摘要
目的探讨围术期中西医结合护理对中晚期宫颈癌患者康复效果的影响。方法选取2013年12月～2015年1月广州医科大学附属肿瘤医院收治的100例中晚期宫颈癌患者作为研究对象，按随机数字表法分为观察组和对照组，每组各50例。其中观察组围术期每个阶段同时进行情志护理、饮食调护、穴位按摩、耳穴埋豆、病情观察、锻炼体能、13腔黏膜护理、并发症预防等，采用中西医相结合的护理措施；对照组患者则施以常规护理。观察并记录两组患者术后24、48h全身症状体征积分、入组时和术后1周的生活质量评分和住院满意度评分。所得数据采用统计学软件SPSS21．0建模分析。结果与对照组比较，观察组患者术后24h全身症状、体征积分明显较低，差异有统计学意义（P〈0．05），而两组患者术后48h的全身症状、体征积分比较，差异无统计学意义（P〉0．05）；与入组时比较，两组患者术后1周的生活质量量表的各维度得分均显著提高．差异均有统计学意义（P〈0．05）；术后1周，观察组患者躯体功能、情绪功能、社会功能、总生活质量评分均明显高于对照组，差异均有统计学意义（P〈0．05）；而疲乏、疼痛、睡眠障碍评分，观察组显著低于对照组，差异均有统计学意义（P〈0．05）。观察组患者服务与技术、关心与爱护、环境与指导、总体评价评分及满意度总分均显著高于对照组，差异均有统计学意义（P〈0．05或P〈0．01）。结论中晚期宫颈癌患者在围术期采用中西医相结合的护理干预措施，不仅能够改善患者术后症状、减少并发症的发生，而且有效提高患者的生活质量，值得进一步优化推广。
Objective To study the effect of the integrated Western and Chinese nursing care on rehabilitation efficacy of patients with advanced cervical cancer in the perioperative period. Methods One hundred patients with advanced cervical cancer who were treated in Guangzhou Tumor Hospital from December 2013 to January 2015 were selected as research objects. According to random number table, they were divided into observation group and control group, with 50 patients in each group. Integrated Western and Chinese nursing intervention measures like emotional nursing, diet nursing, point massage, otopoint bean-embedding, disease observation, body-fitness, oral mucosal nursing, complication prevention were operated on the observation group at each stage in the perioperative period; patients in control group were given the routine nursing care. General symptom, sign integral 24 h and 48 h after operation, quality of life and satisfaction of inpatient score of the two groups before and one week after operation were record and observed. All the data was modeled and analyzed by SPSS 21.0. Results General symptom and sign integral of observation group 24 h after operation were significantly lower than those of the control group and the difference had statistical significance （P 〈 0.05）. The difference had no statistical significance between the two groups in general symptom and sign integral 48 h after operation （P 〉 0.05）. All dimensions scores of family function scale and global quality of life scale of the two groups one week after operation were significantly improved when compared with before operation, the differences had statistical significance （P 〈 0.05）.Physical, emotional, social function and global quality of life scores of the observation group were higher than those of the control group one week after operation and the differences had statistical significance （P 〈 0.05）. Scoring of service and technology, care and love, environment and guidance, comprehensive evaluation and satisfaction score of the obser- vation group were higher than those of the control group, the differences had statistical significance （P 〈 0.05 or P 〈 0.01）. Conclusion Applying integrated western and Chinese nursing care on patients with advanced cervical cancer in the perioperative period can improve postoperative symptoms, reduce complications and improve patients＇ life quality. It deserves further optimization and promotion.
出处
《中国医药导报》
CAS
2016年第19期164-167,共4页
China Medical Herald
基金
广东省质监局
广东省中医药管理局科研项目(粤质监标函[2014]566号-23)
关键词
中西医结合护理
中晚期宫颈癌
围术期
Integrated western and Chinese medical nursing
Advanced cervical cancer
Perioperative period
作者简介
【通讯作者】马玲（1981-），女，硕士；研究方向：肿瘤放化疗后的临床护理。
