实用临床医药杂志
實用臨床醫藥雜誌
실용림상의약잡지
JOURNAL OF JIANGSU CLINICAL MEDICINE
2015年
8期
43-45
,共3页
非小细胞肺癌%化疗%整体护理%并发症
非小細胞肺癌%化療%整體護理%併髮癥
비소세포폐암%화료%정체호리%병발증
non-small-cell lung cancer%chemotherapy%holistic nursing%complication
目的:探讨整体护理在非小细胞肺癌(NSCLC)化疗患者中的应用价值。方法选取2012年2月—2014年4月期间的 NSCLC 患者50例设为观察组,2010年1月—2012年2月期间的 NSCLC 患者45例设为对照组。2组均采用 NP(长春瑞滨+顺铂)或TP(紫杉醇+顺铂)方案化疗,对照组给予常规护理,观察组给予整体护理。结果观察组有效率(RR)为82.00%,对照组 RR 为77.78%,2组比较差异无统计学意义(P >0.05);2组不良反应发生率差异无统计学意义(P >0.05);观察组护理依从率为94.00%,对照组护理依从率为77.78%,2组比较差异有统计学意义(P <0.05);观察组护理总满意率98.00%,对照组护理总满意率82.22%,2组比较差异有统计学意义(P <0.05);观察组化疗后生活质量评分(FACT-L)中情绪、生活能力、其他因素得分及总分与化疗前差异显著(P <0.01),对照组各项评分均显著下降(P <0.01),2组差异有统计学意义(P <0.01)。结论整体护理可显著改善 NSCLC 患者化疗后的生活质量,提高护理依从性,值得临床推广。
目的:探討整體護理在非小細胞肺癌(NSCLC)化療患者中的應用價值。方法選取2012年2月—2014年4月期間的 NSCLC 患者50例設為觀察組,2010年1月—2012年2月期間的 NSCLC 患者45例設為對照組。2組均採用 NP(長春瑞濱+順鉑)或TP(紫杉醇+順鉑)方案化療,對照組給予常規護理,觀察組給予整體護理。結果觀察組有效率(RR)為82.00%,對照組 RR 為77.78%,2組比較差異無統計學意義(P >0.05);2組不良反應髮生率差異無統計學意義(P >0.05);觀察組護理依從率為94.00%,對照組護理依從率為77.78%,2組比較差異有統計學意義(P <0.05);觀察組護理總滿意率98.00%,對照組護理總滿意率82.22%,2組比較差異有統計學意義(P <0.05);觀察組化療後生活質量評分(FACT-L)中情緒、生活能力、其他因素得分及總分與化療前差異顯著(P <0.01),對照組各項評分均顯著下降(P <0.01),2組差異有統計學意義(P <0.01)。結論整體護理可顯著改善 NSCLC 患者化療後的生活質量,提高護理依從性,值得臨床推廣。
목적:탐토정체호리재비소세포폐암(NSCLC)화료환자중적응용개치。방법선취2012년2월—2014년4월기간적 NSCLC 환자50례설위관찰조,2010년1월—2012년2월기간적 NSCLC 환자45례설위대조조。2조균채용 NP(장춘서빈+순박)혹TP(자삼순+순박)방안화료,대조조급여상규호리,관찰조급여정체호리。결과관찰조유효솔(RR)위82.00%,대조조 RR 위77.78%,2조비교차이무통계학의의(P >0.05);2조불량반응발생솔차이무통계학의의(P >0.05);관찰조호리의종솔위94.00%,대조조호리의종솔위77.78%,2조비교차이유통계학의의(P <0.05);관찰조호리총만의솔98.00%,대조조호리총만의솔82.22%,2조비교차이유통계학의의(P <0.05);관찰조화료후생활질량평분(FACT-L)중정서、생활능력、기타인소득분급총분여화료전차이현저(P <0.01),대조조각항평분균현저하강(P <0.01),2조차이유통계학의의(P <0.01)。결론정체호리가현저개선 NSCLC 환자화료후적생활질량,제고호리의종성,치득림상추엄。
Objective To evaluate the holistic nursing intervention on patients with non-small-cell lung cancer (NSCLC)treated with chemotherapy.Methods Fifty NSCLC patients were recruited as observation group between Feb 2012 and Apr 2014,another 45 NSCLC patients were included as control group between Jan 2010 and Feb 2012.Both of two groups received NP (vi-norelbine with cisplatin)or TP (paclitaxel with cisplatin)chemotherapy.Regular nursing and holis-tic nursing were performed in control group and observation group,respectively.Results There was no significant difference in response rate between two groups (82.00% of observation groupvs7 7 .7 8 % of control group ,P > 0 .0 5 ),so was the incidenceof adverse reaction (P >0.05).the compliance rate was 94.00% in observation group and 77.78% in control group,with a significant difference (P <0.05).Observation group received a higher satisfaction rate (98.00%vs 82.22% ,P <0.05).The emotional well being,social well being,other factors and total score of functional assessment of cancer therapy-lung (FACT-L)were decreased in observation group (P<0.01),and results of all FACT-L indexes were declined in control group (P <0.01).Compared with control group,observation group received a better FACT-L outcomes after intervention (P <0.01).Conclusion Holistic nursing intervention can improve the quality of life for NSCLS patients with chemotherapy and their compliance to nursing.