认知护理干预对2期子宫内膜癌患者疼痛及生活质量的影响

目的：探讨在放疗基础上给予2期子宫内膜癌患者认知护理干预，对缓解患者疼痛和改善生活质量的效果。方法选取2013年11月至2015年11月我院收治的2期子宫内膜癌患者92例为研究对象，随机分为观察组和对照组各46例。两组均进行放射治疗，对照组行常规护理，观察组行认知护理干预，对比两组治疗后疼痛及生活质量。结果两组患者护理后生活质量评分均优于护理前，差异有统计学意义( P<0.05)；观察组患者护理后情感功能、认知功能、躯体功能、社会功能以及整体生活质量评分均高于对照组，差异有统计学意义( P<0.05)；两组患者护理后角色功能评分比较，差异无统计学意义( P>0.05)；两组患者护理后VAS评分均低于护理前，差异有统计学意义( P<0.05)；观察组患者护理后VAS评分低于对照组，差异有统计学意义( P<0.05)；观察组患者护理后腹泻、恶心呕吐及骨髓抑制等不良反应发生率均低于对照组，差异有统计学意义( P<0.05)。结论在放疗基础上行认知护理干预可明显缓解2期子宫内膜癌患者疼痛感，改善患者生活质量，值得临床进一步推广应用。

The impact of cognitive nursing intervention on pain and the quality of life of pa-tients with endometrial cancer of stage 2

Objective To explore the effect of cognitive nursing on patients with endometrial cancer of stage 2 on the basis of radiotherapy for relieving the pain of patients and improving the quality of life. Methods A total of 92 cases of patients with endometrial cancer of stage 2 treated in our hospital from November 2013 to November 2015 were selected as the research objects and were randomly divided into an observation group and a control group, 46 cases in each group. Radiation therapy was both performed to the two groups. The control group received routine nursing care, while the observation group received cognitive nursing intervention. The pain degree and quality of life of the two groups were compared after treatment. Results The score of the quality of life of the two groups after nursing were both better than that before treatment, and the differences were statistically significant (P<0. 05). The emotional function, cogni-tive function, physical function, social function and the whole score of the life quality of the observation group were higher than that of the control group, and the differences were statistically significant (P<0. 05). There was no statisti-cal significance in terms of the difference of scores of role function between the two groups after nursing ( P>0. 05 ) . Af-ter nursing, the VAS score of the two groups was both lower than that before nursing, and the differences were statisti-cally significant ( P<0. 05 ) . The VAS score of the observation group after nursing was lower than that of the control group, and the difference was statistically significant ( P<0. 05 ) . The incidence of diarrhea, nausea, vomiting and bone marrow suppression of the observation group was lower than that of the control group, and the differences were sta-tistically significant (P<0. 05) . Conclusion On the basis of radiotherapy, the cognitive nursing can significantly re-lieve the pain and improve the quality of life of patients with endometrial carcinoma of stage 2.