CAJ | 학술논문

目的：探讨为进行TP方案化疗的妇科患者提供饮食护理干预。总结和研究化疗期间进行周期性个性化护理干预的有效性。方法随机选取60例TP方案化疗≥6周期的妇科恶性肿瘤患者。按是否进行个性化护理干预分为对照组和干预组，每组30例样本。干预组在化疗不同周期前给予个性化饮食护理干预。记录两组化疗1、2、3、4、5周期后第19日及总疗程结束后第90日基本资料及血糖，观察血糖的变化，比较组间差异，同时给予周期性的个性化的护理干预。结果血糖异常多发生在化疗的第2周期后，第3、4周期最为明显。各化疗周期对照组与干预组血糖比较具有统计学意义，各观察周期均P<0.05。结论护理人员在患者化疗期间遵医嘱监测血糖变化及每次化疗前采用个性化的饮食干预、运动指导，有助于提高患者饮食和运动的依从性，可提高患者的治疗质量、生活质量，减少家庭经济负担，使医、护、患三方共同受益。此方法在临床上具有实用性。
목적：탐토위진행TP방안화료적부과환자제공음식호리간예。총결화연구화료기간진행주기성개성화호리간예적유효성。방법수궤선취60례TP방안화료≥6주기적부과악성종류환자。안시부진행개성화호리간예분위대조조화간예조，매조30례양본。간예조재화료불동주기전급여개성화음식호리간예。기록량조화료1、2、3、4、5주기후제19일급총료정결속후제90일기본자료급혈당，관찰혈당적변화，비교조간차이，동시급여주기성적개성화적호리간예。결과혈당이상다발생재화료적제2주기후，제3、4주기최위명현。각화료주기대조조여간예조혈당비교구유통계학의의，각관찰주기균P<0.05。결론호리인원재환자화료기간준의촉감측혈당변화급매차화료전채용개성화적음식간예、운동지도，유조우제고환자음식화운동적의종성，가제고환자적치료질량、생활질량，감소가정경제부담，사의、호、환삼방공동수익。차방법재림상상구유실용성。
Objective?To?investigate?the?clinical?diet?nursing?intervention?for?TP?chemotherapy?ingynecological?patients.?Effectiveness?of??individualized?nursing?intervention?during?theperiod?of?study?and?summarization?of?chemotherapy.?Methods?60?gynecological?malignant?tumor?patients?treated?by?more?than?6?cycles?of?TP?scheme?chemotherapy?are?randomly?selected.?They?are?classified?into?control?group?and?intervention?group?by?justifying?whether?personalized?diet?nursing?intervention?is?applied?before?each?chemotherapy?cycle.?Each?group?contains?30?samples.?Personalized?diet?nursing?intervention?was?given?before?different?cycles?of?chemotherapy?in?the?intervention?group.?Two?groups?were?observed.?Blood?glucose?and?basic?informations?of?both?groups?on?the?19th?day?after?the?1st,?2nd,?3rd,?4th?and?5th?cycle?of?chemotherapy?as?well?as?on?the?90th?day?after?whole?treatment?were?recorded.?Blood?glucose lfuctuation was observed. Results?The?blood?glucose?abnormalities?mostly?occurred?after?the?second?cycle?of?chemotherapy.?And?was?especially?obvious?at?the?3rd?and?4th?cycles.?Blood?glucose?comparison?between?control?group?and?intervention?group?at?each?chemotherapy?cycle?was?statistically?signiifcant(P<0.05).Conclusion?Nursing?staff?should?monitor?blood?glucose?change?during?chemotherapy?and?use?personalized?diet?intervention?as?well?as?exercise?guidance?before?each?chemotherapy?cycle.?It?helps?to?improve?diet?and?exercise?compliance,?treatment?quality?and?life?quality?of?patients.?At?the?same time, family economic burden is reduced. It beneifts doctors, nurses and patients. This method is practical in clinic.