针对性护理用于肺癌患者放化疗的效果

Application efficacy of targeted nursing intervention on lung cancer patients with radiotherapy and chemotherapy

目的探讨肺癌放化疗患者接受针对性护理的应用效果。方法选取2012年9月至2015年8月间四川省广安市人民医院接受放化疗治疗的肺癌患者136例。按照随机数字表法随机分为观察组和对照组,每组68例。观察组患者接受针对性护理干预措施,对照组患者接受常规护理措施。比较两组患者护理后的并发症情况、护理前后的生存质量核心问卷评分(QLQ-C30)和患者的治疗依从性。结果观察组患者护理后发生放射性食管(肺)炎和胃肠道反应以及感染等并发症均显著低于对照组,差异有统计学意义(P<0.05)。两组患者护理后的QLQ-C30评分均较治疗前明显改善,且观察组患者的健康状况、躯体功能、角色功能以及认知功能等项目的评分值均显著高于对照组,疲倦及食欲的评分值显著低于对照组,差异均有统计学意义(均P<0.05)。观察组患者的治疗依从率为98.5%,显著高于对照组的88.2%,差异有统计学意义(P<0.05)。Logistic回归分析法结果显示,未接受针对性护理、经济条件受限和放化疗不耐受均为影响患者护理效果的相关因素。结论针对性护理干预可较好地降低肺癌放化疗患者的并发症发生率,提高生活质量,增加治疗依从性,值得临床推广应用。

Objective To explore the application efficacy of targeted nursing intervention on lung cancer patients with radiotherapy and chemotherapy. Methods From September 2012 to August 2015 in Guang＇an People＇s Hospital,136 lung cancer patients treated with radiotherapy and chemotherapy were enrolled in the study and randomly divided into the observation group and the control group,with 68 cases in each group. The patient in the observation group accepted targeted nursing intervention measures and those in the control group received routine nursing measures. The complications,quality of life of the core questionnaire score（ QLQ-C30） before and after nursing,and the patients＇ treatment compliance between the two groups were compared. Results After nursing,the incidence of radiation esophagus（ lung） and gastrointestinal reactions,as well as the proportion of complications such as infection in the observation group were significantly lower than those in the control group,with significant differences（ P〈0. 05）. The QLQ-C30 scores of two groups were significantly improved after treatment,and the scores of the observation group were significantly higher than those of the control group,the scores of fatigue and appetite were significantly lower than those in the control group,with significant differences（ P〈0. 05）. The treatment compliance rate of the observation group was 98. 5%,significantly higher than the control group of 88. 2%,,with significant difference（ P〈0. 05）. According to Logistic regression analysis,the relevant factors of the nursing efficacy were without targeted nursing,limited economic conditions and the tolerance of chemotherapy. Conclusion Targeted nursing intervention can reduce the incidence of complications,improve the quality of life of patients with lung cancer radiotherapy and chemotherapy,improve the treatment compliance. And it is worthy of clinical promotion.