摘要
目的探讨临床综合护理策略干预对结直肠癌(colorectal cancer,CRC)术后行腹腔灌注化疗不良反应患者生活质量的影响,为临床新型护理模式的建立提供新思路.方法选取2016-01/2017-01就诊于天津市人民医院的113例CRC术后患者,充分考虑对照组和实验组组间可比性,本研究除综合护理策略外,尽量保持所有患者临床治疗手段和肿瘤科常规护理基本一致,根据患者入院编号进行随机分组,将113例病例分成对照组(56例)和实验组(57例).其中给予对照组肿瘤科常规护理干预措施,在肿瘤科常规护理基础上实验组给予综合护理策略干预,住院期间追踪观察并做好详细记录.采用视觉模拟评分法(visual analog scale, VAS)对患者疼痛情况进行评定;焦虑自评量表评估患者干预前后焦虑情况;生命质量量表SF-36用于评估两组患者实施干预前后生活质量的差异;给予护理满意度调查表,就两组患者对护理工作的满意程度进行评定比较.结果综合护理策略干预前,两组患者年龄,性别,文化程度和腹水性质组间分布无明显差别,差异均无统计学意义(P>0.05);术后不同时间段两组焦虑评分比较,实验组均显著低于对照组(P<0.05);实施综合护理策略干预后,与对照组相比,实验组患者VAS疼痛评分均显著低于对照组,差异具有统计学意义(P<0.05).SF-36评估表结果显示,相比于对照组,实验组实施综合护理策略干预后生命质量评分的各项指标分值评分均显著高于对照组,差异具有统计学意义(P<0.05),两组患者在护理满意度方面比较,实验组显著优于对照组(P<0.05).结论综合护理策略干预有助于控制CRC术后伴癌性腹水行腹腔灌注化疗患者不良反应的发生,对于提升术后患者生活质量具有重要意义.
AIM To evaluate the effect of clinical comprehensive nursing intervention on the quality of life and adverse reactions in patients with colorectal cancer（CRC） undergoing intraperitoneal chemotherapy, in order to provide new ideas for the establishment of new clinical care models.METHODS One hundred and thirteen postoperative CRC patients with ascites were selected from January 2016 to January 2017 and randomly divided into either a control group（56 cases） or an experimental group（57 cases）. Both groups were given routine nursing intervention measures, and the experimental group was additionally given comprehensive nursing intervention. Pain was assessed using the visual analog scale（VAS）. Anxiety was evaluated using the anxiety self-rating scale before and after intervention, and the quality of life was assessed using the SF-36 scale. A questionnaire was administered to compare the satisfaction with nursing care in the two groups.RESULTS Before nursing intervention, there was no significant difference in the distribution of patient age, gender, educational level, or ascites between the two groups（P〈0.05）. After the implementation of comprehensive nursing intervention, the anxiety scores were significantly lower in the experimental group than in the control group in different postoperative periods（P〈0.05）, VAS pain score of patients in the experimental group was also significantly lower than that of the control group（P〈0.05）, and the scores of all dimensions of the SF-36 scale were significantly higher in the experimental group than in the control group（P〈0.05）. In terms of satisfaction with nursing care, the experimental group was significantly superior to the control group（P〈0.05）. CONCLUSION Comprehensive nursing intervention can reduce the occurrence of adverse reactions and improve the quality of life in patients undergoing intraperitoneal chemotherapy for CRC.
作者
黑维琛
姜翠杰
马淑珍
Wei-Chen Hei;Cui-Jie Jiang;Shu-Zhen Ma(Department of Oncology,Tianjin People＇s Hospital,Tianjin 300121,China)
出处
《世界华人消化杂志》
CAS
2018年第29期1701-1706,共6页
World Chinese Journal of Digestology
关键词
结直肠癌
腹腔灌注化疗
不良反应
综合护理策略
生活质量
Colorectal cancer
Intraperitoneal chemotherapy
Adverse reactions
Comprehensive nursing strategy
Quality of life
