Effect of collaborative care model on the toxicity of chemotherapy combined with TACE in the treatment of gastric cancer with liver metastasis
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摘要: 目的 研究协同护理模式对化疗联合TACE治疗胃癌伴肝转移患者毒副反应的影响,以提高晚期胃癌患者的生存质量。 方法 选取2014年1月-2016年3月入住哈尔滨医科大学附属肿瘤医院普外科治疗的明确诊断为胃癌伴有肝转移的患者80例,所有患者给予统一化疗和TACE治疗方案。随机将患者分为观察组(40例)和对照组(40例),观察组采用协同护理模式,对照组给予常规护理。采用SPSS 22.0统计学软件对2组患者治疗前后抑郁心理、治疗发生的毒副反应组间比较采用t检验、对护理工作的满意度进行秩和检验,综合评价协同护理模式对肝癌患者毒副反应发生的影响。 结果 观察组的患者在治疗14 d后抑郁状态评分与入院前比较差异有统计学意义(P<0.05);观察组患者治疗14 d后与对照组治疗14 d后抑郁状态评分比较差异有统计学意义(P<0.05);协同护理模式组与常规护理组比较,恶心呕吐、口腔黏膜炎、肾功能损害、感染、骨髓抑制发生率均较低,差异均有统计学意义(均P<0.05);观察组满意度[36例(90.0%)]显著高于对照组[29例(72.0%)],差异有统计学意义(P<0.05)。 结论 对化疗联合TACE治疗胃癌伴肝转移的患者实施协同护理模式,能够明显减轻患者的不良情绪,降低毒副反应的发生率,提高患者的依从性,有利于帮助患者顺利完成治疗,提升患者生活质量。Abstract: Objective To study the effects of collaborative nursing model on the toxicity of chemotherapy combined with TACE in the treatment of gastric cancer with liver metastasis. Methods From January, 2014 to March, 2016, 80 cases of patients with liver metastases from gastric cancer were diagnosed in our hospital. All patients were treated with unified chemotherapy and TACE treatment. The patients were randomly divided into observation group (40 cases) and control group (40 cases). Via SPSS 22.0, the depression before and after the treatment, toxic and side effects of the treatments were compared with t test. And the satisfaction of nursing work was analyzed with variance analysis. Comprehensive evaluation of collaborative care model on the incidence of adverse reactions in patients with liver cancer was made. Results The depression score of patients in the observation group after 14 days of treatment had significant difference compared to that before admission (P<0.05); depression scores of the observation group and those of the control group after 14 days of treatment had significant difference (P<0.05); between collaborative care group and routine nursing group, nausea and vomiting, mucositis, renal dysfunction, infection, bone marrow suppression rate were lower, with statistical significance (P<0.05); the satisfaction rate of 36 cases in the observation group was 90%, significantly higher than that of 29 cases in the control group which was 72%, and the difference was statistically significant (P<0.05). Conclusion Collaborative nursing model of chemotherapy combined with TACE in the treatment of gastric cancer with liver metastasis can reduce the negative emotions of patients, reduce the adverse reaction rate, reduce the pain of patients, provide high compliance of the patients and help patients smoothly complete treatment plan.
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Key words:
- Collaborative nursing model /
- Gastric cancer with liver metastasis /
- Chemotherapy /
- TACE
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