院外延伸护理对肿瘤放化疗患者生存质量的改善效果.docVIP

院外延伸护理对肿瘤放化疗患者生存质量的改善效果 张永华 李 燕 （如东县人民医院 江苏如东 226400） 【摘要】：目的：探究院外延伸护理对改善肿瘤放化疗患者生存质量的应用效果。 方法：选取我院收治的肿瘤放化疗患者80例作为本次的研究对象，进行单双号随机分为对照组和观察组，对照组给予常规护理措施，观察组患者采用院外延伸护理措施，对比两组患者出院前与出院后3个月的生存质量情况。 结果：出院后3个月观察组患者的功能领域量表评分及总体健康状况评分均明显高于对照组，其症状评分则明显低于对照组，P＜0.05。 结论：院外延伸护理对改善肿瘤放化疗患者生存质量的应用效果显著，值得在今后临床中推广实施。 【关键词】：院外延伸护理；肿瘤；放化疗；生存质量 Effect of extended - range nursing on quality of life in patients with radiotherapy and chemotherapy 【Abstract】 Objective: To explore the effect of extended outpatient nursing care in improving the quality of life of patients with radiotherapy and chemotherapy. Methods: 80 patients with radiotherapy and chemotherapy were selected as the subjects of this study. the patients were randomly divided into two groups: control group Group and observation group, 40 patients were treated as a group, the control group given routine care, observation group received hospital extension care, compared between the two groups before and after discharge 3 months of quality of life. Results: The scores of the functional area scale and the overall health status of the observation group were significantly higher than those before the discharge and the control group at 3 months after discharge. The symptom score was significantly lower than that before the hospital and the control group (P 0.05). Conclusion: Extensive nursing care has great effect on improving the quality of life of patients with radiotherapy and chemotherapy. It is worthy to be widely implemented in the future clinical practice.【Key words】: hospital extension care; tumor; radiotherapy and chemotherapy; quality of life 目前延长恶性肿瘤患者生存时间的主要治疗手段为放化疗，它不仅可以对患者的病情进行有效的控制，而且可以延长患者的生存期。我院为探究将院外延伸护理用于肿瘤放化疗患者中的效果，特抽选2015年9月至2016年12月收治的80例肿瘤放化疗患者进行对比研究，详细报道见下文所示。 1 资料和方法 1.1 基线资料 选择本院收治的肿瘤放化疗患者80例（2015.9-2016.12）作为研究对象。纳入标准：经诊断确诊为恶性实体肿瘤患者；可以独立阅读文字并对相关问题进行回答的患者；预计存活时间在3个月以上的患者；意识清醒且未有精神疾病史的患者。排除标准：合并其他严重疾病的患者；预计存活时间短于3个月的患者；中途退出研究或失去联系的患者；无意愿纳入至本次研究的患者。在获得患者与家属的允许后实施单双号随机分组，组建对照组和观察组，每组40例。对照组：男性患者21例，女性患者19例；平均年