舒适护理干预在肿瘤放疗患者中的应用效果及对睡眠质量的影响

The Effect of Comfort Care Intervention in Patients Undergoing Radiotherapy for Tumors and Its Effect on Sleep Quality

目的:探讨舒适护理对肿瘤放疗患者护理效果和睡眠质量的影响。方法:选取2019年5月至2020年4月泉州市第一医院放疗科收治的肿瘤患者100例作为研究对象,按照随机数字表法将其分为观察组和对照组,每组50例。对照组实施常规护理,观察组采用舒适护理的方法,比较2种护理模式对患者不良反应、心理状态和睡眠质量的影响。结果:观察组与对照组比较,患者放疗期间的不良反应发生率更低;护理后与护理前比较2组患者的焦虑情绪和抑郁情绪均有所改善,而观察组护理后的负面情绪评分较对照组更低;护理后2组患者的睡眠质量较护理前均有所改善,观察组护理后的睡眠质量评分显著低于对照组,差异均具有统计学意义(均P<0.05)。结论:对肿瘤放疗患者实施舒适护理可降低不良反应的发生风险,同时可缓解患者的负面情绪,改善患者的睡眠质量,因此,更值得在临床护理上进一步推广应用。

Objective:To explore the effect of comfort care on patients undergoing radiotherapy for tumors and the influence on sleep quality.Methods:A total of 100 patients with tumors treated in the Radiotherapy Department of Quanzhou First Hospital from May 2019 to April 2020 were selected as the research objects.They were divided into observation and control groups using a random number table,with 50 cases in each group.The control group was treated with routine nursing,and the observation group was treated under comfort care.The adverse reactions(ADR),psychological state,and sleep quality of the patients under the two nursing modes were compared.Results:Compared with the control group,the incidence of ADR in the observation group was lower during radiotherapy.The anxiety and depression of the two groups were improved after nursing,and the observation group had relatively lower negative mood scores than the control group.After nursing,the sleep quality of the two groups was improved compared with that before nursing,and the sleep quality score of the observation group was significantly lower than that of the control group.The differences were statistically significant(Ps<0.05).Conclusion:Comfort care for patients undergoing radiotherapy for tumors can reduce the risk of adverse reactions,relieve the negative emotions of patients,and improve the quality of sleep.Therefore,it is worthy of further promotion and application in clinical nursing.