个性化护理模式在老年肿瘤患者放射治疗中的应用效果

Efficacy of personalized nursing in elderly patients with tumor undergoing radiotherapy

目的 探讨个性化护理模式在老年肿瘤患者放射治疗中的应用效果。方法 选取2020年8月至2021年3月间青岛市中心医院收治的110例老年肿瘤患者,采用随机数表法分为试验组和对照组,每组55例。试验组患者采用舒适化护理干预,对照组患者采用常规护理干预,比较两组患者的护理满意度、视觉模拟评分法(VAS)、自我管理能力量表(CPPSM)评分、简明健康状况调查表(SF-36)评分和心理弹性量表(CD-RISC)评分。结果 试验组患者护理满意度为98.2%,高于对照组的83.6%,差异有统计学意义(P<0.05)。护理前,两组患者的VAS评分和CD-RISC评分比较,差异无统计学意义(P>0.05);护理后,试验组患者的VAS评分低于对照组,CD-RISC评分高于对照组,差异均有统计学意义(均P<0.05)。护理前,两组患者的SF-36评分和CPPSM评分比较,差异无统计学意义(P>0.05);护理后,试验组患者的SF-36评分和CPPSM评分均高于对照组,差异均有统计学意义(均P<0.05)。结论 老年肿瘤患者采用个性化护理模式,可提升患者的护理满意度,改善自我管理能力、生活质量和心理状态,缓解疼痛,值得临床进一步研究。

Objective To systematically analyze the efficacy of personalized nursing in elderly patients with cancer radiotherapy. Methods A total of 110 elderly cancer patients were selected at Qingdao Central Hospital between August 2020 and March 2021. They were divided into experimental group and a control group with 55 patients in each group using random number method. The experimental group received comfort nursing intervention and the control group received routine nursing intervention. The nursing satisfaction, visual analogue scale(VAS) score, self-management assessment scale score, 36-item short form health survey(SF-36) score and Connor-Davidson Resilience scale(CD-RISC) score were compared between the two groups. Results Patient satisfaction was 98.2% in the experimental group which was higher than 83.6% of the control group(all P<0.05). Before nursing, there was no significant difference in VAS score, self-management assessment score, SF-36 score and CD-RISC score between the two groups(P>0.05). After nursing, compared with the control group, the VAS score was lower and CD-RISC score, self-management assessment score and SF-36 score were higher in the experimental group than in the control group(all P<0.05). Conclusion The personalized nursing model can significantly improve nursing satisfaction, self-management abilities, quality of life and psychological state and relieve pain in elderly cancer patients. It is worthy of further clinical research and reference.