临床护理路径对改善胃癌患者生活质量的效果

Application and effect of clinical nursing path on the improvement of life quality in gastric cancer patients

目的探讨临床护理路径对于改善胃癌患者生活质量的效果。方法分析2006年4月至2010年8月解放军总医院收治的胃癌患者临床资料，依据是否实施临床护理路径将其分为临床护理路径组（30例）和普通护理组（30例）。比较两组胃癌患者护理生活质量（QOL）、运动功能及日常生活活动能力（ADL）评分。结果临床护理路径组胃癌患者情绪健康（80.2±15.6）分、总体健康水平（82.2±15.9）分、药物对胃癌患者的影响（83.3±14.1）分、个人认知功能（81.7±15.2）分、社会功能（81.5±14.3）分、对胃癌复发的担忧情况（81.8±16.6）分均优于普通护理组的（65.9±10.4），（63.7±10.0），（66.9±11.2），（66.8±10.9），（67.7±11.8），（67.7±10.9）分，两组比较差异有统计学意义（t值分别为4.18，5.39，4.99，4.36，4.08，3.89；P＜0.05），同时临床护理路径组运动功能评分（75.5±9.9）分和ADL评分（73.3±16.1）分均优于普通护理组的（56.4±8.2）分和（53.6±15.0）分，差异有统计学意义（t值分别为8.14,4.90;P＜0.05）。结论临床护理路径对于胃癌患者生活质量的效果明显，值得临床借鉴应用。

Objective To study the effect of clinical nursing path on the quality of life of gastric cancer patients. Methods Totals of 60 cases with gastric cancer in Chinese PLA General Hospital between April 2006 and August 2010 were divided into clinical nursing path group （n = 30） and general nursing group （n = 30）.And the life quality, motor function and ADL scores were observed. Results The components scores such as emotional health score [ （80.2 ± 15.6）vs （65.9 ± 10.4） ], general health level[ （82.2 ± 15.9） vs （63.7 ± 10.0） ], effects of drugs on gastric cancer patients [ （ 83.3 ± 14. 1 ） vs （ 66.9 ± 11.2 ） ], individual cognitive function[ （81.7 ± 15.2）vs （66.8 ± 10.9） ] ,social function[ （81.5 ± 14.3）vs （67.7 ± 11.8） ] ,the recurrence of gastric cancer anxiety[ （81.8 ± 16.6）vs （67.7 ± 10.9） ] in clinical nursing path group were better than that in general nursing group, and the differences were statistically significant （ t = 4.18,5.39,4.99,4.36,4.08, 3.89 ;P 〈 0.05 ）. Meanwhile, the score of motor function and ADL in clinical nursing path group were （75.5 ± 9.9）and （73.3 ± 16. 1 ）, which were superior to the score in general nursing group [ （56.4 ± 8.2）and （53.6 ±15.0） ,respectively, t=8.14,4.90;P 〈0. 051. Conclusions The quality of life of gastric cancer patients underwent clinical nursing path are obviously improved, which worthwhile for spreading in clinical practice.