摘要
目的探讨互联网延续性护理是否能够减轻结直肠癌奥沙利铂化疗患者的焦虑抑郁情绪、化疗性周围神经病变情况,改善患者的治疗依从性,减少用药后不良反应。方法选取北部战区总医院肿瘤科2019年7月至2020年6月收治的结直肠癌患者69例,采用随机数字表法分为观察组34例与对照组35例,对照组给予常规护理模式,观察组在对照组基础上给予互联网延续性护理模式。所有患者随访至化疗结束后3个月,对比2组患者基本信息、治疗的焦虑抑郁情绪、化疗性周围神经病变、依从性、用药后不良反应发生率及患者满意度。结果2组治疗前和化疗结束后焦虑抑郁情绪与化疗结束后化疗性周围神经病变情况比较差异无统计学意义(P>0.05)。观察组化疗3个月后焦虑抑郁情绪和化疗性周围神经病变情况分别为(20.97±3.46)、(14.27±1.14)分,优于对照组的(24.99±1.11)、(18.16±2.55)分,差异有统计学意义(t值为3.80、5.09,P<0.05)。对照组定期复查、坚持化疗、疾病认识、科学饮食、心理依从、自我防护的依从例数分别为19、20、21、21、19例,观察组分别为28、29、30、28、30、28例,观察组患者治疗的依从性显著高于对照组,差异有统计学意义(χ2值为4.186~9.657,P<0.05)。对照组周围神经毒性反应、急性咽喉感觉异常、胃肠道反应、血液毒性反应例数分别为7、2、18、4例,观察组仅胃肠道反应14例,观察组患者不良反应的发生率低于对照组,差异有统计学意义(χ2值为8.26,P<0.05)。对照组非常满意、满意、良好例数分别为6、27、2例,观察组分别为16、18、0例,观察组满意度高于对照组,差异有统计学意义(Z值为1.853,P<0.05)。结论互联网延续性护理可有效降低结直肠癌化疗患者的焦虑抑郁情绪和化疗性周围神经病变情况,能够提高患者的治疗依从性,减少用药后不良反应,提高患者的满意度,值得应用推广。
Objective To explore whether Internet continuous nursing can reduce anxiety and depression,chemotherapy-induced peripheral neuropathy,improve treatment compliance and reduce adverse reactions in patients with colorectal cancer undergoing oxaliplatin chemotherapy.Methods A total of 69 patients with colorectal cancer in the Department of oncology,General Hospital of Northern War Zone from July 2019 to June 2020 were selected and divided into the observation group(34 cases)and the control group(35 cases)by random digits table method.The control group was given conventional nursing mode,and the observation group was given Internet continuity nursing mode.All patients were followed up to 3 months after the end of chemotherapy.The basic information,treatment anxiety and depression,chemotherapy-induced peripheral neuropathy,compliance,incidence of adverse reactions and patient satisfaction of the two groups were compared.Results There was no significant difference in the anxiety and depression before and after chemotherapy,chemotherapy-induced peripheral neuropathy after chemotherapy(P>0.05).After 3 months of chemotherapy,the anxiety and depression and chemotherapy-induced peripheral neuropathy were(20.97±3.46),(14.27±1.14)points in the observation group,and(24.99±1.11),(18.16±2.55)points in the control group,the differences were statistically significant(t values were 3.80,5.09,P<0.05).In the control group,there were 19 cases of regular review,20 cases of persistent chemotherapy,21 cases of disease awareness,21 cases of scientific diet,19 cases of psychological compliance and 19 cases of self-protection.In the observation group,there were 28 cases of regular review,29 cases of persistent chemotherapy,30 cases of disease awareness,28 cases of scientific diet,30 cases of psychological compliance and 28 cases of self-protection.The treatment compliance in the observation group were significantly higher than those in the control group(χ2 values were 4.186-9.657,P<0.05).In the control group,there were 7 cases of peripheral neurotoxicity,2 cases of acute laryngopharyngeal paresthesia,18 cases of gastrointestinal reaction and 4 cases of hematotoxicity.Fourteen cases of gastrointestinal reaction in the observation group.The incidence of adverse reactions in the observation group was lower than that in the control group,and the difference was statistically significant(χ2 value was 8.26,P<0.05).In the control group,6 were very satisfied,27 were satisfied and 2 were good.The observation group was very satisfied and satisfied with 16 people and 18 people.The satisfaction in the observation group was higher than that in the control group,and the difference was statistically significant(Z value was 1.853,P<0.05).Conclusions Internet continuous nursing can effectively reduce the anxiety and depression of patients and chemotherapy-induced peripheral neuropathy,improve the treatment compliance of patients,reduce the adverse reactions after medication,and improve the quality of life of patients,which is worthy of application and promotion.
作者
宋英莉
杜成
杨贺
赵莹莹
关丽侠
郑振东
Song Yingli;Du Cheng;Yang He;Zhao Yingying;Guan Lixia;Zheng Zhendong(Department of Oncology,General Hospital of Northern Theater Command,Shenyang 110840,China)
出处
《中国实用护理杂志》
2021年第20期1545-1550,共6页
Chinese Journal of Practical Nursing
关键词
结直肠肿瘤
延续性护理
奥沙利铂
心理状况
化疗性周围神经病变
治疗依从性
不良反应
Colorectal neoplasms
Continuous nursing
Oxaliplatin
Psychological status
Chemotherapy induced peripheral neuropathy
Treatment compliance
Adverse reactions
作者简介
通信作者:郑振东,Email:gcp_zzd@sina.com,电话:17790993777。
