循证护理配合序贯放疗治疗中晚期食管癌的临床效果

Clinical effect of evidence-based nursing with sequential radiotherapy in the treatment of patients with middle-advanced stage esophageal

目的探讨循证护理配合序贯放疗治疗中晚期食管癌的临床效果。方法选取2011年1月～2013年1月于辽宁省肿瘤医院就诊的中晚期食管癌患者100例为研究对象,按照入院编号将患者随机分为观察组和对照组,每组各50例。对照组患者给予常规护理和序贯放疗,观察组患者在常规护理的基础之上,给予具有科学性和针对性的循证护理干预,并联合序贯放疗治疗。观察和分析两组患者护理干预效果,比较两组患者的治疗效果。结果观察组患者护理后,其中好转18例（36%）,显效30例（60%）,无效2例（4%）,总有效率为96%;对照组患者中好转15例（30%）,显效26例（52%）,无效9例（18%）,总有效率为82%。观察组总有效率和好转率均明显高于对照组,差异有统计学意义（P〈0.05）。结论临床上,在治疗中晚期食管癌症时,可以采用循证护理配合序贯放疗的治疗方法,治疗的同时给予积极的循证护理干预,能有效改善患者治疗效果,提高预后质量,获得非常理想的治疗效果。

Objective To investigate the clinical effect of evidence-based nursing sequential radiotherapy for patients with middle-advanced esophageal cancer. Methods 100 cases of patients with middle-advanced esophageal cancer from January 2011 to January 2013 in Liaoning Provincial Tumor Hospital were selected and randomly divided into observation group and control group according to the admission number, with 50 cases in each. Patients in the control group were given routine nursing and sequential radiotherapy treatment, patients in the observation group were given scientific evidence based nursing interventions and sequential radiotherapy on the basis of routine nursing. The effect of nursing intervention in two groups was observed and analyzed, the treatment effect of two groups was compared. Results In the observation group, 18 cases（36%） were improved, 30 cases（60%） showed effect, 2 cases（4%） were invalid, the total efficiency was 96%; in control group, 15 cases（30%） were improved, 26 cases（52%） showed effect, 9cases（18%） were invalid, the total efficiency was 82%. the total efficiency and recovery rate of the observation group were much higher than those of the control group, the differences were statistically significant（P 〈0.05）. Conclusion Evidence-based nursing combined with sequential radiotherapy treatment can be used in the treatment of patients with middle-advanced stage esophageal in clinic, and evidence based nursing interventions at the same time of treatment can improve the treatment effect effectively, improve prognosis of quality, obtain ideal treatment effect.