Application of continuity nursing in targeted treatment of HER2 positive gastric cancer patients and the impact on quality of life
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摘要: 目的 探究延续性护理对人类表皮生长因子受体2(HER2)阳性胃癌患者靶向治疗后生活质量的影响。 方法 选取2016年1月—2017年1月在丽水市中心医院使用曲妥珠单抗进行靶向治疗的HER2阳性胃癌患者140例,采用随机数字表法将患者分为延续护理组和常规护理组各70例,常规护理组患者使用常规护理措施进行护理,延续护理组患者在常规护理的基础上使用延续性护理。对2组患者护理前后生活质量、抑郁、焦虑及自我感受负担进行评价,统计2组患者住院时间以及患者满意情况。 结果 护理后2组患者各项生活质量评分均高于护理前,延续护理组患者护理后各项生活质量评分均高于常规护理组(均P<0.05);护理后2组患者HAMD、HAMA评分均低于护理前,且护理后延续护理组患者HAMD、HAMA评分均低于常规护理组(均P<0.05);护理后2组患者各项SPB评分均出现下降,且延续护理组各项SPB评分均低于常规护理组(均P<0.05);延续护理组患者住院时间低于常规护理组(P<0.05);延续护理组患者总满意度高于常规护理组(P<0.05)。 结论 HER2阳性胃癌患者靶向治疗后应用延续性护理手段进行干预,可以有效提高患者的生活质量,减轻自我感受负担,使患者更满意。Abstract: Objective To explore the effect of continuous nursing on the quality of life of patients with human epidermal growth factor receptor 2 (HER2) positive gastric cancer after targeted therapy. Methods A total of 140 patients with HER2-positive gastric cancer who were treated with trastuzumab in our hospital from January 2016 to January 2017 were selected. All patients were randomly divided into continuous nursing group and conventional nursing group, 70 cases in each group. Conventional nursing group used routine nursing measures for nursing, while continuing nursing group used continuing nursing on the basis of routine nursing. The quality of life, depression, anxiety and self-perceived burden of the two groups before and after nursing were evaluated, and the hospitalization time and patients' satisfaction were compared between the two groups. Results After nursing, the scores of quality of life in the two groups were higher than those before nursing, and those in the continuing nursing group were higher than those in the conventional nursing group (all P<0.05); after nursing, the scores of HAMD and HAMA in the two groups were lower than those before nursing, and the scores of HAMD and HAMA in the continuing nursing group after nursing were lower than those in the conventional nursing group (all P<0.05); after nursing, the scores of SPB in the two groups were lower than those in the conventional nursing group and the SPB scores of continuing nursing group were lower than those of routine nursing group (all P<0.05). The length of stay in continuing nursing group was lower than that of routine nursing group (P<0.05), and the total satisfaction of nursing patients in continuing nursing group was higher than that of routine nursing group (P<0.05). Conclusion Continuous nursing intervention after targeted therapy for HER2-positive gastric cancer patients can effectively improve the quality of life of patients, reduce the burden of self-perception, and make patients more satisfied.
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Key words:
- Continuous nursing /
- Gastric cancer /
- Targeted therapy /
- Application effect
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