优质护理视角下的舒适护理理论对恶性肿瘤留置输液港化疗患者的影响

Influence of comfort nursing theory from the perspective of quality nursing on chemotherapy patients with malignant tumor in indwelling infusion port

目的探讨在优质护理视角下运用舒适护理理论对恶性肿瘤留置输液港化疗患者的影响。方法选择2019年1月至12月首都医科大学附属北京友谊医院收治的恶性肿瘤留置输液港化疗患者120例,根据随机数字表法将其分为对照组和实验组,每组60例。对照组接受输液港常规护理,实验组在对照组基础上,在优质护理视角下运用舒适护理理论进行护理干预。随访6个月,评估两组生活质量、希望水平及心理状态。结果剔除无效问卷及病故者,对照组实际纳入50例和实验组纳入40例。随访6个月,两组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均低于同组干预前(P<0.05),实验组SAS、SDS评分明显低于对照组(P<0.05);对照组积极行动、亲密关系评分明显高于本组干预前(P<0.05);实验组积极行动、亲密关系及希望水平总分均高于本组干预前(P<0.05);实验组积极行动、亲密关系评分及希望水平总分明显高于对照组(P<0.05);两组生命质量评分均高于本组干预前(P<0.05);实验组生理职能、生理功能、社会功能、躯体疼痛评分明显高于对照组(P<0.05)。结论优质护理视角下运用舒适护理理论可以降低恶性肿瘤留置输液港患者的焦虑、抑郁程度,提高希望水平,改善生活质量。

Objective To explore the influence of comfort nursing theory on chemotherapy patients with malignant tumor in the perspective of high quality nursing.Methods A total of 120 patients with malignant tumor treated in Beijing Friendship Hospital,Capital Medical University from January 2019 to December 2019 were selected.According to random number table method,they were divided into control group and experimental group,with 60 cases in each group.The control group received routine nursing at the infusion port,on the basis of the control group the experimental group was given nursing intervention in the perspective of high quality nursing comfort nursing theory.After 6 months of follow-up,quality of life,level of hope and psychological status of both groups were evaluated.Results Fifty cases were actually included in the control group and 40 cases were included in the experimental group when invalid questionnaires and patients died of illness were excluded.After 6 months of follow-up,self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores in both groups were lower than before intervention(P<0.05).SAS and SDS scores in experimental group were significantly lower than those in control group(P<0.05);the scores of positive action and intimate relationship in control group were significantly higher than those before intervention(P<0.05);the total scores of positive action,intimate relationship and hope in the experimental group were higher than those before intervention(P<0.05);the scores of positive action,intimate relationship and hope level in experimental group were significantly higher than those in control group(P<0.05);the quality of life scores in both groups were higher than before intervention(P<0.05);the scores of physiological function,physiological function,social function and body pain in the experimental group were significantly higher than those in the control group(P<0.05).Conclusion From the perspective of high quality nursing,the application of comfort nursing theory can reduce the anxiety and depression of patients with malignant tumor in the indwelling infusion port,enhance the level of hope,and improve the quality of life.