| 朱莲玉,王海燕,李育军,魏海玲,刘利香.延续性护理模式对消化道恶性肿瘤术后化疗患者生活质量及不良反应程度的影响[J].上海护理,2015,15(4): |
| 延续性护理模式对消化道恶性肿瘤术后化疗患者生活质量及不良反应程度的影响 |
| The influence of life quality and cancer related fatigue by clinical nursing path on digestive malignant tumor postoperative chemotherapy patientsZhu lian-yu Wang hai-yan﹡ Li yu-jun Wei hai-ling Liu li-xiang |
| DOI： |
| 中文关键词: 延续性护理模式 消化道恶性肿瘤 化疗 生活质量 不良反应 |
| 英文关键词:the clinical nursing path Continuity of care model The digestive tract malignant tumor Chemotherapy The quality of life. Cancer-related fatigue |
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| 中文摘要: |
| 【摘要】目的：探讨延续性护理模式对消化道恶性肿瘤术后化疗患者生活质量和不良反应程度的影响。方法：选取135例消化道恶性肿瘤术后化疗患者，按随机数字表法将患者分为对照组和观察组。对照组65例，采用常规护理模式。观察组70例，采用延续性护理模式。两组患者均采用简明健康状况调查量表（short-form-36 health survey，SF-36）评估生活质量。观察化疗产生的主要不良反应 (胃肠道反应、骨髓抑制、黏膜炎、神经毒性、肝肾功能损害)的程度,比较两组患者生活质量和不良反应的程度和护理满意度。结果：在两组患者均接受化疗6个周期后进行评估，观察组SF-36量表中的生理功能、生理职能、躯体疼痛、心理功能和心理职能评分均明显高于对照组[1]，比较差异具有统计学意义（P<0.05）。观察组部分不良反应如：胃肠道反应、骨髓抑制、黏膜炎、疲乏的发生明显低于对照组（P<0.5）;但在减少神经毒性、肝肾功能损害方面，通过护理的方法效果不明显，存在差异但无统计学意义(P>0.5)；观察组，未发生不良反应的例数明显高于对照组；护理满意度亦明显高于对照组，比较具有统计学意义（P<0.5）。结论：采取延续性护理干预措施，可减少消化道恶性肿瘤术后化疗期间的不良反应,减轻患者的痛苦,使化疗顺利进行，提高护理满意度[2]。 |
| 英文摘要: |
| 【 abstract 】 objective: to study the clinical nursing path joint continuity model of digestive tract malignant tumor postoperative chemotherapy patients' quality of life and cancer-related fatigue. Methods: choose 135 cases of digestive tract malignant tumor patients with postoperative chemotherapy, according to random number table method divided the patients into control group and observation group. Control group 65 cases, adopt the routine nursing mode. Observation group 70 examples, adopts the model of clinical nursing path joint continuity. Two groups of patients with concise health survey scale (short - form 36 health survey, SF - 36) to assess the quality of life, the simple fatigue scale (brief fatigue inventory, BFI) assessment of cancer-related fatigue degree, compared two groups of patients quality of life and cancer-related fatigue degree of difference. Results: observation group SF - 36 scale of physiological function, physiological function, body pain, psychological function and mental function scores were significantly higher than that of control group, compare the differences statistically significant (P < 0.05), before treatment, the comprehensive fatigue degree evaluation and comprehensive influence fatigue there was no significant difference of the comparison between the two groups (P > 0.05), after nursing, the observation group scores were significantly lower than the control group, has the obvious difference (P < 0.05); Without fatigue rate and nursing satisfaction and observation group was obviously higher than that of control group, and severe fatigue rate is significantly lower than the control group (P < 0.05). Conclusion: clinical nursing path joint continuity model significantly improve digestive tract malignant tumor postoperative chemotherapy patients' quality of life and cancer-related fatigue, improve the quality of nursing. |
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