综合性护理对肿瘤化疗患者致胃肠道反应及睡眠质量的影响评价

Evaluation of the Effect of Comprehensive Nursing on Gastrointestinal Reaction and Sleep Quality in Patients with Tumor Chemotherapy

目的:研究综合性护理对肿瘤化疗患者致胃肠道反应及睡眠质量的影响。方法:选取2022年3月至2023年1月莆田学院附属医院收治的肿瘤化疗患者60例作为研究对象,按照随机数字表法分为对照组和观察组,每组30例。对照组肿瘤化疗患者采用常规护理,观察组肿瘤化疗患者采用综合性护理,对比2组肿瘤化疗患者的胃肠道反应情况、营养指标、免疫功能指标、睡眠质量评分、生命质量评分。结果:综合性护理下肿瘤化疗患者恶心、呕吐、食欲不振各项胃肠道反应发生率低于常规护理,差异有统计学意义(P<0.05)。综合性护理下肿瘤化疗患者白蛋白、前白蛋白、转铁蛋白各项营养指标高于常规护理,差异有统计学意义(P<0.05)。综合性护理下肿瘤化疗患者CD3^(+)、CD4^(+)各项免疫功能指标高于常规护理,差异有统计学意义(P<0.05)。综合性护理下肿瘤化疗患者匹兹堡睡眠质量指数量表(PSQI评分低于常规护理,差异有统计学意义(P<0.05)。综合性护理下肿瘤化疗患者躯体化、敌对、焦虑、抑郁、恐惧各项SCL-90生命质量评分低于常规护理,差异有统计学意义(P<0.05)。结论:综合性护理对肿瘤化疗患者致胃肠道反应及睡眠质量具有积极影响,因此综合性护理更具推广价值。

Objective:To study the effect of comprehensive nursing on gastrointestinal reaction and sleep quality of patients with tumor chemotherapy.Methods:A total of 60 tumor chemotherapy patients admitted to the Affiliated Hospital of Putian University from March 2022 to January 2023 were selected as the research subjects.They were randomly divided into a control group and an observation group using a random number table method,with 30 patients in each group.The control group of tumor chemotherapy patients received routine care,while the observation group of tumor chemotherapy patients received comprehensive care.The gastrointestinal reactions,nutritional indicators,immune function indicators,sleep quality scores,and quality of life scores of the two groups of tumor chemotherapy patients were compared.Results:The incidence of various gastrointestinal reactions such as nausea,vomiting,and loss of appetite in tumor chemotherapy patients under comprehensive care was lower than that under routine care,and the difference was statistically significant(P<0.05).Under comprehensive care,the nutritional indicators of albumin,prealbumin,and transferrin in tumor chemotherapy patients were higher than those under routine care,with statistically significant differences(P<0.05).The immune function indicators of CD3^(+)and CD4^(+)in tumor chemotherapy patients under comprehensive nursing care were higher than those under routine nursing care,and the difference was statistically significant(P<0.05).The Pittsburgh Sleep Quality Index(PSQI)score of tumor chemotherapy patients under comprehensive care was lower than that of routine care,and the difference was statistically significant(P<0.05).The SCL-90 quality of life scores of somatization,hostility,anxiety,depression,and fear in tumor chemotherapy patients under comprehensive nursing care were lower than those under routine nursing care,and the difference was statistically significant(P<0.05).Conclusion:Comprehensive nursing has a positive impact on the gastrointestinal reaction and sleep quality of patients with cancer chemotherapy,so comprehensive nursing is more worthy of promotion.