基于35例全喉切除患者癌因性疲乏的护理干预

目的探讨行全喉切除的喉癌患者采取癌因性疲乏护理干预的措施及效果。方法 64例行全喉切除的喉癌患者,随机分为观察组和对照组,各32例。对照组进行常规护理,观察组在常规护理的基础上采取癌因性疲乏护理干预。对比两组的护理效果。结果干预后,观察组癌因性疲乏状况优于对照组,差异具有统计学意义(P<0.01)。护理干预后,观察组患者的社会关系、心理状态、喉功能、身体机能、颈前气管造口、独立生活能力得分分别为(75.74±9.23)、(76.83±8.89)、(64.78±10.24)、(76.22±9.16)、(68.62±6.76)、(73.65±10.24)分,均显著高于对照组的(62.24±4.12)、(60.12±10.23)、(49.20±10.16)、(68.15±11.30)、(47.85±7.64)、(64.67±7.69)分,差异均具有统计学意义(P<0.01);观察组总体生存质量得分为(89.94±10.79)分,显著优于对照组的(70.46±10.92)分,差异具有统计学意义(P<0.01)。结论对行全喉切除的喉癌患者采取癌因性疲乏护理干预,可有效提高患者康复速度,改善或缓解临床疲乏程度,值得推广与应用。

循证护理干预模式在肿瘤患者癌性疼痛护理中的应用

目的探究循证护理干预模式在肿瘤患者癌性疼痛护理中的应用效果。方法将近期我院收治的肿瘤患者分为两组。对照组行常规护理,观察组施予循证护理。结果护理前,两组患者的NRS评分无明显差异(P>0.05);护理后,观察组患者的NRS评分明显低于对照组,差异显著(P<0.05)。结论将循证护理干预模式运用于肿瘤患者的护理中能够有效缓解患者的癌性疼痛情况,值得推广。

强化心理护理与健康教育在癌性疼痛护理中的应用价值

探究分析强化心理护理与健康教育在癌性疼痛护理中的应用价值。方法 选择2020年7月至2021年7月医院收治的40例癌症患者,通过数字分配方式将其分为两组,对照组实施常规护理,观察组在常规护理基础上加强心理护理及健康教育,对比两组心理状况评分(SAS、SDS)、健康教育知晓程度及护理满意度。结果 通过分析对比,观察组健康教育知晓程度、心理状况评分、护理满意度均优于对照组,两组存在明显数据差异,具有统计学意义(P<0.05)。结论 强化心理护理及健康教育在癌性疼痛护理中起到了良好的作用[1],可缓解患者内心压力,加强疾病健康知晓率,提升舒适体验护理,应用价值良好,可推广运用。

循证护理用于肿瘤患者癌性疼痛护理中的效果探讨

讨论研究循证护理对肿瘤患者癌性疼痛的护理中的应用效果。方法:本次实验研究对象为一年来在我院收治的恶性肿瘤患者80例,用抓阄的方式将这些患者分为对照组和实验组两组,每组患者40名。根据本次实验的要求,对照组患者的护理方式为常规护理,实验组的护理方式为循证护理,比较两组患者的护理效果、不良反应率和患者的满意程度。结果:经过干预护理后,实验组(采用循证护理方式)患者焦虑、抑郁评分,疼痛情况与生活质量指标相比较于对照组更高,且不良反应发生率低于对照组,同时实验组患者护理后的满意程度高于对照组,实验组与之相比较上述指标数据均存在明显优势。两组数据经比较分析,差异明显,存在统计学意义(p<0.05)。结论:循证护理对于缓解肿瘤患者的癌性疼痛有较明显效果,不仅可以降低患者痛感,还可以缓解患者心理不良状态,提高患者的满意度,比较常规护理有较好的效果,可以在临床护理中大力推广。

