阶段性护理干预在初治局部晚期宫颈癌患者CT引导下三维后装放疗中的应用

Application of phased nursing intervention in CT-guided 3D retro-radiotherapy in patients with primary treatment for locally advanced cervical cancer

目的评价在初治局部晚期宫颈癌患者CT导引三维后装放疗中应用阶段性护理干预的效果。方法选取九江市第三人民医院2020年7月至2021年6月收治的68例局部晚期宫颈癌患者作为研究对象,按住院时间不同分为研究组(2020年7月至12月)和对照组(2021年1月至6月),每组34例。两组患者采用四野盒式放射和三维后装放疗,对照组采用常规护理干预,研究组采用阶段性护理干预。比较两组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)、视觉模拟评分法(VAS)、Piper疲乏评估修订量表(PFS-R)评分以及护理满意度。结果两组护理后SAS、SDS、VAS、PFS-R评分低于本组护理前,研究组SAS、SDS、VAS、PFS-R评分低于对照组,研究组的护理满意度高于对照组,差异有统计学意义(P<0.05)。结论早期局部晚期宫颈癌患者在临床的治疗当中,护理干预是必需的环节,尤其是在接受CT导向三维后装放疗中,阶段性护理干预可以减轻患者的精神应激,减轻患者的痛苦和癌性疲劳,提高患者的护理满意度。

Objective To evaluate the effect of phased nursing intervention in CT-guided 3D retro-radiotherapy in patients with primary treatment for locally advanced cervical cancer.Methods A total of 68 patients with locally advanced cervical cancer admitted to Jiujiang Third People's Tumor Hospital from July 2020 to June 2021 were selected as the research objects.According to the different hospitalization time,they were divided into the study group(July to December 2020)and the control group(January to June 2021),with 34 cases in each group.Two groups of patients were treated with four-field box radiation and 3D retro-radiotherapy,the control group was treated with routine nursing intervention,and the study group was treated with phased nursing intervention.The self-rating anxiety scale(SAS),self-rating depression scale(SDS),visual analog scale(VAS),piper fatigue scale-revised(PFS-R)and nursing satisfaction were compared between the two groups.Results The scores of SAS,SDS,VAS and PFS-R after nursing in the two groups were lower than before nursing in the same group,the scores of SAS,SDS,VAS and PFS-R in the study group were lower than those in the control group,and the nursing satisfaction in the study group was higher than that in the control group,the differences were statistically significant(P<0.05).Conclusion In the clinical treatment of patients with early locally advanced cervical cancer,nursing intervention is a necessary step,especially in the receiving of CT-guided 3D retro-radiotherapy Phased nursing intervention can alleviate patients'mental stress,alleviate patients'pain and cancer fatigue,and improve patients'nursing satisfaction.