针对性护理干预在晚期肿瘤患者中的应用效果

Effect of targeted nursing intervention to patients with advanced cancer

目的探讨针对性护理干预对晚期肿瘤患者化疗所致胃肠道反应等不良反应的影响。方法选择2014年10月~2015年10月期间我院收治的晚期肿瘤化疗患者,随机分为观察组及对照组,各84例,对照组给予常规化疗护理,观察组在此基础上给予针对性护理干预,记录两组胃肠道反应发生情况及PSQI评分,比较两组患者生活质量评分。结果观察组化疗期间发生恶心、呕吐及食欲减退等胃肠道反应例数均少于对照组,胃肠道反应总发生率67.86%显著低于对照组86.90%（P〈0.05）;治疗后观察组PSQI评分（4.08±2.35）均较对照组评分（8.17±2.36）有所降低（P〈0.05）;两组治疗后生活质量评分与干预前比均有显著降低;观察组治疗后各项生活质量评分与对照组比亦有显著降低。结论晚期肿瘤患者化疗期间给予针对性护理干预可显著降低患者胃肠道反应发生率,改善患者睡眠质量,对提高晚期肿瘤患者生活质量具有重要作用,值得临床应用推广。

Objective To explore the influence of targeted nursing intervention to adverse reactions such as gastrointestinal tract reaction caused by chemotherapy of patients with advanced cancer. Methods Chemotherapy patients with advanced cancer cured in our hospital from October 2014 to October 2015 were selected and randomly divided into observation group and control group with 84 cases in each. Patients in control group were treated with routine chemotherapy nursing, and patients in observation group were treated with targeted nursing intervention on the basis of routine chemotherapy nursing. Gastrointestinal reaction and PSQI score of the two groups were recorded. Results The counts of incidence of nausea, vomiting, loss of appetite and other gastrointestinal reactions occurred during chemotherapy in the observation group were all less than those of control group. Total incidence of gastrointestinal reaction of observation group was 67.86%, which was significantly lower than that of control group with 86.90%（P〈0.05）. PSQI score of observation group after treatment was（4.08±2.35）, which was lower than that of control group with（8.17±2.36）（P〈0.05）. Quality of life scores of the two groups after treatment were significantly less than those before treatment. Quality of life score of observation group after treatment was significantly less than that of control group after treatment. Conclusion Targeted nursing intervention to patients with advanced cancer during the chemotherapy period can significantly reduce the incidence of gastrointestinal reactions in patients, and improve sleep quality in patients. It has an important role to improve the quality of life of patients with advanced cancer. It is worthy of clinical application and promotion.