自我护理在食管癌放化疗患者中的应用价值

目的 探讨自我护理在接受放化疗的食管癌患者中的应用效果评价。 方法 选取2015年3月-2016年8月杭州市肿瘤医院放疗科收治的食管癌患者80例,随机将其分为对照组和实验组各40例。对照组接受常规护理,实验组在常规护理的基础上给予自我护理指导。比较2组患者干预前后的自我护理(ESCA)评分、生活质量(EORTCQLQ-C30)评分和不良反应。所有数据采用SPSS 19.0统计软件分析,P<0.05为差异有统计学意义。 结果 ESCA量表中,经干预后实验组的自我概念、自我护理技能、健康知识水平、总分分别为(17.7±3.8)分、(18.7±4.4)分、(46.0±11.7)分、(114.6±22.7)分,均显著高于对照组的(14.1±3.8)分、(11.6±4.2)分、(34.2±10.5)分、(85.5±20.5)分,差异均有统计学意义(P<0.05)。EORTCQLQ-C30量表中,干预后实验组的躯体功能、情绪功能、认知功能、总健康状况均较干预前显著增加(P<0.05),干预后2组的全部指标的差异均有统计学意义(P<0.05)。观察组不良反应率为10.0%,显著低于对照组的32.5%(χ2=6.050,P<0.05)。 结论 对食管癌放疗患者实施自我护理指导可增强患者自我护理能力,提高生活质量,具有重要的临床价值。 

The application value of self-care in esophageal carcinoma patients received chemoradiotherapy

Objective To explore the effect of self-care in esophageal carcinoma patients received chemoradiotherapy. Methods Eighty cases of patients with esophageal carcinoma undergone chemoradiotherapy were randomly divided into control group and experimental group.he control group received regular nursing care while the experimental group received self-care guidance based on the regular nursing.Compare the scores of ESCA and EORTCQLQ-C30 between the two groups before and after the intervention.All data were analyzed using SPSS 19.0 software,and P<0.05 was statistically significant. Results After the intervention,the scores of self-concept,self-care skill,health knowledge level and total score were (17.7±3.8) points,(18.7±4.4) points,(46.0±11.7) points,(114.6±22.7) points in the experimental group,which were higher than (14.1±3.8) points,(11.6±4.2) points,(34.2±10.5) points,(85.5±20.5) points in the control group (P<0.05).he experimental group had higher scores on EORTCQLQ-C30 than the controls after intervention.he dimension of physical function,emotional function,cognitive function and healthy condition significantly increased in experimental group through the self-care (P<0.05).The adverse reaction rate was 10.0% in the observation group,while was lower than the control group 32.5%(χ2=6.050,P<0.05). Conclusion Self-care may improve the quality of life and self-care ability in patients with esophageal carcinoma received chemoradiotherapy,thus it is of important clinical value.