子宫内膜癌Ⅲ期术后辅助放化疗患者的护理分析.docVIP

精品论文 参考文献 子宫内膜癌Ⅲ期术后辅助放化疗患者的护理分析 四川省巴中市通江县人民医院 636700 【摘 要】目的：探讨护理干预对子宫内膜癌Ⅲ期术后辅助放化疗患者心理状况的影响。方法：将72例辅助放化疗的子宫内膜癌III期术后患者随机分为观察组及对照组，各36例，对照组予以常规护理，观察组在对照组基础上于辅助化疗前予以患者集体与个体化护理干预，采用SAS（焦虑自评量表）及SDS（抑郁自评量表）对两组患者心理状况进行比较。结果：观察组患者焦虑及抑郁情绪发生率显著低于对照组（P＜0.05）。结论：及时有效的护理干预可以减轻子宫内膜癌III期术后辅助放化疗患者的焦虑及抑郁情绪。 【关键词】子宫内膜癌III期；辅助放化疗；焦虑；抑郁 Endometrial cancer III period nursing analysis of postoperative adjuvant radiation and chemotherapy patients [Abstract]：Objective：To explore the effect nursing intervention on the psychological status of Endometrial cancer III period patients treated with adjuvant radiation and chemotherapy.Methods：72 Endometrial cancer III period patients with adjuvant radiation and chemotherapy were randomly divided into the observation group and the control group（36 cases in each group）.The conventional nursing was adopted in the control group；the collective and individual nursing intervention was additionally provided for the patients before adjuvant radiation and chemotherapy in the observation group.The psychological status of the patients was compared by SAS（Self-rating Anxiety Scale）and SDS（Self-rating Depression Scale）.Results：.The incidence of anxiety and depression of the patients was significantly higher in the control group than the observation group（P＜0.05）.Conclusion：Timely and effective nursing intervention can relieve the anxiety and depression of Endometrial cancer III period patients with adjuvant radiation and chemotherapy. [Key words] Endometrial cancer III period；adjuvant radiation and chemotherapy；Anxiety；Depression 子宫内膜癌属女性生殖系统恶性肿瘤，虽然内膜癌III期患者较少，但其死亡比例却是极大的[1]。当前临床上对子宫内膜癌III期患者治疗以手术与放化疗结合为主，但由于患者会出现抑郁、焦虑等不良情绪，不利于其生活质量的提高，本次研究将我院72例子宫内膜癌III期术后辅助放化疗患者的护理干预措施做如下报道。 1资料与方法 1.1一般资料 2010年1月至2015年1月我科收治子宫内膜癌III期术后辅助放化疗患者72例，患者年龄36岁至70岁，平均年龄54.2plusmn;2.6岁；其中子宫内膜样腺癌47例，浆液性乳头状腺癌2例，透明细胞癌9例，腺鳞癌14例；将其随机分为观察组及对照组，每组各36例，两组患者各项数据均可比，一般资料无显著差异（P＞0.05）。 1.2方法 对照组：予以患者常规护理：①手术护理：术前做好手术准备，术后禁食水，密切观察患者生命体征，保留腹腔/阴道引流管、尿管，由于该手术可能会损伤