集束化护理对宫颈癌化疗患者效果生活质量及心理状态影响

Effect of Cluster Nursing on Quality of Life and Mental State of Cervical Cancer Patients Receiving Chemotherapy

目的探讨集束化护理对宫颈癌化疗患者效果生活质量及心理状态影响.方法选择采用接受化疗的宫颈癌患者72例,随机分为对照组和观察组.对照组采取常规护理方式,观察组在此基础上采用集束化护理,分别与治疗结束后行癌症生活质量核心调查问卷(EORTC QOL-C30)、症状自评量表SCL-90评分.结果在采用集束化护理后,观察组较采用常规护理的对照组EORTC QOL-C30功能领域躯体功能角色功能、认知功能、社会功能、情绪功能差异有统计学意义(P<0.05),主要症状领域恶心呕吐、疼痛有显著下降(P<0.05),睡眠、饮食、腹泻、便秘较对照组差异有统计学意义(P<0.05).观察组SCL-90量表躯体化、强迫症状、抑郁、焦虑较对照组差异有统计学意义(P<0.05).结论集束化护理对接受化疗的宫颈癌患者可以有效的促进生活质量提高,降低不良情绪的发生.

Objective To investigate the effect of cluster nursing on quality of life and mental state of cervical cancer patients receiving chemotherapy. Methods 72 cervical cancer patients receiving chemotherapy were randomly divided into control group and observation group. The control group was given routine care and the observation group was given cluster nursing on the basis of routine care. The quality of life core questionnaire （EORTC QOL-C30） and Symptom Checklist SCL-90 score were tested at the end of treatment. Results Compared with the control group, after using cluster nursing, the EORTC QOL-C30 functional areas of physical function role function, cognitive function , social function, emotional function of patients in the observation group were significantly improved （P〈0.05） , the main symptoms of nausea areas vomiting and pain were decreased significantly （ P〈 0.05） , and sleep, diet, diarrhea and constipation were improved significantly （P〈0.05） . SCL-90 scale showed that the somatization, obsessive-compulsive symptoms, depression and anxiety in observation group were decreased significantly compared with the control group （P〈0.05） , the somatization, obsessive-compulsive symptoms and anxiety were increased significantly in control group compared with China norm （P〈0.05） Conclusion Cluster nursing on patients with cervical cancer receiving chemotherapy can effectively improve quality of life and reduce the incidence of negative emotions.