摘要
目的探究融人中医理念的临床护理路径应用于直肠癌术后放化疗患者中的效果。方法选取本院2013年1月至2015年1月收治的50例直肠癌术后放化疗患者作为本次护理研究对象，采取随机数字表法将患者分成实验组（25例）和对照组（25例），对照组患者采取常规护理干预，实验组患者予以融人中医理念的临床护理路径干预措施，观察对比两组患者护理干预后不良反应情况及治护依从性、护理满意程度，并采取焦虑自评量表（SAS）及抑郁自评量表（SDS）评估两组患者干预前后心理状态。结果护理干预后实验组患者总不良反应率为4．00％，治护依从性优良率为96．00％，护理总满意率为96．00％；对照组患者总不良反应率为24．00％，治护依从性优良率为76．00％，护理总满意率为72．oo％；实验组各项数据均优于对照组，两组比较差异有统计学意义（P〈0．05）。护理干预前两组患者SAS、SDS评分比较差异无统计学意义（P〉0．05），护理干预后各组患者SAS、SDS评分明显改善，而实验组患者评分改善程度显著优于对照组，差异具有统计学意义（P〈0．01）。结论予以直肠癌术后放化疗患者融人中医理念的临床护理路径干预效果良好，可明显减少放化疗不良反应，提升治护依从性优良率及患者满意度，改善患者心理状态，对直肠癌术后放化疗患者意义重大，影响深远。
Objective To explore the application of clinical nursing pathway with the concept of traditional Chinese medicine in patients with chemoradiotherapy after rectal cancer surgery. Methods 50 patients with chemoradiotherapy after rectal cancer surgery in our hospital from January 2013 to January 2015 were selected as the research object of this care, and divided into experimental group （25 cases） and control group （25 cases） with the random number table method. Control group was treated with routine nursing intervention, while experimental group was treated with clinical nursing pathway with the concept of traditional Chinese medicine. Adverse reactions, treatment and nursing compliance, nursing satisfaction were compared between two groups after nursing intervention, assessed mental state of two groups before and after the intervention with anxiety self-rating scale （SAS） and depression self-rating scale （SDS）. Results The incidence of adverse reactions in experimental group after nursing intervention was 4.00%, the excellent and good rate of treatment and nursing compliance was 96.00%, the total nursing satisfaction rate was 96.00%; those in control group were 24.00%, 76.00%, 72.00% respectively; with statistically significant differences between two groups （P〈0.05）. There were no statistically significant differences in SAS and SDS scores between two groups before nursing intervention （P〉0.05）; SAS and SDS scores significantly improved after nursing intervention in two groups, while those in experimental group were significantly better than those in control group, with statistically significant differences （P〈0.01）. Conclusions Clinical nursing pathway with the concept of traditional Chinese medicine has significant effect on patients with chemoradiotherapy after rectal cancer surgery, which can significantly reduce adverse effects of chemoradiotherapy, enhance the excellent and good rate of treatment and nursing compliance and the degree of satisfaction of patients, improve the psychological status of patients, with a far-reaching influence on patients with chemoradiotherapy after rectal cancer surgery.
出处
《国际医药卫生导报》
2016年第3期419-422,共4页
International Medicine and Health Guidance News
关键词
直肠癌术后放化疗
中医理念
临床护理路径
治护依从性
不良反应
Chemoradiotherapy after rectal cancer surgery
The concept of traditional Chinese medicine
Clinical nursing pathway
Treatment and nursing compliance
Adverse reactions
