延续性护理干预对鼻咽癌放射治疗患者的影响

Effect of continuous nursing intervention in patients with nasopharyngeal carcinoma undergoing radiotherapy

目的探讨延续性护理干预在鼻咽癌放射治疗患者中的应用。方法选取2018年1月—2019年9月医院收治的鼻咽癌放射治疗患者200例作为研究对象,按照组间基本特征均衡可比的原则分为对照组和观察组,各100例。对照组接受常规护理干预,观察组患者接受延续性护理干预。采用汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)、中文版Herth希望指数量表(HHI)、自我护理能力量表(EACA)评价两组患者自我护理效能、希望水平以及心理状态;采用欧洲癌症研究和治疗组织生存质量核心量表(EORTC QLQ-C30)评估两组患者生存质量。检测患者甲状腺激素(TSH)、血清三碘甲腺原氨酸(T3)、四碘甲腺原氨酸(T4)水平。结果干预后,观察组HAMA、HAMD得分低于对照组(P<0.05);观察组希望水平总分高于对照组(P<0.05);观察组自我护理效能总分高于对照组(P<0.05);观察组认知功能、躯体功能、社会功能、角色功能、感情功能得分均高于对照组(P<0.05);观察组T3、T4水平高于对照组(P<0.05),观察组TSH与对照组比较差异无统计学意义(P>0.05)。结论对于放射治疗的鼻咽癌患者采用延续性护理干预,可有效提高患者希望水平,改善患者康复期间的不良心理状态,提高自我护理效能,在一定程度上可提高患者生存质量。

Objective To explore the application of continuous nursing intervention in patients with nasopharyngeal carcinoma undergoing radiotherapy was as the subject.Methods A total of 200 patients with nasopharyngeal carcinoma treated in the hospital from January 2018 to September 2019 were selected as the study objects.According to the principle of balance and comparability of basic characteristics between groups,they were divided into control group and observation group,with 100 cases in each group.The control group received routine nursing intervention,while the observation group received continuous nursing intervention.Hamilton depression scale(HAMD),Hamilton anxiety scale(HAMA),Chinese-version Herth hope index(HHI)and exercise of self-care agency scale(ESCA)were used to evaluate the self-care efficacy,hope level and psychological state of the two groups of patients;the European Cancer Research and Treatment Organization quality of life core scale(EORTC QLQ-C30)was used to evaluate the quality of life of the two groups of patients to detect thyroid stimulating hormone(TSH),serum triiodothyronine(T3),tetraiodothyronine(T4)levels in patients.Results After the intervention,the HAMA and HAMD scores in the observation group were lower than those in the control group(P<0.05).The total score of hope level in the observation group was higher than that in the control group(P<0.05).The total score of self-care effi cacy in the observation group was higher than that in the control group(P<0.05).The scores of cognitive function,physiological function,social function,role function and emotional function in the observation group were higher than those in the control group(P<0.05).The levels of T3 and T4 in the observation group were higher than those in the control group(P<0.05).There was no signifi cant difference in the TSH between the two groups(P>0.05).Conclusion The application of continuous nursing intervention for nasopharyngeal carcinoma patients treated with radiotherapy can eff ectively improve the patient's level of hope,improve the patient's poor psychological state during rehabilitation,improve self-care effi cacy,and to a certain extent,improve the patient's quality of life.