摘要
目的探讨循证护理理念应用于胸部肿瘤合并糖尿病(DM)行放疗所致放射性肺炎患者的效果。方法选取2013年1月至2015年1月间于四川省广元市中医医院接受放疗导致放射性肺炎的胸部肿瘤合并DM患者62例,按照随机数字表法分成观察组和对照组,每组31例。两组患者均采用常规治疗,观察组采用循证护理,对照组接受常规护理。比较两组患者的临床护理效果。结果观察组患者的放射性肺炎发生率为6.5%,对照组为19.4%,两组比较差异有统计学意义(P<0.05)。护理后,两组患者的症状自评量表(SCL-90)各项评分均显著降低,且观察组显著低于对照组,组间差异有统计学意义(P<0.05)。观察组患者护理满意度为93.6%,对照组为80.7%,两组比较,差异有统计学意义(P<0.05)。结论在胸部肿瘤合并DM患者放疗护理中介入循证护理理念,有利于提高护理质量和护理满意度,改善患者的生活质量,值得推广应用。
Objective To quantitatively evaluate the efficacy of evidence-based care concept on radiation pneumonitis in thoracic cancer patients with diabetes mellitus （DM）. Methods From January 2013 to January 2015 in Guangyuan Chinese Medicine Hospital, 62 thoracic cancer patients with DM with radiation pneumonitis were enrolled in the study and randomly divided into the observation group and the control group, 31 cases in each group. All the patients were given conventional treatment. The patiens in the observation group accepted evidence-based care and those in the control group accepted conventional nursing. The clinical nursing effects between the two groups were compared. Results The incidence of radiation pneumonitis in the observation group was 6. 5%, and that in the control group was 19.4%, with significant difference （ P 〈 0.05 ）. After the nursing, symptom checklist-90 （ SCL-90 ） indicators scores were signifi- cantly decreased, and that of the observation group significantly was lower than that of the control group, with significant difference （P 〈0. 05）. The nursing satisfaction in the observation group was 93.6% , significantly higher than 80. 7% in the control group, with significant difference （P 〈 0.05 ）. Conclusions The implementation of evidence-based care on radiation pneumonitis in the thoracic cancer patients with DM can improve the nursing quality and nursing satisfaction, improve the patients＇ life quality, and it is worthy of clinical promotion and application.
出处
《中国肿瘤临床与康复》
2016年第7期854-856,共3页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
胸部肿瘤
糖尿病
放射性肺炎
循证护理
Thoracic neoplasms
Diabetes
Radiation pneumonitis
Evidence-based care
作者简介
张红梅，女，主管护师，主要从事护理专业。
