全程优质护理在前列腺癌化疗栓塞中的应用研究

Whole course high quality nursing in chemoembolization for prostate cancer

目的探讨全程优质护理在前列腺癌化疗栓塞中的应用效果。方法选取2019年1月至2019年10月间武警陕西省总队医院和陕西省肿瘤医院收治的120例前列腺癌患者,采用随机数字表法分为研究组和对照组,每组60例。对照组患者采用常规护理模式,研究组患者在对照组基础上采用全程优质护理模式,比较两组患者护理后负性情绪、生存质量和消化道反应。结果研究组患者抗癌药物消化道反应分度的有效率为80.0%,高于对照组的38.3%,差异有统计学意义(P<0.05)。护理后,两组患者焦虑和抑郁评分均降低,且研究组均低于对照组,差异均有统计学意义(均P<0.05)。护理后,两组患者生存质量各项评分均高于护理前,且研究组均高于对照组,差异均有统计学意义(均P<0.05)。研究组患者护理满意度为91.7%,高于对照组的55.0%,差异有统计学意义(P<0.05)。研究组患者不良反应发生率为13.3%,低于对照组的46.7%,差异有统计学意义(P<0.05)。结论全程优质护理在前列腺癌化疗栓塞中应用疗效较好,可明显缓解患者疼痛,降低负性情绪,提高生存质量及护理满意度。

Objective To investigate the efficacy of high quality nursing in chemoembolization for prostate cancer.Methods From January 2019 to October 2019,120 patients diagnosed with prostate canc-er were selected at Shaanxi Provincial General Hospital of Armed Police Corps and Shaanxi Cancer Hospital.They were assigned to an experimental group and a control group using random number table method with 60 patients in each group.The experimental group received high quality nursing besides conventional nursing and the control group received conventional nursing.Negative emotions,quality of life and gastrointestinal reaction were compared between the two groups.Results The efficacy rate of anticancer for the gastrointes-tinal reaction was 80.0%in the experimental group which was significantly higher than 38.3%of the con-trol group(P<0.05).The scores of anxiety and depression decreased in both groups after nursing with the scores lower in the experimental group than in the control group(all P<0.05).Quality of life was signifi-cantly better in both groups after nursing than those before nursing with the experimental group higher than the control group(all P<0.05).Nursing satisfaction was 91.7%in the experimental group which was significantly higher than 55.0%of the control group(P<0.05).The incidence of adverse reactions was 13.3%lower in the experimental group than 46.7%of the control group(P<0.05).Conclusion The whole course high quality nursing shows obvious efficacy which significantly relieve pain,reduce negative e-motions,improve quality of life and nursing satisfaction in patients with prostate cancer undergoing chemo-embolization.