胃癌患者化疗的医护一体化干预方法与干预效果评估(1)
【摘要】 目的：探讨胃癌化疗患者的医护一体化干预方法及其干预效果。方法：选取本院2018年1-8月收治的胃癌化疗患者42例作为研究对象，按照随机数字表法将其分为对照组和观察组，各21例。对照组按照常规护理模式干预，观察组则采取医护一体化干预模式干预，比较两组护理前后焦虑自評量表(SAS)、抑郁自评量表(SDS)、癌症疲乏量表(CFS)评分，同时记录化疗副反应发生情况和住院时间，护理质量和患者对护理的满意度评分。结果：护理前两组SAS、SDS、CFS评分比较，差异均无统计学意义(P>0.05)；护理后，两组SAS、SDS、CFS评分与治疗前比较均明显降低，且观察组均明显低于对照组，差异均有统计学意义(P<0.05)。观察组化疗副反应发生率明显低于对照组，住院时间明显短于对照组，差异均有统计学意义(P<0.05)。观察组护理质量和患者对护理的满意度评分均明显高于对照组，差异均有统计学意义(P<0.05)。结论：医护一体化护理干预应用在胃癌患者中不仅可以明显改善患者的焦虑、抑郁症状，而且还能更好地改善癌性疲乏症状，提高护士护理水平，减少化疗副反应，缩短住院时间，使得患者对护理更满意，值得借鉴。
【关键词】 胃癌； 医护一体化干预； 化疗； 负性情绪； 癌性疲乏症状； 化疗副反应
【Abstract】 Objective：To explore the intervention method and intervention effect of health care integration intervention for gastric cancer patients with chemotherapy.Method：A total of 42 patients with gastric cancer admitted in our hospital from January to August 2018 were selected as the research objects.According to the random number table method，they were divided into control group and observation group，21 cases in each group.The control group was intervened by routine nursing mode，the observation group was intervened by health care integration intervention mode.The scores of self-rating anxiety scale (SAS)，self-rating depression scale (SDS) and cancer fatigue scale (CFS) before and after nursing，the side effects of chemotherapy and hospitalization time，nursing quality and patients’ satisfaction with nursing scores between the two groups were compared.Result：There were no significant differences in SAS，SDS and CFS scores between two groups before nursing(P>0.05)；after nursing，SAS，SDS and CFS scores of two groups were significantly lower than those before treatment，and the observation group were significantly lower than those of the control group，the differences were statistically significant (P<0.05).The incidence of side effects of chemotherapy in the observation group was significantly lower than that in the control group，the hospitalization time was significantly shorter than that in the control group，the differences were statistically significant (P<0.05).The nursing quality and the patient’s satisfaction with nursing scores of the observation group were significantly higher than those of the control group，the differences were statistically significant (P<0.05).Conclusion：The application of health care integration intervention in patients with gastric cancer can not only significantly improve the anxiety and depressive symptoms，but also better improve the symptoms of cancer fatigue，improve the nursing level of nurses，reduce side effects of chemotherapy，shorten hospitalization time，make patients more satisfied with nursing，which is worth learning., http://www.100md.com(阮淑芳 袁兰 熊秋萍)
【关键词】 胃癌； 医护一体化干预； 化疗； 负性情绪； 癌性疲乏症状； 化疗副反应
【Abstract】 Objective：To explore the intervention method and intervention effect of health care integration intervention for gastric cancer patients with chemotherapy.Method：A total of 42 patients with gastric cancer admitted in our hospital from January to August 2018 were selected as the research objects.According to the random number table method，they were divided into control group and observation group，21 cases in each group.The control group was intervened by routine nursing mode，the observation group was intervened by health care integration intervention mode.The scores of self-rating anxiety scale (SAS)，self-rating depression scale (SDS) and cancer fatigue scale (CFS) before and after nursing，the side effects of chemotherapy and hospitalization time，nursing quality and patients’ satisfaction with nursing scores between the two groups were compared.Result：There were no significant differences in SAS，SDS and CFS scores between two groups before nursing(P>0.05)；after nursing，SAS，SDS and CFS scores of two groups were significantly lower than those before treatment，and the observation group were significantly lower than those of the control group，the differences were statistically significant (P<0.05).The incidence of side effects of chemotherapy in the observation group was significantly lower than that in the control group，the hospitalization time was significantly shorter than that in the control group，the differences were statistically significant (P<0.05).The nursing quality and the patient’s satisfaction with nursing scores of the observation group were significantly higher than those of the control group，the differences were statistically significant (P<0.05).Conclusion：The application of health care integration intervention in patients with gastric cancer can not only significantly improve the anxiety and depressive symptoms，but also better improve the symptoms of cancer fatigue，improve the nursing level of nurses，reduce side effects of chemotherapy，shorten hospitalization time，make patients more satisfied with nursing，which is worth learning., http://www.100md.com(阮淑芳 袁兰 熊秋萍)
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