综合护理干预对妇科恶性肿瘤术后化疗患者生活质量的影响

目的探讨综合护理干预对妇科恶性肿瘤术后化疗患者生活质量的影响。方法选取2011年10月至2013年10月间收治的妇科恶性肿瘤术后行化疗患者140例,随机分为观察组和对照组,每组70例。对照组患者采取常规护理,观察组患者在常规护理的同时给予综合护理干预,比较两组患者的满意度评价、总不良反应发生情况、生理指标情况以及生活质量评定量表(QLQC30)评分。结果实施综合护理干预后,观察组患者的满意度为84.3%,明显高于对照组的61.4%,差异有统计学意义(P<0.05)。观察组患者恶心呕吐、便秘、腹泻、乏力、脱发等5种不良反应严重程度低于对照组,差异有统计学意义(P<0.05)。观察组患者的生理指标情况显著优于对照组,差异有统计学意义(P<0.05)。观察组患者QLQ-C30评分除躯体功能与经济困难两项指标差异不明显外,其余指标均显著高于对照组,差异有统计学意义(P<0.05)。结论对妇科恶性肿瘤术后化疗患者进行综合护理干预后,患者功能和生活质量有所改善,值得临床广泛推广使用。

Observation on effect of integrated care intervention on quality of life of patients with gynecologic cancer after chemotherapy

Objective To observe effect of integrated care intervention on quality of life of patients with gynecologic cancer after chemotherapy. Methods 140 patients with gynecologic malignancies postop- erative chemotherapy from October 2011 to October 2013 admitted to our hospital were selected, and random- ly divided into the observation group and the control group （ each group 70 cases）. The control group re- ceived routine care after chemotherapy, and the observation group integrated care intervention. Satisfaction, the total incidence of adverse reactions, physiological indicators, and QLQ-C30 were observed and com- pared between the two groups. Results The implementation of comprehensive nursing intervention, the pa- tients in observation group satisfaction was 84. 3%, significantly higher than 61.4% in the control group, the difference was statistically significant （P 〈 0. 05 ）. The patients in the observation group were nausea and vomiting, constipation, diarrhea, fatigue, hair loss and other 5 kinds of adverse reaction severity was lighter than that in control group, the difference was statistically significant （ P 〈 O. 05 ）. To observe the physiological indexes of patients was significantly better than the control group, the difference was statistical- ly significant （ P 〈 O. 05 ）. The patients in observation group the QLQ-C30 score difference of two indexes in physical function and economic difficulty inconspicuously, other indexes in the observation group were sig- nificantly higher than those in the control group, the difference was statistically significant （ P 〈 0.05 ）. Conclusion In the comprehensive nursing in chemotherapy of patients with gynecologic tumorpatients after intervention, function and quality of life has improved overall, worthy to be widely used.