between the two groups(P>0.05); after intervention, the subjective well-being score of both groups increased, and that in the experimental group was significantly higher than the control group(P<0.05). The total incidence of radiation enteritis in the experimental group was significantly lower than that in the control group(P <0.05).Conclusion Preventive nursing intervention for patients with prostate cancer undergoing radiotherapy can significantly improve quality of life, treatment compliance and subjective well-being. It has a good control effect on the occurrence of radiation enteritis and significant clinical significance, which is worthy of promotion and application.
引文
[1]吴明珑,杜杏利.不同去势方法对晚期前列腺癌病人心理状态的影响[J].护理研究,2013,27(21):2257-2258.
[2]李傲梅,高杰,陆开宇,等.射波刀治疗前列腺癌致放射性直肠炎的护理[J].中华男科学杂志,2017,23(1):69-72.
[3]周雪丽.调强放射治疗前列腺癌后并发放射性直肠炎的护理[J].天津护理,2015,23(2):116.
[4]罗赛美.癌症患者生命质量测定量表体系之前列腺癌量表QLICPPR的研制与评价[D].昆明:昆明医科大学,2016.
[5]汪向东,王希林,马弘.心理卫生评定量表手册(增订版)[M].北京:中国心理卫生杂志社,1999:86-88.
[6]徐雪云.分段护理模式对前列腺癌患者生活质量及心境的影响[J].齐鲁护理杂志,2013,19(16):13-15.
[7]陈历赛,段宝凤,杨镛,等.125I粒子组织间植入治疗前列腺癌放射防护研究进展[J].护理研究,2015,29(5):517-520.
[8]俞丽美,陈月秀,陈芳,等.经腹膜外腹腔镜下前列腺癌根治术的手术护理配合[J].护理实践与研究,2013,10(20):112-113.
[2]李傲梅,高杰,陆开宇,等.射波刀治疗前列腺癌致放射性直肠炎的护理[J].中华男科学杂志,2017,23(1):69-72.
[3]周雪丽.调强放射治疗前列腺癌后并发放射性直肠炎的护理[J].天津护理,2015,23(2):116.
[4]罗赛美.癌症患者生命质量测定量表体系之前列腺癌量表QLICPPR的研制与评价[D].昆明:昆明医科大学,2016.
[5]汪向东,王希林,马弘.心理卫生评定量表手册(增订版)[M].北京:中国心理卫生杂志社,1999:86-88.
[6]徐雪云.分段护理模式对前列腺癌患者生活质量及心境的影响[J].齐鲁护理杂志,2013,19(16):13-15.
[7]陈历赛,段宝凤,杨镛,等.125I粒子组织间植入治疗前列腺癌放射防护研究进展[J].护理研究,2015,29(5):517-520.
[8]俞丽美,陈月秀,陈芳,等.经腹膜外腹腔镜下前列腺癌根治术的手术护理配合[J].护理实践与研究,2013,10(20):112-113.