摘要
目的探讨微信联合精准护理干预对行调强适形放射治疗的宫颈癌患者康复的影响。方法将103例行调强适形放射治疗的宫颈癌患者按照随机数字表法分为常规组51例与联合组52例,常规组给予微信联合常规护理干预,联合组给予微信联合精准护理干预,干预3个月,随访6个月。干预前及干预3个月末采用焦虑自评量表及抑郁自评量表评定两组焦虑抑郁情绪,随访期间,记录两组患者的复诊次数、居家阴道冲洗频率、阴道粘连发生率、性生活恢复率。干预前及干预3个月末采用癌症患者生命质量测定量表评定两组生活质量,比较两组治疗和随访期间不良反应发生率。结果干预3个月末两组焦虑自评量表及抑郁自评量表评分均较干预前显著降低(P<0.01),联合组显著低于常规组(P<0.01)。联合组复诊次数及阴道冲洗次数显著多于常规组(P<0.01),性生活恢复率显著高于常规组(P<0.01),阴道粘连率显著低于常规组(P<0.01)。干预3个月末两组癌症患者生命质量测定量表各项评分均较干预前显著升高(P<0.01),联合组显著高于常规组(P<0.05或0.01)。联合组消化道反应、放射性炎症发生率显著低于常规组(P<0.05)。结论微信联合精准护理干预能有效缓解行调强适形放射治疗宫颈癌患者的负性情绪,有助于术后康复,提高患者生活质量。
Objective To explore the effect of WeChat combined with precise nursing intervention on the recovery of cervical cancer patients undergoing intensity modulated radiation therapy(IMRT).Methods A total of 103 patients with cervical cancer who underwent IMRT were divided into a routine group of 51 cases and a combined group of 52 cases according to the random number table method.The routine group was given WeChat combined with conventional nursing intervention,and the combined group was given WeChat combined with precision nursing intervention.The patients were intervened for 3 months and followed up for 6 months.Before and 3 months after the intervention,the self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were used to evaluate the anxiety and depression of patients.During the follow-up period,the frequency of follow-up visits,frequency of vaginal irrigation at home,incidence of vaginal adhesion and sexual recovery rate of the patients in the two groups were recorded.Before and 3 months after the intervention,the quality of life of the two groups was evaluated by the functional assessment of cancer therapy-general(FACT-G),and the incidence of adverse reactions during treatment and follow-up was compared between the two groups.Results After 3 months of nursing,the SAS and SDS scores of the two groups were significantly lower than those before intervention(P<0.01),the combined group was significantly lower than the routine group(P<0.01).The number of follow-up visits and vaginal irrigation in the combined group was significantly more than that in the routine group(P<0.01),and the sexual recovery rate was significantly higher than that in the routine group(P<0.01),and the incidence of vaginal adhesion was significantly lower than that in the routine group(P<0.01).At the end of 3 months after intervention,the FACT-G scores of the two groups were significantly higher than those before intervention(P<0.01),and the combined group was significantly higher than that of the routine group(P<0.05 or 0.01).The incidence of gastrointestinal reaction and radiation inflammation in the combined group was significantly lower than that of the routine group(P<0.05).Conclusions WeChat combined with precise nursing intervention can effectively alleviate the negative emotions of patients with cervical cancer undergoing IMRT,which is conducive to postoperative recovery and improve the quality of life of patients.
作者
李晓凡
杨淑丽
李进
王林甲
Li Xiaofan;Yang Shuli;Li Jin;Wang Linjia(The First Affiliated Hospital of Henan University of Science and Technology,Luoyang 471000,Henan,China)
出处
《临床心身疾病杂志》
CAS
2021年第3期157-161,共5页
Journal of Clinical Psychosomatic Diseases
