Application effects of comprehensive nursing intervention on patients with radiation and chemotherapy for non-small cell lung cancer
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摘要: 目的 探讨综合护理干预措施在非小细胞肺癌放化疗患者中的应用效果。 方法 选取2013年1月—2014年6月期间哈尔滨医科大学附属肿瘤医院收治的非小细胞肺癌同步放化疗患者160例,并将其分为观察组和对照组,每组80例。观察组在常规护理的基础上实施护理干预,对照组仅进行常规护理。对比2组患者护理后的并发症情况、生存质量以及患者对护理满意度等。 结果 相对于护理前,对照组患者的食欲评分和疲倦评分明显增加(P<0.001),总体健康状况评分、认知功能评分、角色功能评分、躯体功能评分均明显降低(P<0.001),观察组患者的食欲评分和疲倦评分也明显增加(P<0.001),总体健康状况评分、认知功能评分、角色功能评分、躯体功能评分均明显降低(P<0.001);相较于观察组,对照组患者护理后的总体健康状况评分、认知功能评分、角色功能评分、躯体功能评分均明显较低(P<0.001),护理后的食欲评分和疲倦评分明显较高(P<0.001)。与对照组比较,观察组患者的肺部并发症发生率明显较低,差异具有统计学意义(P=0.009);其护理满意度明显较高,差异具有统计学意义(P=0.028)。 结论 在常规护理的基础上再实施综合护理干预可明显减少非小细胞肺癌放化疗患者并发症的发生,显著提高患者的生活质量及护理满意度,可以在临床推广使用。Abstract: Objective To investigate the effects of comprehensive nursing intervention on patients with radiation and chemotherapy for non-small cell lung cancer. Methods We chose 160 patients with non-small cell lung cancer from our hospital between January, 2013 and June, 2014, and randomly divided them into observation group and control group with each group 80 cases. Patients of control group were given routine nursing care, while patients of observation group were given targeted nursing intervention based on routine nursing care. Complications, quality of life and satisfaction with care were compared between the two groups. Results Compared with the treatment before, the appetite score and fatigue score of the control group increased significantly (P < 0. 001), the general health score, cognitive function score, role function score, physical function scores of the control group were significantly lower (P < 0. 001). The appetite score and fatigue score of the observation group also increased significantly (P < 0. 001). The overall health score, cognitive function score, role function score, physical function scores of the observation group were significantly lower (P < 0. 001). Compared with the observation group, the overall health score, cognitive function score, role function score, physical function scores after nursing of the control group were significantly lower than the observation group (P < 0. 001). The appetite scores and fatigue scores after nursing were higher (P < 0. 001). Compared with the control group, the incidence of complications in the observation group was significantly lower, and the difference was statistically significant (P=0. 009), and the nursing satisfaction was significantly higher, and the difference was statistically significant (P=0. 028). Conclusion Implementing nursing intervention on the basis of conventional nursing can reduce complications of patients with radiation and chemotherapy for non-small cell lung cancer and improve their quality of life and nursing satisfaction, which is worth clinical promotion.
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Key words:
- Non-small cell lung cancer /
- Complication /
- Quality of life /
- Nursing intervention
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