人性化护理对鼻咽癌晚期放疗患者睡眠质量的影响

Effect of Humanized Nursing on Sleep in Patients with Advanced Radiotherapy

目的探究人性化护理对鼻咽癌晚期放疗患者睡眠质量的影响。方法选取自2015年2月~2017年2月来我院接受治疗的鼻咽癌晚期放疗患者150例作为研究对象,单盲,随机数字表法将研究对象均分为A组(基础治疗+对症护理+心理护理+环境护理)、B组(基础治疗+对症治疗)、C组(基础护理+心理护理)、D(基础护理+环境护理)以及E组(基础护理),每组30例,观察影响患者睡眠质量的因素,比较五组患者护理干预前后PSOI评分以及病死率。结果影响晚期鼻咽癌患者睡眠质量的因素主要有症状因素、心理因素和环境因素三方面。疾病症状因素中由于口腔黏膜炎引发的睡眠不佳的患者所占比例最高82.00%,心理因素中焦虑和恐惧导致睡眠不佳者最多,占96.00%,环境因素中噪声因素占比最高,为48.00%;经过护理干预A、C、D组PSOI总分显著低于护理干预前,差异具有统计学意义(P<0.05),A组POSI各因子评分均显著优于干预前,差异具有统计学意义(P>0.05),而B、E两组各因子水平与干预前相比,差异不具有统计学意义(P>0.05);随访3个月后,E组病死率最高,达46.67%(14/30),显著高于A组10%(3/30),差异具有统计学意义(χ2=9.93,P<0.05)。结论人性化护理能够显著改善晚期放疗鼻咽癌患者睡眠质量,增加睡眠时间,有效促进病情恢复,降低病死率,值得大范围推广。

Objective To explore the effect of humanized nursing on sleep in patients with advanced radiotherapy of nasopharyngeal carcinoma. Methods A total of 150 patients with advanced radiotherapy of nasopharyngeal carcinoma who were treated in our hospital from February 2015 to February 2017 were selected as the subjects. This study was a complete randomized controlled study. Single random, random number table was used to study the subjects Were divided into group A （basic treatment ＋ symptomatic care ＋ psychological care ＋ environmental care）, group B （basic treatment ＋ symptomatic treatment）, group C （basic nursing ＋ psychological care）, D （basic nursing ＋ environmental care） （Basic care）, 30 cases in each group, to observe the factors affecting the quality of sleep in patients with five groups of patients before and after care intervention PSOI score and mortality. Results The factors affecting the quality of sleep in patients with advanced nasopharyngeal carcinoma were mainly three factors： symptom factors, psychological factors and environmental factors. Disease symptoms due to oral mucositis caused by poor sleep in patients with the highest proportion of 82.00%, psychological factors in anxiety and fear lead to sleep up to the most, accounting for 96.00%, environmental factors, the highest proportion of noise factors, 48.00 （P〈0.05）. The score of PSII in group A, C and D was significantly lower than that before nursing intervention （P〈0.05）. The score of POSI in group A was significantly better than that before intervention, the difference was statistically significant （P〉0.05）. There was no significant difference between the two groups （P〉0.05）. The mortality rate of group B was 46.67% （P〈0.05）, and the difference was statistically significant （P〉0.05）/30） was significantly higher than that in group A （10%, 3/30）, the difference was statistically significant （χ2= 9.93, P〈0.05）. Conclusion Humanized nursing can significantly improve the quality of sleep in patients with advanced nasopharyngeal carcinoma, increase the time of sleep, improve the recovery of the disease, reduce the mortality, worthy of a wide range of promotion.