全程护理模式对宫颈癌放疗患者放疗并发症及不良情绪的影响

The effect of whole course nursing mode on the complications and bad mood of pa-tients with cervical cancer radiotherapy

目的：探讨对行放疗治疗的宫颈癌患者进行全程护理干预的有效方式，观察护理干预对患者术后心理状态和治疗效果的影响。方法我院自2014年1月以后引入对行放射性治疗的宫颈癌患者的全程护理。选取2014年1月至2014年12月来我院进行治疗的100例宫颈癌患者，按照完全随机分组原则分为实验组与对照组。两组患者均行相同的放射治疗，实验组患者接受全程护理干预，对照组患者只接受常规护理。记录两组患者的治疗有效率；统计两组患者治疗过程中并发症的发生情况；采用焦虑自评量表（ SAS）和抑郁自评量表（ SDS）对治疗过程中患者情绪状态进行评价。结果实验组的治疗有效率显著高于对照组患者（ P〈0.05）；实验组患者和对照组患者在放射性直肠炎和放射性膀胱炎这两种并发症的发生率上有显著差异（ P〈0.05）；治疗后，实验组患者的SAS和SDS得分显著低于对照组（P〈0.05）。结论对行放射性治疗的宫颈癌患者进行全程护理干预，可以有效缓解患者治疗时的不良情绪，增加患者自信心，提高患者治疗完成率，降低并发症发生率，值得临床推广。

Objective To explore the effective way of whole course nursing for patients with cervical cancer treated by radiotherapy, and to observe the influence of whole course nursing on psychological state and treatment effect. Methods The whole course nursing for cervical cancer patients treated with radiotherapy was introduced in our hospital after January 2014. 100 cases of patients with cervical cancer treated in our hospital from January 2014 to De-cember 2014 were divided into experimental group and control group according to the principle of complete randomiza-tion. The patients of the two groups received the same radiotherapy, the patients of the experimental group received the whole course nursing intervention, while the control group received routine nursing. The treatment efficiency of the two groups was recorded, and the incidence of complications of the two groups was analyzed. The emotional state of patients was evaluated by Self-Rating Anxiety Scale （ SAS） and Self-Rating Depression Scale （ SDS） . Results The effective rate of the treatment group was significantly higher than that of the control group （P〈0. 05） . There was significant difference in terms of the incidence of radiation proctitis and cystitis between two groups （P〈0. 05） . After treatment, the SAS and SDS scores of the experimental group were significantly lower than that of the control group （P〈0. 05） . Conclusion The whole course nursing intervention for patients with cervical cancer treated with radiotherapy can effectively relieve patients with adverse emotions, increase the confidence of patients, improve the treatment rate and reduce the incidence of compli-cations, it is worthy of clinical promotion.