护理干预对非霍奇金淋巴瘤化疗后便秘的研究

Effect of nursing intervention on constipation caused by chemotherapy for non-Hodgkin＇s lymphoma

目的探讨运用护理干预对非霍奇金淋巴瘤化疗后引起便秘的影响。方法将132例非霍奇金淋巴瘤化疗患者随机分为实验组和对照组。观察组66例根据患者的个人情况，采取心理护理、化疗宣教、指导饮食、锻炼及健康教育等护理干预，对照组66例采用常规护理方法。观察比较两组患者便秘及其相关反应的发生情况，两组之间的差异采用卡方检验。结果便秘发生率：观察组12．12％（8／66），对照组63．64％（42／66），观察组患者便秘发生率低于对照组，差异有显著性（x2=37．22，P〈0．01）。同时观察两组患者与便秘相关的反应（如腹痛、腹胀、食欲不振、烦躁焦虑等），观察组的发生率均低于对照组，差异有显著性。结论护理人员重视非霍奇金淋巴瘤化疗所致的便秘，实施有效的护理干预措施，有助于预防便秘的发生，减轻患者的痛苦，改善患者的整体功能状况，提高患者的化疗耐受性和生活质量。

Objective To investigate the effect of nursing intervention on constipation caused by chemo- therapy for patients with non-Hodgkin＇ s lymphoma. Methods 132 patients with non-Hodgkin＇s lymphoma treated by chemotherapy were randomly divided into study group and control group. According to patients＇ personal conditions, 66 patients in the study group received psychological nursing, chemotherapy education, dietary guidance, exercise instruction, and health education. Another 66 patients in the control group received conventional nursing. The incidence rates of constipation and related reactions were compared between the two groups using chi-sqnare test. Results The incidence of constipation was obviously lower in the study group than in the control group （12.12% vs. 63.64%）, showing a significant difference（ X2 = 37.22, P〈 0.01）. The incidence rates of constipation-related reactions including abdominal pain, abdominal distension, anorexia, and irritation and anxiety were significantly lower in the study group than in the control group. Conclusions For patients with non-Hodgkin＇s lymphoma receiving chemotherapy, effective nursing intervention is beneficial for preventing constipation, alleviating pain, enhancing tolerance to chemotherapy, and improving quality of life.