标准化护理在三维适形放射治疗晚期肝门部胆管癌的效果分析

EFFICACY OF STANDARDIZED NURSING IN THREE-DIMENTIONAL CONFORMAL RADIOTHERAPY ON ADVANCED HILAR CHOLANGIOCARCINOMA

目的观察标准化护理在三维适形(3D-CRT)放射治疗晚期肝门部胆管癌的临床效果,为临床护理提供参考依据。方法收集该院收治的40例临床诊断为肝门部胆管癌晚期的患者,所有患者均采用3D-CRT进行治疗,然后将其随机分为二组,标准化护理组与普通护理组,每组各20例,观察其住院时间、卧床时间以及对护理的总体满意度等方面的情况。结果标准化护理组在安全的识别能力、风险意识、解决问题的能力、专科知识学习能力、护理人员服务意识、工作责任心及专科操作能力方面的评分均高于普通护理组,且差异均具有统计学意义(P<0.05);标准化护理组在护士礼仪、住院制度及护理环境方面的平均得分高于普通护理组,且差异均具有统计学意义(P<0.05);标准化护理组患者的卧床时间及住院时间均短于普通护理组,且差异具有统计学意义(P<0.05),而标准化护理组的总满意度评分高于普通护理组,差异具有统计学意义(P<0.05)。结论标准化护理在3D-CRT放射治疗晚期肝门部胆管癌的临床效果显著,推荐在临床上应用。

Objective To observe the clinical effect of standardized nursing in 3D- CRT radiotherapy in treatment of advanced hilar cholangiocarcinoma, and to provide the references for the clinical nursing. Methods Forty patients with advanced hilar cholangiocarcinoma were collected from author＇s hospital, and then they were randomly divided into two groups, standardized nursing group and conventional nursing group, 20 patients in each group. The hospitalization time, the time in bed and the nursing of overall satis- faction and other aspects of the situation were observed. Results The scores of standardized nursing group in a sedure identification capability, risk awareness, the ability to solve problems, specialist knowledge learning ability, nursing personnel service consciousness, working responsibility and specialist operational ability were higher than those of conventional nursing group, and the differences were statistically signifi- cant （P〈0.05）. The scores of standardized nursing group in the hospital nurse etiquette, the average score system and nursing environment were higher than conventional nursing group, and the differences were sta- tistically significant （P〈0.05）. Patients in bed time and hospitalization time were shorter i.n the standard- ized nursing group than that in the conventional nursing group, and the difference was statistically signifi- cant （P〈0.05）. Total satisfaction score of standardized nursing group was also higher than conventional nursing group, with significant difference （P〈0.05）. Conclusion Clinical effect of standardized nursing in 3D- CRT radiotherapy in treatment of advanced hilar bile duct carcinoma is significantly, recommended in the clinical application.