优质护理对改善食管癌患者放疗后生活质量的临床效果

Quality nursing improves quality of life in patients with esophageal cancer after radiotherapy

目的:分析优质护理对改善食管癌患者放疗后生活质量的临床效果.方法:选取2011-04/2012-03杭州肿瘤医院收治的食管癌患者87例作为观察组,选取2010-04/2011-03杭州市肿瘤医院收治的食管癌患者66例作为对照组,均给予三维适形或强调放射治疗及放疗一般护理,而观察组,再给予优质护理,观察护理效果.,结果:放疗后两组患者间角色功能,情绪功,能,躯体功能,认知功能及社会功能评分均有所下降,而观察组放疗后这些功能评分显著性高于对照组.(t=6.594,5.393,8.699,4.685,7.493,均P<0.05).放疗后观察组恶心呕吐,失眠,乏力发生率低于对照组,且差异具有统计学意义(χ2=4.678,5.421,6.773,均P<0.05).结论:优质护理对改善食管癌患者放疗后生活质量的临床效果满意,可显著提高食管癌患者放疗后生活质量,降低放疗后不良反应发生率及提高对护理质量的满意率.

AIM：To analyze the effect of quality nursing on the quality of life in patients with esophageal cancer after radiotherapy.METHODS：Eighty-seven patients with esophageal cancer treated at our hospital from April 2011 to March 2012 were included in a treatment group,and 66 patients with esophageal cancer treated at our hospital from April 2010 to March 2011 were included in a control group.Both groups received 3D conformal radiation therapy and routine nursing.The treatment group additionally received quality nursing.Clinical effects were observed and compared for the two groups.RESULTS：The role function,emotion function,physical function,cognitive function and social function scores after therapy were significantly higher in the treatment group than in the control group（t = 6.594,5.393,8.699,4.685,7.493,P 〈 0.05 for all）.The rates of nausea vomiting,insomnia and fatigue were significantly lower in the treatment group than in the control group（χ~2= 4.678,5.421,6.773,P〈0.05 for all）.CONCLUSION：Quality nursing improves the quality of life in patients with esophageal cancer after radiotherapy.