探究癌痛管理策略团队在胃癌患者术后疼痛护理中的效果评价

探究癌痛管理策略团队在胃癌患者手术后癌性疼痛管理中的效果。方法:选择时间段为2019.8-2020.8在我院进行手术治疗的胃癌患者,例数为96例,将胃癌患者术后随机分成常规组和研究组(在常规护理的基础上进行癌痛护理),两组之间护理效果有明显差异。结果:研究组,通过癌痛管理策略团队干预的护理效果较好;另在患者术后癌性疼痛改善情况上对比上,研究组的改善状态较为良好;研究组中发生不良反应的概率与常规组的发生概率对比中相对较低;然而在满意度上进行对比,常规组在满意度上明显低于研究组(P<0.05)。结论:对在胃癌手术后疼痛管理的过程中,我科积极采用策略团队对癌性疼痛护理取得护理效果较好,值得在临床上进行推广。

成人癌性疼痛规范化护理在癌症患者中的应用

分析针对临床接诊癌症患者通过开展成人癌性疼痛规范化护理重要性。方法:研究共抽取2020年1月至2021年3月的82例癌症病例,分为行常规护理干预41例癌症病例(对照组)和行成人癌性疼痛规范化护理癌症病例(观察组)。对比两组患者各项临床指标。结果:与对照组相比,观察组干预后VAS、SAS和SDS更低,生活质量评分以及配合度均偏高(P<0.05)。结论:针对临床接诊癌症患者通过开展成人癌性疼痛规范化护理至关重要,不仅能缓解患者疼痛程度,同时还能改善患者内心负面情绪,增强患者生活质量以及治疗配合度。

The Quality of Life of Chinese Middle-Aged Male Patients with Gastric Carcinoma After Total Gastrectomy and Nursing Intervention

OBJECTIVE The purpose of this study was to evaluate the quality of life （QOL） in Chinese middle-aged male patients with gastric carcinoma after total gastrectomy, to investigate the factors affecting their QOL, and to Study the effectiveness of nursing intervention.METHODS Structured questionnaire （EORTC QLQ-C30） was used among 162 middle-aged male patients after total gastrectomy （the patients finished the whole process of chemotherapy, and returned home, and society） for data collection and reevaluate the patients＇ aualitv of life with 2 months nursing intervention.RESULTS The patient＇s quality of life was related to their education level, economic condition, family support, and pathological staging. This study showed that patients got higher scores in Functional scales （except for CF）, and lower scores in Symptom scales and single items （except for FI） after receiving intervention than before it was received before.CONCLUSION The study revealed that the QOL in middleaged male patients after total gastrectomy was worse when there was inadequate attention. After implementing pertinent nursing intervention implementing, patients＇ mental attitude and negative behavior were improved, and their QOL was enhanced after returning home and into society.

Self-management A concept analysis of self-management for cancer patients’ home-based rehabilitation

Objective： To explore and clarify the concept of self-management in the context of cancer patients’ home-basedrehabilitation. This concept analysis will provide a theoretical lens for nurses to help cancer patients to developself-management strategies and enables them to improve their ability in symptom self-management of home-basedrehabilitation. Method： Walker and Avant’s framework （2011） was used to analyse the concept of self-management.Results： Self-management is defined as a dynamic process that involves perception of one’s needs, resource utilisation,problem solving and active participation. Antecedents of self-management include self-efficacy, disease knowledge andsocial support. Improving cancer patients’ ability in symptom self-management can improve their health outcomes andquality of life and reduce healthcare expenditures. Although Strategy and Effectiveness of Symptom Self-Managementscale is perceived as an ideal instrument to measure self-management and thus it is used worldwide, whether thisinstrument fits to measure this concept for cancer patients in Chinese context has still not yet been verified and thusfurther research is needed. Conclusion： According to the concept analysis, nurses should encourage cancer patients toinvolve actively in making a home-based rehabilitation plan and promote their ability in symptom self-management ofhome-based rehabilitation so as to improve their health outcomes and reduce healthcare expenditures.