整体护理模式在晚期卵巢癌化疗患者中的应用及效果.docVIP

整体护理模式在晚期卵巢癌化疗患者中的应用及效果 　　[摘要] 目的 探讨整体护理模式在晚期卵巢癌化疗患者中的临床应用效果。 方法 将我院2010年1月～2014年5月收治的80例晚期卵巢癌化疗患者随机分为对照组和观察组，每组40例，其中对照组采取常规护理干预，观察组在常规护理基础上应用整体护理模式，比较两组患者护理前后生活质量、焦虑抑郁情况及不良反应发生情况。结果 两组患者的QOL较护理前均明显改善，但观察组改善得更为明显，差异有统计学意义（P0.05）；观察组护理后SAS、SDS评分均明显改善（P0.05）；观察组口腔溃疡、胃肠道反应、药物渗漏、静脉炎的发生率分别为7.50%、20.00%、15.00%、5.00%，均明显少于对照组，差异有统计学意义（P0.05）。 结论 晚期卵巢癌化疗患者应用整体护理干预效果显著，值得临床推广应用。 　　[关键词] 整体护理模式； 晚期卵巢癌；化疗；效果 　　[中图分类号] R473 [文献标识码] B [文章编号] 1673-9701（2014）33-0095-03 　　[Abstract] Objective To investigate the clinical application effect of holistic nursing mode in patients with advanced ovarian cancer chemotherapy. Methods A total of 80 cases of advanced ovarian cancer chemotherapy patients from January 2010 to May 2014 admitted in our hospital were randomly divided into two groups， 40 cases in each group， the control group was given routine care， on the basis of the routine care， the intervention group was given holistic nursing mode， quality of life， anxiety， depression and adverse reactions of two groups patients were compared before and after care. Results The QOL of two groups patients were significantly improved compared with before treatment， but the improvement was even more obvious in the observation group， the difference was statistically significant （P0.05）； SAS， SDS scores of the observation group after nursing were significantly improved（P0.05）； Mouth ulcers， gastrointestinal reactions， drug leakage， phlebitis rates of the observation were 7.50%， 20.00%， 15%， 5.00%， was significantly less than the control group， the difference was statistically significant （P0.05）. Conclusion The holistic nursing mode for patients with advanced ovarian cancer chemotherapy is with significant intervention effects， worthy of clinical application. 　　[Key words] Holistic nursing mode； Advanced ovarian cancer； Chemotherapy； Effect 　　传统治疗方法为手术治疗，术后再辅以放化疗，不过对于晚期肿瘤以及耐受性差的患者，一般采取姑息性化疗。但抗肿瘤药物因多缺少选择性，故可引发胃肠道反应、骨髓抑制、口腔炎、脱发等一系列毒副反应，严重影响患者的生活质量[1，2]。积极有效的护理干预能有效防治化疗不良反应，进而提高化疗效果。本研究对我院2