护理干预对非小细胞肺癌晚期化学治疗患者生存质量的影响.docVIP

护理干预对非小细胞肺癌晚期化学治疗患者 生存质量的影响 ［ ］H的探?护理干预对非小细胞肺癌晚期化学治疗患者生存 质量的影响。方法从我院2015年5月?2016年5月期间收治的非 小细胞肺癌晚期患者中随机抽取82例作为研究对象，按照随机数字表 法分为两组：对照组41例患者给予常规化学治疗和护理，观察组41 例患者在对照组的基础上加以综合性护理干预，采用肺癌患者生存质 量测定量表（FACT-L）第四版统计两组患者护理前后生存质量，统计 不良反应发生情况。结果两组护理前的生活质量指标比较无显著差 异（P0. 05）；观察组护理后的情感状况评分和附加的关注情况评分较 护理前显著提高（P〈0.05）;观察组护理后的社交/家庭状况评分、情 感状况评分、附加的关注情况评分较对照组显著提高（P〈0. 05）;对照 组护理后的社交/家庭状况评分较护理前显著降低（P〈0.05），附加的 关注情况评分较护理前显著增加（P0. 05）,其他指标比较无显著变化 （P〉0.05）。观察组消化道反应、骨髓抑制、肾毒性、神经毒性及皮肤 黏膜损伤发生率分别为 29. 27%、19.51%、12.20%、14.63%、19.51%, 均较对照组显著降低（P〈0. 05）。结论在化学治疗同时给予非小细胞 肺癌晚期患者综合护理干预措施，可显著提高患者生存质量，降低不 良反应发生率。 ，供学和研宄 使用， 和著作权归原 所有， 己 ［关键词］非小细胞肺癌；护理干预；生存质量；化学治疗 ［ ］R473.73 ［ ］A ［ ］2095-0616 (2017) 08-134-04 ［Abstract］ Objective To explore the effect of nursing intervention on quality of life of patients with advanced non-small cell lung cancer treated with chemotherapy. Methods 82 cases of patients with advanced non-small cell lung cancer cured in our hospital from May 2015 to May 2016 were randomly selected as the study objects. According to random digital table method, they were divided into control group and observation group with 41 cases in each. Patients in control group were treated with routine chemotherapy and nursing care ， and patients in observation group were treated with comprehensive nursing intervention on the basis of control group. Lung cancer patients quality of life scale (FACT-L) Fourth Edition was used to quality of life of two groups of patients before and after treatment, statistical adverse reactions. Results There was no significant difference between the two groups before nursing quality of life (P0. 05) . The scores of emotional status and additional attention in the observation group were significantly higher than those before nursing (P〈0. 05) . The social / family status score , emotional status score , additional attention to the score of observation group after the nursing were significantly higher than the control group (P0.05) . The social and family status of th