临床路径护理对妇科肿瘤化疗中的效果评价

Effect of clinical pathway nursing care on physiological indices in gynecologic cancer patients with postoperative chemotherapy

目的探讨临床路径护理干预对妇科恶性肿瘤术后化疗患者生理指标的影响。方法将360例妇科恶性肿瘤化疗患者随机分为观察组和对照组,各180例,对照组接受常规治疗和护理,干预组实施临床路径护理干预。比较两组患者干预前后采用SCL-90因子得分,毒性反应以及KPS得分。结果干预组出院时抑郁、焦虑、偏执、敌对和入院时差值与对照组差值比较显著性降低(P<0.01),并且干预组恶心呕吐、白细胞(WBC)和血红蛋白(Hb)与对照组相比有显著改善(P<0.01)。KPS得分中干预组改善显著性多于对照组。结论临床路径护理干预有助于妇科恶性肿瘤患者化疗期间的生理、心理以及减轻化疗不良反应,从而最终提高患者的生命质量。

Objective To examine the influence of clinical pathway nursing care on physiological indices in gynecologic cancer patients with postoperative chemotherapy.Methods A total of 360 cases of gynecologic cancer patients with postoperative chemotherapy were randomly divided into the observation and control group,each group consisted of 180 cases.The control group received the routine therapy and nursing care,while the observation group received the clinical pathway nursing interventions.Then we compared the SCL-90 scores,side effect and KPS score.Results After intervention,the scores of depression,anxious,stubborn and hostility in the intervention group were significantly lower than those of controls （P0.01）.And the side effect such as nausea and vomiting,WBC and Hb in the intervention group was significantly improved compared with controls（P0.01）.The KPS score in the intervention group was significantly improved than controls.Conclusion The clinical pathway nursing interventions is helpful to improve the physiology,psychology and decrease the side effect of gynecologic cancer patients,finally improve the quality of life of patients.