临床护理路径在头颈部肿瘤放射治疗中应用效果分析.docVIP

临床护理路径在头颈部肿瘤放射治疗中的应用效果分析 　　[摘要] 目的 探讨临床护理路径在头颈部肿瘤放射治疗中的应用效果。 方法 选择2014年1～12月在我院行头颈部肿瘤放射治疗的患者60例为研究对象，随机分为干预组和对照组，各30例，干预组采用临床护理路径护理，对照组采用头颈部肿瘤放射治疗常规护理，比较两组患者心理、手术情况、手术并发症发生率等情况。 结果 干预组症状自我评估量表中焦虑、敌对、偏执、恐怖、躯体化、人际关系、抑郁、强迫症状、精神病症、及SCL总分得分均显著低于对照组（P0.01）；干预组等候放疗时间、住院时间短于对照组（P0.01）；住院费用显著低于对照组（P0.01）；干预组护理满意率及健康教育达标率均显著高于对照组（P0.05）。 结论 头颈部肿瘤放射治疗的患者采用临床护理路径管理，能够显著改善患者的心理状态、缩短放疗前的准备时间、缩短住院时间、降低住院费用，提高护理满意率及健康教育达标率。 　　[关键词] 头颈部肿瘤；放射治疗；临床护理路径 　　[中图分类号] R653 [文献标识码] A [文章编号] 1674-4721（2016）02（a）-0173-03 　　Clinical nursing path in head and neck cancer radiation therapy 　　HUANG Chun-lan DING Jin-quan WANG Li-ping LI Li-hua LI Jin-xiu 　　Department of Radiation Therapy Technology，Tumour Hospital of Ganzhou City in Jiangxi Province，Ganzhou 341000， China 　　[Abstract] Objective To discuss application efficacy of clinical nursing path in head and neck cancer radiation therapy. Methods 60 cases with head and neck cancer radiation therapy from Janary to December 2014 were selected as subjects.All cases were divided into intervention group and control group，each of 30 cases.Intervention group was nursed with clinical nursing path，and control group was nursed with routine care.Psychological，surgical situation，surgical complication rates of two groups was compared. Results Anxiety，hostility，paranoia，terror，somatization，interpersonal sensitivity，depression，obsessive-compulsive symptoms， psychiatric disorders，and SCL score of intervention group were lower than that of control group（P0.01）.Radiotherapy waiting time，length of stay of intervention group were shorter than that of control group（P0.01）.Hospitalization costs significantly lower than that of control group （P0.01）.Nursing satisfaction rate and health education compliance rate of intervention group were higher than that of control group（P0.05）. Conclusion Clinical nursing path in head and neck cancer radiation therapy can improve patient′s mental state，shorten the preparation time before radiotherapy，shorten the length of sta