中西医结合辨证施护在胃癌化疗中的应用

The Application of Integrated Traditional Chinese Medicine and Western Medicine Combined With Syndrome Differentiation Nursing In Gastric Carcinoma Patients Undergoing Chemotherapy

目的观察中西医结合辨证施护在进展期胃癌化疗患者中的应用效果。方法选择2018年11月—2019年2月在中国医科大学附属盛京医院胃肠营养外科接受化疗的进展期胃癌患者156例为研究对象,采用随机数字表法分为观察组与对照组,各78例。对照组采用常规的整体护理模式。观察组采用常规的整体护理模式基础上给予中西医结合辨证施护。比较2组患者对护理的满意度和患者的生活质量。结果护理满意度方面,观察组的护理方式、护理态度、护理水平评分均高于对照组,差异有统计学意义(P<0.05)。生活质量方面,观察组躯体功能、角色功能、情绪调节功能、认知功能及社会功能评分均高于对照组,差异有统计学意义(P<0.05)。结论对接受化疗的胃癌患者实施中西医结合辨证施护方案能有效的降低药物不良反应发生,提高患者满意度,提升生活质量。

Objective To study the effect of integrated traditional Chinese medicine and western medicine combined with syndrome differentiation nursing in gastric carcinoma patients undergoing chemotherapy.Methods 156 patients with advanced gastric carcinoma underwent chemotherapy in our department from November 2018 to February 2019 were selected.The patients were divided into observation group and control group with random number table,and each group contained 78 patients.The patients of control group were nursed by holistic nursing.For the observation group,the patients were treated with integrated traditional Chinese medicine and western medicine and nursed with syndrome differentiation nursing on top of holistic nursing.We compared the quality of life and the satisfaction to the nursing of the two groups.Results For the satisfaction to the nursing,the scores of nursing method,nursing manner and nursing skill for the observation group were all higher than those of the control group(P<0.05).For the quality of life,the scores of physical function,role function,emotional function,cognitive function and social function for the observation group were all higher than those of the control group(P<0.05)Conclusion Integrated traditional Chinese medicine and western medicine combined with syndrome differentiation nursing can decrease the complication of medicine,improve the satisfaction and the quality of life of the patients.