询证护理对侵犯上腔静脉晚期肺癌患者治疗效果影响.docVIP

询证护理对侵犯上腔静脉晚期肺癌患者治疗效果影响 　　【摘要】 目的：探究询证护理对侵犯上腔静脉的晚期肺癌患者治疗效果的影响。方法：选取2014年1月-2016年10月来笔者所在医院就诊的侵犯上腔静脉晚期肺癌患者84例，将患者随机排列，依据系统抽样法将患者分为观察组及对照组各42例，给予观察组询证护理，给予对照组常规护理，比较两组患者的在护理干预前后VAS呼吸困难评分、生活质量评分及护理后疼痛缓解程度。结果：护理干预前，两组患者的VAS呼吸困难评分及生活质量评分比较差异无统计学意义（P0.05）；护理干预后，两组患者的VAS呼吸困难评分都有所降低，且观察组患者的VAS呼吸困难评分低于对照组患者（P0.05）；两组患者的生活质量评分都较护理干预前升高，但观察组患者生活质量评分优于对照组患者（P0.05）；两组患者的疼痛均有所缓解，但观察组患者的疼痛缓解程度要优于对照组患者（P0.05）。结论：询证护理能有效改善侵犯上腔静脉的晚期肺癌患者的呼吸困难程度，提高患者的生活质量，缓解患者疼痛，值得推广使用。 　　【关键词】 询证护理； 上腔静脉； 肺癌； 治疗效果 　　doi：10.14033/j.cnki.cfmr.2017.8.045 文献标识码 B 文章编号 1674-6805（2017）08-0078-02 　　【Abstract】 Objective：To explore the effect of inquiry nursing for patients with advanced lung cancer invading superior vena cava.Method：From January 2014 to October 2016，84 patients with advanced vena cava carcinoma who come to our hospital for treatment were randomly divided into the observation group and the control group，each group had 42 cases.The patients of the observation group were given inquiry nursing and the patients of the control group were given routine care.The scores of VAS dyspnea score，quality of life and pain relief were compared between the two groups after nursing.Result：There were no significant differences in VAS dyspnea scores and quality of life scores between the two groups before nursing（P0.05）.The VAS dyspnea scores of both groups were reduced after nursing intervention，and the VAS of the observation group was lower than that of the control group（P0.05）.The quality of life scores of the two groups were higher than before nursing，the quality of life of the patients in the observation group was better than that of the control group（P0.05）.The the pain of patients in the two groups had relief，but the pain relief in the observation group was better than that of the control group（P0.05）.Conclusion：Nursing care can effectively improve the quality of life of patients with advanced lung cancer and relieve the pain，so it is worth popularizing. 　　【Key words】 Inquiry nursing； Superior vena c