循证护理在鼻咽癌同步放化疗PICC置管患者中的应用效果

Application effect of evidence-based nursing in patients with nasopharyngeal carcinoma PICC simultaneous radiotherapy and chemotherapy

目的探讨循证护理在鼻咽癌同步放化疗经外周静脉置入中心静脉导管(PICC)患者的应用效果。方法选择2019年10月—2020年10月南昌大学第二附属医院收治的100例鼻咽癌同步放化疗PICC置管患者作为研究对象,按照双盲法分为对照组(50例)与观察组(50例)。对照组采用常规护理辅助治疗,观察组在常规护理同时采用循证护理干预,比较两组的抑郁自评量表(SDS)与焦虑自评量表(SAS)评分、生活质量评分及并发症发生率。结果两组护理前的SDS、SAS、生活质量评分比较,差异无统计学意义(P>0.05);两组护理后的SDS与SAS评分低于护理前,生活质量评分高于护理前,差异有统计学意义(P<0.05);观察组护理后的SDS与SAS评分低于对照组,生活质量评分高于对照组,差异有统计学意义(P<0.05)。观察组的并发症总发生率为12.00%,低于对照组的32.00%,差异有统计学意义(P<0.05)。结论在鼻咽癌同步放化疗PICC置管患者治疗期采用循证护理,患者焦虑、抑郁值下降,生活质量明显提升,并发症发生率下降,值得临床应用。

Objective Discuss the application effect of evidence-based nursing in patients with nasopharyngeal carcinoma(PICC)radiotherapy and chemotherapy.Methods From October 2019 to October 2020,100 patients with synchronous radiotherapy and chemotherapy of nasopharyngeal carcinoma PICC catheterization admitted to the Second Affiliated Hospital of Nanchang University were selected as the research subjects.It was divided into the control group(50 cases)and the observation group(50 cases)follow the double-blind method.The control group was treated with routine nursing assistance,the observation group used evidence-based nursing intervention at the same time as routine nursing,self-rating depression scale(SDS)and self-rating anxiety scale(SAS)scores,quality of life scores,and incidence of complications were compared between the two groups.Results There were no significant of SDS,SAS and quality of life scores before nursing in the two groups(P>0.05).Two groups of the SDS and SAS scores after nursing were lower than before nursing,and the quality of life score was higher than before nursing,the differences were statistically significant(P<0.05),the SDS and SAS scores in observation group after nursing were lower than those in control group,and the quality of life score was higher than that in control group,the differences were statistically significant(P<0.05).Total incidence of complication in the observation group was 12.00%,lower than that in the control group(32.00%),the difference was statistically significant(P<0.05).Conclusion During the treatment of nasopharyngeal carcinoma patients with synchronous radiotherapy PICC chemotherapy and catheterization,the value of anxiety and depression decreased,the quality of life improved obviously,and the probability of complications decreased,which is worthy of clinical application.