延续性护理在改善宫颈癌患者术后化疗期间生活质量中意义.docVIP

延续性护理在改善宫颈癌患者术后化疗期间生活质量中意义 　　【摘要】 目的：探究延续性护理对宫颈癌术后化疗期间患者生活质量的影响和意义。方法：选择2014年6月-2016年6月在本院行宫颈癌根治术后给予化疗的90例患者，按照随机数字表法分为试验组和对照组各45例，两组均采用常规护理，试验组加用延续性护理，比较出院时、出院6个月后两组QLQ-C30功能领域、症状领域、单项测量问题和总体健康状况评分、化疗依从性及患者满意率。 　　结果：出院时两组各指标比较，差异均无统计学意义（P0.05）。出院6个月后，对照组QLQ-C30量表除角色、疼痛、失眠评分比较，差异均有统计学意义（P0.05），试验组QLQ-C30量表除呼吸困难、经济困难评分与出院时比较差异均无统计学意义（P0.05），其余项目较出院时均明显改善（P0.05），且试验组化疗依从性和患者满意率均显著高于对照组（P0.05）。结论：宫颈癌术后化疗期间辅以延续性护理，可显著改善生活质量，减少不良症状，提高总体健康水平，增强化疗依从性，患者满意度良好，值得临床推广。 　　【关键词】 延续性护理； 化疗； 生活质量； 意义 　　Effect of Extended Nursing Care on Quality of Life in Postoperative Chemotherapy Patients with Cervical Cancer/CHEN Yu-shan.//Medical Innovation of China，2017，14（11）：063-066 　　【Abstract】 Objective：To explore the effect of extended nursing care on the quality of life in postoperative chemotherapy patients with cervical cancer.Method：From June 2014 to June 2016，90 postoperative chemotherapy patients were randomly divided into the experimental group（n=45） and the control group（n=45）.Two groups adopted usual nursing，the experimental group added extended nursing care.QLQ-C30 score，chemotherapy compliance and patient satisfaction of two groups were compared.Result：All projects of two groups had no statistical difference at discharge（P0.05）.After 6 months，the control group’s QLQ-C30 score had no statistically difference than before（P0.05），except role， pain and insomnia score（P0.05），and the chemotherapy compliance，patient satisfaction were significantly higher than that of control group （P0.05）.Conclusion：Extended nursing care can significantly improve the quality of life，reduce the adverse symptoms，improve the level of overall health，enhance the chemotherapy compliance，improve patient satisfaction，it is worthy to promoting. 　　【Key words】 Extended nursing care； Chemotherapy； Quality of life； Significance 　　First-author’s address：Puning Overseas Chinese Hospital，Puning 515300，China 　　doi：10.3969/j.issn.1674-4985.2017.11.018 　　?m颈癌是最常见的妇科恶性肿瘤，近年发病率上升且有年轻化趋势，患者主要以阴道接触性或不规律流血、阴道异常排液、