基于护理程序的护理干预在非小细胞肺癌术后放化疗中的应用效果

Effect of nursing intervention based on nursing procedure on patients receiving radiotherapy and chemotherapy after non-small cell lung cancer surgery

目的探讨针对非小细胞肺癌术后放化疗患者应用基于护理程序的干预方案价值。方法选择非小细胞肺癌术后进行放化疗治疗的患者80例,均为我院2019年1月至2020年1月收治,采用数字表抽取法随机分组,就应用常规干预方案(对照组,n=40)与应用基于护理程序的干预方案(观察组,n=40)效果展开对比。结果两组干预前希望水平评分差异无统计学意义(P>0.05),干预后,各组评测分值均有升高,且观察组更为显著(P<0.05)。两组在干预前,癌性疲乏各维度评分差异无统计学意义(P>0.05)。干预后,各组评测分值均有升高,观察组变化不明显,对照组明显高于干预前,且高于观察组,差异有统计学意义(P<0.05)。两组干预前生活质量各维度评分差异无统计学意义(P>0.05),干预后,各组评测分值均有升高,且观察组高于对照组(P<0.05)。观察组并发症率均低于对照组(P<0.05)。结论非小细胞肺癌术后放化疗中应用基于护理程序的护理方案展开干预,可提升患者希望水平,改善癌性疲乏状况,提高生活质量,降低并发症率,临床应用价值较大。

Objective To explore the value of intervention based on nursing procedure for patients receiving radiotherapy and chemotherapy after non-small cell lung cancer surgery(NSCLC).Methods A total of 80 patients with NSCLC treated with radiotherapy and chemotherapy after operation in our hospital from January 2019 to January 2020 were selected as research objects.According to random number table,the objects were divided into the control group(n=40)and the observation group(n=40).The control group received the routine nursing and the observation group received the intervention based on nursing procedure.The effects of the two nursing methods were compared.Results There was no difference in the score of hope level between the two groups before intervention(P>0.05).After intervention,the scores of both groups increased,especially in the observation group(P<0.05).There was no significant difference in the scores of all dimensions of cancer-related fatigue(CRF)between the two groups before intervention(P>0.05).After intervention,the scores of each group increased.The change of the observation group was not obvious,but the score of the control group after intervention was significantly higher than that before intervention,and also higher than that of the observation group,with statistically significant difference(P<0.05).Before the intervention,there was no difference in the scores of all dimensions of the quality of life between the two groups(P>0.05).After the intervention,the scores of each group increased,and the score of the observation group was higher than that of the control group(P<0.05).The complication rate in the observation group was lower than that in the control group(P<0.05).Conclusion The nursing intervention based on nursing procedure can improve the hope level,the condition of CRF,and the quality of life and reduce the complication rate of NSCLC patients receiving postoperative radiotherapy and chemotherapy,which is worthy of clinical application.