图文式临床护理路径对宫颈癌化疗患者治疗依从性和睡眠质量的影响

Effects of image and text-based clinical nursing pathway on treatment compliance,sleep quality and adverse reactions in patients with cervical cancer receiving chemotherapy

目的探讨图文式临床护理路径对宫颈癌化疗患者治疗依从性、睡眠质量及不良反应的影响。方法选取2018年1月至2018年12月间辽宁省营口市中心医院收治的68例行化疗的宫颈癌患者为研究对象。采用随机数表法分为研究组和对照组,每组34例。研究组患者行图文式临床护理路径护理,对照组患者行常规护理。记录并比较两组患者护理前后的睡眠质量及护理后的治疗依从性、不良反应情况。结果护理后,研究组患者的治疗依从性优于对照组患者,差异有统计学意义(P <0.05);护理前,两组患者的睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物、日间功能障碍及总分比较,差异无统计学意义(P>0.05)。护理后,两组患者的睡眠质量上述各项评分均优于护理前,且研究组患者优于对照组患者,差异均有统计学意义(均P <0.05)。护理后,研究组患者不良反应发生率为8.8%,少于对照组患者的29.4%,差异有统计学意义(P <0.05)。结论图文式临床护理路径可提高宫颈癌化疗患者的治疗依从性,并改善其睡眠质量,降低不良反应发生率,值得临床推广。

Objective To explore the effects of image and text-based clinical nursing pathway on treatment compliance,sleep quality and adverse reactions in patients with cervical cancer receiving chemotherapy. Methods From January 2018 to December 2018,68 patients with cervical cancer who received chemotherapy at Yingkou Central Hospital were selected as the study subjects. They were randomly assigned to a study group and a control group by simple random number table method with 34 patients in each group.Patients in the study group were given image and text-based clinical nursing pathway-guided nursing and patients in the control group were given routine nursing. Sleep quality,treatment compliance and adverse reactions were recorded and compared between the two groups before and after nursing. Results After nursing,treatment compliance was better in the study group than in the control group( P < 0. 05). Before nursing,there was no significant difference in quality of sleep,time to fall asleep,length of sleep,sleep efficacy,dyssomnia,sleeping draught,daytime dysfunction and the overall score between the two groups( P >0. 05). After nursing,sleep quality was improved in the two groups compared with before nursing with the study group better than the control group( all P < 0. 05). After nursing,the incidence of adverse reactions was 8. 8% in the study group which was less than 29. 4% of the control group( P < 0. 05). Conclusion Image and text-based clinical nursing pathway can improve treatment compliance and sleep quality,and reduce the incidence of adverse reactions in patients with cervical cancer receiving chemotherapy,which is worthy of clinical promotion.