延续护理对结直肠癌患者化疗服药依从性的影响

目的 探讨延续护理对结直肠癌患者化疗服药依从性的影响,为结直肠癌患者化疗服药依从性提供理论依据.方法 选取本院服用卡培他滨进行口服化疗的结直肠癌住院患者120例作为研究对象,按随机数字表法分为对照组和试验组各60例.对照组采用常规护理方法,包括住院期间健康宣教、出院指导及用药指导;试验组在此基础上给予延续护理.比较两组患者的服药依从性、护理满意度两个指标.结果 经过延续护理干预,化疗第1疗程与化疗第6疗程相比,试验组患者服药高依从性由41.7％上升到80.0％.两组患者的服药依从性、患者对护理服务的满意度比较差异有统计学意义(P＜0.05).结论 延续护理可以提高结直肠癌患者化疗服药的依从性,保证治疗方案的有效进行,提高患者对护理服务满意度.

Effect of continuous nursing care on the compliance of patients with colorectal cancer in the process of chemotherapy

Objective To explore the effect of continuous nursing care on the compliance of patients with colorectal cancer in the process of chemotherapy,to provide scientific theory basis for ensuring the compliance.Methods 120 hospitalized patients with colorectal cancer undergoing chemotherapy with oral Xeloda were randomly divided into control group and experimental group,60 cases in each group.Control group received routine nursing,including health education,discharge guidance,and medication guidance during hospitalization;experimental group received continuous nursing on the basis of control group.Then the compliance and satisfaction on nursing service of two groups were compared.Results After continuous nursing,the compliance in experimental group rose from 41.7％ (the first course) to 80.0％ (the sixth course).There were statistically significant differences in the compliance and the satisfaction on nursing service between two groups (P＜0.05).Conclusions Continuous nursing can improve the compliance of patients with colorectal cancer in the course of chemotherapy,and then ensure the effectiveness of therapy,improve the satisfaction on nursing service of patients.