综合性护理干预对胃癌根治术患者术后化疗依从性的影响

目的探讨综合性护理干预对胃癌根治术患者术后化疗依从性的影响。方法将行胃癌根治术治疗的70例患者随机分为干预组和对照组,每组35例,两组行胃癌根治术患者术后均采取氟尿嘧啶＋奥沙利铂＋亚叶酸钙化疗方案。对照组予常规随机对症护理,干预组在对照组基础上予综合性护理干预,包括心理、饮食、用药、并发症护理,比较两组患者的治疗依从率、两组患者治疗期间发生静脉炎、药物外渗、导管感染情况及两组患者对护理服务的满意率。结果两组依从率比较,差异有统计学意义（χ^2=6.237,P〈0.05）。干预组患者治疗期间发生静脉炎、药物外渗、导管感染达5.7%,与对照组比较,差异有统计学意义（χ^2=5.716,P〈0.05）。两组护理服务满意率比较,差异有统计学意义（χ^2=6.732,P〈0.05）。结论对胃癌根治术患者术后化疗期间实施综合性护理干预措施,有利于提高患者治疗依从性及护理满意度。

Efficacy of comprehensive nursing intervention on compliance of chemotherapy of patients after radical resection of gastric cancer

Objective To investigate the effect of comprehensive nursing intervention on compliance of chemotherapy for patients after radical resection of gastric cancer. Methods Seventy patients were randomly divided into intervention group and control group, each of 35 cases, two groups were all taken fluorouracil＋oxaliplatin＋leucovorin chemotherapy after radical gastrectomy. The control group took randomized to routine care, the intervention group on the basis of this focused symptomatic comprehensive care interventions, included psychological care, diet care, medication treatments, complications care, and treatment compliance rate between the two groups were compared, the phlebitis, extravasation of drugs, catheter infection, patients were satisfied with the rate of nursing services were compared. Results The compliance rate in intervention group was higher than the control group, with statistical significance（χ^2=6.237,P〈0.05）. During treatment of patients in the intervention group happened phlebitis, extravasation of drugs, catheter infection was 5.7%, was lower than the control group, with statistical significance（χ^2=5.716, P〈0.05）. Intervention group patients care satisfaction rate was lower than the control group, with statistical significance（χ^2=6.732, P〈0.05）. Conclusion The implementation of integrated care interventions during chemotherapy after surgery for gastric cancer patients, helps to improve patient treatment compliance and nursing satisfaction.