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责任护理小组在食管癌同步放化疗患者中的应用效果
引用本文:许楠,童强. 责任护理小组在食管癌同步放化疗患者中的应用效果[J]. 中华全科医学, 2017, 15(3): 528-530. DOI: 10.16766/j.cnki.issn.1674-4152.2017.03.050
作者姓名:许楠  童强
作者单位:1. 哈尔滨医科大学附属肿瘤医院感染监控科, 黑龙江 哈尔滨 150081;
基金项目:2013年湖北省教育厅科学研究项目(B2013107)
摘    要:目的 探讨责任护理小组在食管癌同步放化疗患者中的应用效果及评价,探究该种护理方法的优越性以及对这种疾病护理的优缺点。 方法 选取2013年9月-2014年9月期间于哈尔滨医科大学附属肿瘤医院明确诊断为食管癌并住院接受放化疗的患者266例,按照简单随机分组的方法分为2组,分别为对照组和观察组,其中对照组患者133例,采取传统管理护理模式,观察组患者133例,采取责任护理小组模式。对2组患者护理后的护理满意度、临床护理质量进行对比,分析责任护理小组模式护理方法对疾病的效果。 结果 ①治疗第1天、治疗期间和治疗结束时3次问卷调查结果显示,观察组在活动能力、日常生活、健康感受、家庭支持、生活感受5个方面的得分均高于对照组,2组差异有统计学意义(P<0.05);②对照组和观察组护理满意率以及食管癌知晓率的问卷调查结果显示,观察组患者对护理满意率为97.0%,对照组仅为82.0%;观察组患者食管癌的知晓率高达94.7%,对照组仅为85.0%,2组比较差异有统计学意义(P<0.05);③对院内护理分析中显示,对照组患者呼叫后护士到位时间高于观察组,输液呼叫次数也多于观察组,2组比较差异有统计学意义(P<0.05)。 结论 责任小组包干制护理模式效果优于传统护理模式,可有效提高患者满意度及患者生活质量,促进医患关系和谐融洽。 

关 键 词:责任护理小组   食管癌   放疗   化疗   护理质量   满意度
收稿时间:2016-03-01

Application effect of responsibility nursing group in patients with esophageal carcinoma concurrent chemotherapy
Affiliation:Department of Infection Control, Cancer Hospital Affiliated to Harbin Medical University, Harbin, Heilongjiang 150081, China
Abstract:Objective To investigate the effect of the nursing team in the treatment of esophageal carcinoma patients with concurrent chemotherapy,thus to explore the performance and merits and demerits of this treatment. Methods A total of 266 patients with esophageal carcinoma registered from September,2013 to September,2014 were randomly divided into groups,control group and observation group,with 133 cases in each group.The control group received traditional nursing model while the observation group was given responsibility nursing model.The nursing satisfaction and clinical nursing quality of the two groups were compared,and the effect of this kind of nursing method on the disease was analyzed. Results ①Three surveys conducted in the first day,during and after the treatment showed that activities,daily life,health,family support,feeling of life score of 5 the observation group were higher than those of the control group,with statistical significance (P<0.05);②in the control group and the observation group satisfaction rate of nursing care and esophageal cancer awareness rate of the questionnaire survey results showed that nursing satisfaction rate of observation group was 97.0%,and that of the control group was only 82.0%;esophageal cancer awareness rate of the observation group was as high as 94.7%,and that of the control group is only 85.0%,and it had statistical significance (P<0.05);③The analysis of hospital nursing showed that the arrival time of the patient's call of the control group was significantly lower than those in the observation group,while the control infusion group number of calls was also significantly lower than those in the observation group,with statistical significance (P<0.05). Conclusion The care system model of responsibility of the group contract,better than traditional nursing mode,can effectively improve the satisfaction of patients,improve the quality of life of patients and promote the doctor-patient relationship. 
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