循证护理对宫颈癌患者放疗后的并发症及生活质量的影响

目的 探讨循证护理对宫颈癌患者放疗后的并发症及生活质量的影响.方法 选取该院2013年3月—2016年3月的98例宫颈癌患者进行护理干预,根据护理方法不同分为观察组和对照组各49例,对照组采用常规护理,观察组在对照组的基础上进行循证护理,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)对患者不良情绪进行评估;干预前后对宫颈癌生活质量评分表(FACT-G)进行评价,干预后观察两组患者的SAS和SDS评分、生活质量评分及并发症发生情况.结果 护理后观察组的SAS、SDS评分明显比对照组低,差异有统计学意义(P<0.05);干预后两组患者的生活质量评分明显高于干预前,而且干预后观察组的生活质量评分明显高于对照组(P<0.05);观察组并发症发生率(8.2％)明显低于对照组(36.7％),差异有统计学意义(P<0.05).结论 循证护理可以减少宫颈癌放疗患者并发症发生,缓解患者不良情绪,提高患者的生活质量.

Effect of evidence-based nursing on the complications and quality of life of patients with cervical cancer after radiotherapy

Objective To study the effect of evidence-based nursing on the complications and quality of life of patients with cervical cancer after radiotherapy. Methods From March 2013 to March 2016,98 cases of cervical cancer patients,treated at Nanfang Hospital of Southern Medical University,were selected for nursing intervention,and assigned into observation group (n=49) and control group ( n=49) according to different nursing methods. Control group received routine nursing care,while observation group received evidence-based nursing on the basis of the routine nursing care. Negative emotions of patients were evaluated by self-rating anxiety scale ( SAS) and self-rating depression scale ( SDS) . Before and after the intervention FACT-G was used to evaluate cervical cancer patients′quality of life. After the intervention the SAS and SDS scores,quality of life score,and complications occurrence of two groups of patients were observed. Results After nursing the SAS and SDS scores of the observation group were significantly lower than the control group with significant difference (P<0. 05). After the intervention,the scores of quality of life of two groups of patients were significantly higher than those before intervention and quality of life score of observation group was significantly higher than the control group (P<0. 05). The incidence rate of complications (8. 2％) of observation group was significantly lower than the control group (36. 7％),which was significantly different (P<0. 05). Conclusions Evidence-based nursing can reduce the incidence of complications,relieve the bad mood and improve the quality of life of patients with cervical cancer after radiotherapy.