综合护理干预对肺癌恶性肿瘤化疗后严重骨髓抑制患者的临床效果2.docVIP

综合护理干预对肺癌恶性肿瘤化疗后严重骨髓抑制患者的临床效果 摘要 目的：探究综合护理干预对肺癌恶性肿瘤化疗后严重骨髓抑制患者的临床效果。方法：选取2015年1月-2017年2月期间我院肺癌恶性肿瘤化疗后严重骨髓抑制患者90例作为研究对象，按照护理措施差异展开有效分组，对照组45例骨髓抑制患者进行常规护理，观察组45例骨髓抑制患者进行综合护理，观察护理效果。结果：两组患者在患者感染率、负面情绪产生率、发热持续时间等指标存在显著差异（P＜0.05）。观察组DSQL各维度评分及总分均明显较对照组低，P＜0.05。结论：给予综合护理，可有效缓解不良情绪，降低感染率，有效促进改善发热症状，改善生活质量及睡眠质量，促进患者早日康复出院，具有较高的应用价值。 关键词：综合护理干预；肺癌恶性肿瘤；化疗；骨髓抑制 Comprehensive nursing intervention on malignant tumor patients with severe bone marrow suppression after chemotherapy of lung cancer clinical effect ABSTRACT Objective: To explore the comprehensive nursing intervention for lung cancer, malignant tumor after chemotherapy in patients with severe bone marrow suppression of clinical effect.Selection Methods: Selected 90 lung cancerpatients for malignant tumor after chemotherapy with severe bone marrow suppression as the research object during January 2015 - February 2015, according to the effective nursing measure differences group, control group 45 patients routine nursing care, observation group 45 patients routine comprehensive nursing,compare the nursing effect.Results: There was significant difference between the two groups (P 0.05) in patients with infection rate, negative emotional rate and duration of fever. The scores and total scores of DSQL in the observation group were significantly lower than those in the control group, P 0.05.Conclusion: Comprehensive nursing, can effectively alleviate the bad mood, reduce infection, promote effectively improve the symptoms of fever, improve the quality of life and sleep quality, promote the hospital patients recover at an early date, has higher application value. Key word:Comprehensive nursing intervention;Lung cancer malignancy;Chemotherapy;Bone marrow suppression 前言 肺癌在临床医学上的就诊科室为肿瘤科，在临床上是一种死亡率及发病率疾病中增长最快的，对人们的生命健康造成了一定的影响，主要的病因为吸烟、职业与环境接触、电离辐射、既往肺部慢性感染、遗传等因素及大气的污染[1-2]。在临床的治疗中，肺癌的播散转移分为直接扩散，血行转移，淋巴道转移等[3]。临床往往给予手术、放化疗治疗，其中，化疗降低远地转移的机率；能够提高肿瘤局部的治愈率，从而提高疗效[4]。然而化疗可能引起骨髓抑制，对患者身心造成折磨。我院给予综合护理，取得显著效果，选取2015年1月-2017年2月期间我院化疗产生