延续性护理结合认知行为干预对宫颈癌患者术后化疗患者依从性及生活质量的影响

Effect of Continuous Nursing Combined with Cognitive Behavior Intervention on Compliance and Quality of Life of Patients with Cervical Cancer after Chemotherapy

目的探讨延续性护理结合认知行为干预应用于宫颈癌术后化疗患者后对其化疗依从性和生活质量产生的具体影响。方法选择该院收治的宫颈癌术后化疗患者60例纳入该次研究,病例选取时间范围为2017年1月-2019年1月,以患者所接受干预方法的不同将其分为两组,其中A组共包含患者24例,所接受的是常规护理干预,B组共包含患者36例,所接受的是延续性护理结合认知行为干预,对两组患者的化疗依从性、生活质量和干预满意度展开观察。结果 B组患者的化疗依从优良率为94.44%(34/36),明显高于A组患者的70.83%(17/24)(χ^2=6.296,P=0.012);干预后,B组患者情绪功能、躯体功能、社会功能生活质量评分分别为(68.93±6.25)分、(74.23±6.07)分、(72.56±7.24)分,明显较A组患者的(64.31±5.77)分、(65.19±5.64)分、(67.86±7.03)分高(t=2.429,P=0.020;t=4.879,P=0.000;t=2.083,P=0.044);B组患者满意自身所接受的干预措施97.22%(35/36),和A组患者的干预满意度75.00%(18/24)相较明显更高(χ^2=6.900,P=0.009)。结论为宫颈癌术后化疗患者实施延续性护理和认知行为干预相结合的护理干预能有效提升患者的化疗依从性和生活质量,患者亦普遍对于此种护理干预措施表示满意。

Objective To explore the specific impact of continuous nursing combined with cognitive behavioral intervention on chemotherapy compliance and quality of life of patients with cervical cancer after chemotherapy.Methods Sixty patients with postoperative chemotherapy for cervical cancer treated in the hospital were selected for this study.The case selection period ranged from January 2017 to January 2019.The patients were divided into two groups based on the intervention methods they received.Among them,group A included 24 patients and received conventional nursing interventions,group B included 36 patients and received continuous care combined with cognitive behavioral interventions.Chemotherapy compliance,quality of life,and observation of intervention satisfaction.Results The excellent and good chemotherapy compliance rate of group B patients was 94.44%(34/36),which was significantly higher than 70.83%(17/24)of group A patients(χ^2=6.296,P=0.012).After intervention,the emotions function,physical function,and social function quality of life scores of group B patients were(68.93±6.25)points,(74.23±6.07)points,and(72.56±7.24)points,which were significantly higher than the(64.31±5.77)points and(65.19±5.64)points,(67.86±7.03)points of group A patients(t=2.429,P=0.020;t=4.879,P=0.000;t=2.082,P=0.044);Group B patients were satisfied with their own acceptance 97.22%(35/36).the intervention measures were significantly higher than the intervention satisfaction rate of 75.00%(18/24)in group A patients(χ^2=6.900,P=0.009).Conclusion Nursing interventions combining continuous care and cognitive-behavioral interventions for patients undergoing postoperative chemotherapy for cervical cancer can effectively improve patients'chemotherapy compliance and quality of life.Patients are generally satisfied with such nursing interventions.