症状管理和延续性护理在改善肺癌患者术后不良反应中的应用

目的探讨症状管理和延续性护理在改善肺癌患者术后化疗不良反应、负性情绪及生活质量中的应用。方法选取本院肺癌患者110例,通过安德森症状评估量表、肺癌症状模块及延续性护理认知需求问卷进行问卷调查,于患者化疗前、首次化疗后、化疗3周期后各做1次评估。结果第2、3次评估中患者出现恶心、呕吐、食欲下降及疲劳等症状发生率均高于第1次评估(P0.05),而出现咳痰、咳嗽及呼吸抑制等症状发生率均低于第1次评估(P0.05),伤感、健忘、苦恼等并无显著差异(P0.05);在情绪、活动、娱乐等因素中,第2、3次评估结果发现其症状发生率和严重程度均高于第1次评估(P0.05)。80.91%(89/110)的患者未知晓延续性护理的基本内容与意义,97.27%(107/110)的患者表示会尝试进行延续性护理治疗。结论肺癌患者化疗间歇期会增加其不良反应发生率,对其负性情绪产生困扰,应用症状管理和延续性护理有助于改善其术后不良反应、负性情绪,提高生活水平。

Application of symptom management and transitional nursing care in improving postoperative adverse reactions of patients with lung cancer

Objective To investigate the application of symptom management and transitional nursing care in improving postoperative adverse reactions, negative emotions and quality of life in patients with lung cancer.Methods A total of 110 lung cancer patients were selected in our hospital and the M.D.Transitional nursing care were investigated by Anderson Symptom Inventory, Lung Cancer Module and Cognitive Needs Questionnaire Survey.The evaluations were made before chemotherapy, after the first cycle of chemotherapy and after 3 cycles of chemotherapy.Results The incidence rate of nausea, vomiting, loss of appetite, fatigue and other symptoms in the second and third assessment were higher than in the first assessment (P<0.05), while the sputum, cough and respiratory depression and other symptoms were lower than that in first assessment (P<0.05), and sad, forgetful, bitterness and other negative emotions showed no obvious difference (P>0.05).In moods, entertainment and other activities, the incidence and severity of the symptoms in the second and third assessment were higher than in the first assessment (P<0.05).There were 80.91%(89/110) of patients unknown the basic content and the significance of transitional care and 97.27%(107/110) of patients attempted transitional nursing care.Conclusion Patients with lung cancer during the intermittent chemotherapy may increase the incidence of adverse reactions, affect their negative emotions, while the application of symptom management and transitional nursing care can improve postoperative adverse reactions, negative emotions, and improve quality of life.