成人肿瘤患者癌症复发恐惧症状管理的循证实践

Evidence-based practice on fear of cancer recurrence symptom management in adult cancer patients

目的 探讨成人肿瘤患者癌症复发恐惧(FCR)症状管理的循证实践效果。方法 采用便利抽样法选取2022年3月至8月南京医科大学附属淮安第一医院150例成人肿瘤患者进行研究。根据JBI循证实践模式中3个阶段检索成人肿瘤患者FCR症状管理的最佳证据,制订并实施症状管理。比较肿瘤患者症状管理前后FCR评分、纽卡斯尔护理满意度量表(NSNS)评分;以150名患者家属、8名医师及32名护师为质量审查对象,比较症状管理前后对FCR症状管理的依从性。结果 症状管理后,肿瘤患者FCR评分低于症状管理前,NSNS评分高于症状管理前,差异有统计学意义(P<0.05)。症状管理后,审查对象质量审查的依从性高于症状管理前,差异有统计学意义(P<0.05)。结论 通过循证实践可明确成人肿瘤患者FCR症状管理的最佳证据,应用于实践后可完善症状管理方案,对改善其FCR症状管理水平具有重要作用,同时还可提升患者对护理的满意度。

Objective To improve the effect of evidence-based practice on fear of cancer recurrence(FCR)symptom management in adult cancer patients.Methods A total of 150 cases with adult cancer patients from Huaian First Hospital Affiliated to Nanjing Medical University from March to August 2022 were selected by convenience sampling method.The best evidence of FCR symptom management in adult cancer patients was retrieved according to the three stages of JBI evidence-based practice model,and symptom management was formulated and implemented.FCR scores and Newcastle satisfaction with nursing scale(NSNS)scores were compared before and after symptom management;a total of 150 patients’family members,8 physicians,and 32 nurses were selected as quality audit object,and their compliance with FCR symptom management before and after symptom management was compared.Results After symptom management,the FCR score of canver patients was lower than that before symptom management,and NSNS score was higher than that before symptom management,and the differences were statistically significant(P<0.05).After symptom management,the compliance of audit object was higher than that before symptom management,and the difference was statistically significant(P<0.05).Conclusion Evidence-based practice can clarify the best evidence of FCR symptom management in adult cancer patients,and after application in practice,the symptom management program can be improved,which plays an important role in improving FCR symptom management level,and can also improve patients’satisfaction with nursing.