医护患一体化护理模式在食管癌同期放化疗患者中的运用探讨

Discussion on the Application of Integrated Nursing Mode of Medical Care and Patient in Patients with Esophageal Cancer Undergoing Concurrent Chemoradiotherapy

目的探讨医护患一体化护理模式在食管癌同期放化疗患者中的运用效果。方法随机选择2017年10月-2018年10月治疗的食管癌同期放化疗患者96例作为对象,采用随机数字表将患者分为对照组(n=48)和观察组(n=48)。对照组对象在食管癌放化疗治疗过程中采用常规护理措施,观察组对象则在对照组的基础上增加医护患一体化护理措施。比较两组患者干预前后SAS评分、SDS评分及干预后生活质量评分、不良反应及护理满意度。结果①干预前两组SAS评分和SDS评分差异无统计学意义(P>0.05);干预后观察组的SAS评分和SDS评分均低于对照组,差异有统计学意义(P<0.05)。②干预后观察组各项生活质量评分均高于对照组,差异有统计学意义(P<0.05);③观察组不良反应发生率为16.7%,显著少于对照组(41.7%),差异有统计学意义(χ^2=15.116,P<0.05);④观察组护理满意度为100.0%,显著高于对照组(83.3%),差异有统计学意义(χ^2=18.221,P<0.05)。结论对食管癌同期放化疗患者采用医护患一体化护理模式的护理效果好,可以有效的降低患者不良反应,减少治疗时的焦虑、抑郁情况,提高患者生活质量,获得更加的护理满意度,值得推广应用。

Objective To explore the effect of integrated nursing mode of medical care and patient care in patients with esophageal cancer undergoing concurrent chemoradiotherapy.Methods A total of 96 patients with concurrent chemoradiotherapy for esophageal cancer treated from October 2017 to October 2018 were randomly selected as subjects,and the patients were divided into a control group(n=48)and an observation group(n=48)using a random number table.The subjects in the control group used routine nursing measures during radiotherapy and chemotherapy for esophageal cancer,while the subjects in the observation group added integrated medical care to patient care based on the control group.The SAS score,SDS score,quality of life score,adverse reactions,and nursing satisfaction of the two groups were compared before and after the intervention.Results 1.There was no significant difference in SAS scores and SDS scores between the two groups before the intervention(P>0.05);the SAS scores and SDS scores of the observation group after the intervention were lower than those of the control group,and the differences were statistically significant(P<0.05).2.The quality of life scores in the observation group were higher than those in the control group after the intervention,and the differences were statistically significant(P<0.05);3.The incidence of adverse reactions in the observation group was 16.7%,which was significantly less than the control group(41.7%),The difference was statistically significant(χ^2=15.116,P<0.05);4.the nursing satisfaction of the observation group was 100%,significantly higher than the control group(83.3%),and the difference was statistically significant(χ^2=18.221,P<0.05).Conclusion The nursing effect of the integrated medical care and patient care mode for esophageal cancer patients undergoing concurrent chemoradiotherapy is good,which can effectively reduce the adverse reactions of patients,reduce anxiety and depression during treatment,improve the quality of life of patients,and obtain more nursing satisfaction,which is worth promoting and applying.