中医综合护理应用于直肠癌化疗患者的效果评价

Evaluation of the effect of traditional Chinese medicine comprehensive nursing in patients with rectal cancer chemotherapy

目的探讨在直肠癌患者化疗中应用中医综合护理对患者心理状态、皮肤程度和生命质量的影响。方法选择河南省南阳南石医院2017年8月至2020年8月收治的88例直肠癌化疗患者为研究对象,按照随机数字表法分为2组,每组44例,对照组患者行常规护理,观察组患者在对照组基础上联合使用中医综合护理,比较2组患者满意程度、护理前后心理状态、癌性疲乏程度和生命质量,同时对比2组患者化疗后不良反应。结果观察组患者满意程度得分为(80.24±9.02)分,高于对照组患者的(74.64±9.02)分,差异有统计学意义(t值为2.912,P<0.05);观察组患者不良反应发生率为4.55%(2/44),低于对照组患者的20.45%(9/44),差异有统计学意义(χ2值为5.090,P<0.05)。2组患者干预前心理状态、癌性疲乏程度和生命质量比较差异无统计学意义(P>0.05);观察组患者干预后焦虑情绪得分、抑郁情绪得分、认知疲乏、躯体疲乏、情感疲乏和行为疲乏得分分别为(58.24±3.56)、(57.82±3.36)、(5.64±1.32)、(6.56±0.88)、(6.04±0.64)、(5.98±1.52)分,低于对照组患者的(60.12±3.72)、(59.27±3.12)、(6.28±1.48)、(7.24±0.90)、(6.48±0.72)、(6.78±1.56)分,差异有统计学意义(t值为2.141~3.583,P<0.05);观察组患者干预后生命质量评分为(211.68±17.12)分,高于对照组患者的(199.08±17.36)分,差异有统计学意义(t值为3.428,P<0.05)。结论中医综合护理可使直肠癌化疗患者对护理服务更加满意,缓解负面情绪和癌性疲乏作用明显,可减少化疗不良反应的发生,促进患者生命质量的改善,值得推广。

Objective To explore the effect of traditional Chinese medicine comprehensive nursing on psychological state,skin degree and quality of life in patients with rectal cancer.Methods A total of 88 cases with rectal cancer chemotherapy in Nanyang Nanshi Hospital from August 2017 to August 2020 were as the research object,all patients were divided into two groups with 44 cases in each group by random number table method.The control group received routine nursing,the observation group was given traditional Chinese medicine comprehensive nursing based on the control group.The more satisfaction with the two groups,psychological state before and after nursing,cancer fatigue degree,the quality of life,adverse reaction after chemotherapy were compared between the two groups.Results The satisfaction score of the observation group was(80.24±9.02)points,which was higher than that of the control group(74.64±9.02)points,there was statistically significant(t value was 2.912,P<0.05).The probability of adverse reactions was 4.55%(2/44),which was lower than that of the control group(20.45%,9/44),there was statistically significant(χ2 value was 5.090,P<0.05).There were no differences in psychological state,cancer fatigue degree and quality of life between the two groups before intervention(P>0.05).The scores of anxiety,depression,cognitive fatigue,body fatigue,emotional fatigue and behavioral fatigue after intervention were(58.24±3.56),(57.82±3.36),(5.64±1.32),(6.56±0.88),(6.04±0.64),(5.98±1.52)points in the observation group,and(60.12±3.72),(59.27±3.12),(6.28±1.48),(7.24±0.90),(6.48±0.72),(6.78±1.56)points in the control group,there were statistically significant(t values were 2.141-3.583,P<0.05).The quality of life score of the observation group after intervention was(211.68±17.12)points,which was higher than that of the control group(199.08±17.36)points,there was statistically significant(t value was 3.428,P<0.05).Conclusions Comprehensive nursing of traditional Chinese medicine for patients with rectal cancer chemotherapy can make patients more satisfied with nursing service,relieve negative emotions and cancer fatigue,reduce the occurrence of adverse reactions to chemotherapy,and promote the improvement of patients'quality of life.It is worth popularizing.