风险防范管理方案对输液港置管化疗的宫颈癌患者护理管理质量的影响

Effect of risk prevention and management program on nursing management quality of cervical cancer patients undergoing intravenous infusion port chemotherapy

目的探讨分析风险防范管理方案对输液港置管化疗的宫颈癌患者护理管理质量的影响。方法选取88例静脉输液港置管化疗的宫颈癌患者,采用抛硬币法随机分为对照组与观察组,每组44例。对照组采用常规护理,观察组在常规护理基础上采用风险防范管理方案。对比两组患者护理前后心理状态、并发症及不良事件发生情况。结果护理前,两组汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分比较,差异无统计学意义(P>0.05);护理2个月后,两组HAMA、HAMD评分均低于护理前,且观察组HAMA、HAMD评分(10.23±1.69)分、(10.31±2.06)分均低于对照组的(12.52±3.15)分、(12.75±1.96)分(P<0.05)。观察组并发症及不良事件总发生率(2.3%、4.5%)均低于对照组(15.9%、18.2%)(P<0.05)。结论风险防范管理方案在改善输液港置管化疗宫颈癌患者心理状态及预防导管相关并发症、不良事件发生方面具有显著疗效。

Objective To explore and analyze the effect of risk prevention management scheme on the quality of nursing management of cervical cancer patients undergoing intravenous infusion port chemotherapy.Methods 88 patients with cervical cancer who received intravenous infusion and chemotherapy were randomly divided into control group and observation group by coin toss method,with 44 cases in each group.The control group received routine nursing,and the observation group received risk prevention management based on routine nursing.The psychological state,complications and adverse events of the two groups were compared before and after care.Results Before nursing,there was no significant difference in hamilton anxiety scale(HAMA)and hamilton depression scale(HAMD)scores between the two groups(P>0.05).After 2 months of nursing,HAMA and HAMD scores of the two groups were lower than those before nursing,and the HAMA and HAMD scores of the observation group(10.23±1.69)points and(10.31±2.06)points were lower than those of the control group(12.52±3.15)points and(12.75±1.96)points(P<0.05).The total incidence of complications and adverse events in the observation group(2.3%,4.5%)was lower than that in the control group(15.9%,18.2%)(P<0.05).Conclusion Risk prevention management has a significant effect on improving the psychological state of patients with cervical cancer and preventing catheter-related complications and adverse events.