综合护理干预对晚期肿瘤患者化疗所致胃肠道反应及睡眠质量的影响

Effect of Comprehensive Nursing Intervention on Chemotherapy Induced Gastrointestinal Reactions And Sleep Quality in Patients with Advanced Cancer

目的分析综合护理干预对晚期肿瘤患者化疗所致胃肠道反应及睡眠质量的影响。方法分析2012年12月-2014年12月收治的晚期肿瘤化疗患者148例的临床资料，按照患者的入院顺序分为接受综合护理干预的观察组和接受一般护理服务的对照组，每组有患者74例，对两组患者胃肠道反应和睡眠质量进行分析。结果观察组患者呕吐、恶心、食欲减退等胃肠道反应发生情况以及入睡时间、睡眠时间、睡眠质量、药物催眠等方面的评分情况均明显优于对照组，差异具有统计学意义（P〈0．05）。结论综合护理干预在晚期肿瘤患者护理过程中的运用可以明显的减少患者恶心、呕吐以及食欲减退等胃肠道反应的发生，改善患者入睡时间、睡眠时间、睡眠质量、药物催眠等睡眠质量方面的评分，提高患者的睡眠质量，值得临床推广。

Objective To analyze the effect of comprehensive nursing intervention on chemotherapy induced gastrointestinal reactions and sleep quality in patients with advanced cancer. Methods A restrospective analysis was conducted on the clinical information of the 148 patients with advanced cancer who treated in our hospital from December 2012 to December 2014, the patients were divided into the observation group （treated with compressive nursing intervention） and the control group （treated with general nursing services） according to the order of hospitalization, 74 cases in each group. The gastrointestinal reactions and sleep quality of the patients in two groups were analyzed. Results The vomiting, nausea, loss of appetite and other gastrointestinal reactions as well as the scores of fall asleep time, sleep time, sleep quality, drug hypnotic of the observation group were significantly better than those of the control group （P 〈 0. 05）. Conclusions Application of compressive nursing intervention in nursing the patients with advanced cancer can significantly decrease the incidence of vomiting, nausea, loss of appetite and other gastrointestinal reactions, improve the scores of fall asleep time, sleep time, sleep quality, drug hypnotic, and can increase the sleep quality of the patients, which is worthy of clinical promotion.