临床护理路径干预在宫颈癌放疗护理中的应用效果

Application and Effect of Clinical Nursing Pathway Intervention in Radiotherapy Nursing for Cervical Cancer

目的:观察分析宫颈癌放疗患者实施临床护理路径干预的应用效果。方法:选取2018年1月—2020年12月盐城市第一人民医院收治的90例宫颈癌放疗患者作为研究对象,采用随机数表法将其分为常规组和研究组,每组各45例。常规组采用常规护理,研究组在常规护理基础上采用临床护理路径干预。比较两组患者健康教育知识掌握程度、心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)评分]、癌因性疲乏[癌症疲乏量表(CFS)评分]、生活质量[健康调查简表(SF-36)评分]情况。结果:研究组健康知识掌握率为91.11%,显著高于常规组的73.33%,差异有统计学意义(χ^(2)=9.684,P<0.05)。干预后,研究组SAS、SDS、CFS评分均明显低于常规组,差异有统计学意义(t=5.402、5.378、4.870,P<0.05)。干预12周后,研究组SF-36量表中各维度评分均明显高于常规组,差异有统计学意义(t=13.953、11.275、36.840、21.569、30.181、22.075、18.967、22.777,P<0.05)结论:宫颈癌患者放疗过程中辅以临床护理路径干预,能够进一步提高患者对健康教育知识的掌握程度,促使其减轻焦虑、抑郁情绪,降低癌因性疲乏程度,进而达到改善患者生活质量的目的。

Objective:To observe and analyze the intervention effect of clinical nursing path in patients with cervical cancer ra⁃diotherapy.Methods:90 patients admitted to the hospital for radiotherapy for cervical cancer from January 2018 to December 2020 were selected as the study population and were divided into conventional group and study group using the random number ta⁃ble method,with 45 cases in each group.The conventional group used conventional care,and the study group used clinical care pathway intervention based on conventional care.The degree of knowledge of health education,psychological status(anxiety self-as⁃sessment scale[SAS]and depression self-assessment scale[SDS]scores),cancer-caused fatigue(Cancer Fatigue Scale[CFS]scores),and quality of life(Health Survey Short Form[SF-36]scores)were compared between the two groups.Results:The health knowledge acquisition rate of the study group was 91.11%,which was significantly higher than 73.33%in the conventional group,and the difference was statistically significant(χ^(2)=9.684,P<0.05).After the intervention,SAS,SDS,and CFS scores were signifi⁃cantly lower in the study group than in the conventional group,with statistically significant differences(t=5.402,5.378,4.870,P<0.05).After 12 weeks of intervention,the scores of all dimensions in the SF-36 scale were significantly higher in the study group than in the conventional group,with statistically significant differences(t=13.953,11.275,36.840,21.569,30.181,22.075,18.967,22.777,P<0.05).Conclusion:The clinical care pathway intervention during radiotherapy for cervical cancer patients can further improve patients’mastery of health education knowledge,prompt them to reduce anxiety and depression,and decrease can⁃cer-caused fatigue,thus achieving the purpose of improving patients’quality of life.