延续护理对老年晚期胃癌患者化疗反应及生活质量的影响
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摘要
目的:探讨老年晚期胃癌患者运用延续护理对其化疗反应及生活质量的影响。方法:选取本院2017年1-12月期间收治的老年晚期胃癌患者66例为研究对象,按照随机数字表法将其分为对照组和观察组,各33例。对照组采用常规护理,观察组则运用延续护理,比较两组化疗反应发生情况、生存质量评分及满意度情况。结果:干预前两组各项生存质量评分比较,差异均无统计学意义(P>0.05);干预后,观察组的各项生存质量评分均明显高于对照组,差异均有统计学意义(P<0.05)。观察组的化疗反应发生率明显低于对照组差异有统计学意义(X~2=7.255,P<0.05)。观察组的满意度明显高于对照组,差异有统计学意义(X~2=9.288,P<0.05)。结论:临床上给予老年晚期胃癌患者延续护理可以减轻化疗反应,改善预后。
Objective:To explore the effect of extended nursing on chemotherapy response and quality of life in elderly patients with advanced gastric cancer.Method:A total of 66 elderly patients with advanced gastric cancer treated in our hospital from January to December 2017 were selected as the study objects.According to the random number table method,they were divided into control group and observation group,33 cases in each group.The control group was received routine nursing,the observation group was received extended nursing.The incidence of chemotherapy response,quality of life scores and satisfaction between the two groups were compared.Result:There were no significant difference in the scores of quality of life between the two groups before intervention (P>0.05);after intervention,the scores of quality of life in the observation group were significantly higher than those in the control group,the differences were statistically significant (P<0.05). The incidence of chemotherapy response in the observation group was significantly lower than that in the control group,the difference was statistically significant ( X~2=7.255,P<0.05).The satisfaction degree of the observation group was significantly higher than that of the control group,the difference was statistically significant ( X~2=9.288,P<0.05).Conclusion:Extended nursing in elderly patients with advanced gastric cancer can alleviate the response of chemotherapy and improve the prognosis.
Objective:To explore the effect of extended nursing on chemotherapy response and quality of life in elderly patients with advanced gastric cancer.Method:A total of 66 elderly patients with advanced gastric cancer treated in our hospital from January to December 2017 were selected as the study objects.According to the random number table method,they were divided into control group and observation group,33 cases in each group.The control group was received routine nursing,the observation group was received extended nursing.The incidence of chemotherapy response,quality of life scores and satisfaction between the two groups were compared.Result:There were no significant difference in the scores of quality of life between the two groups before intervention (P>0.05);after intervention,the scores of quality of life in the observation group were significantly higher than those in the control group,the differences were statistically significant (P<0.05). The incidence of chemotherapy response in the observation group was significantly lower than that in the control group,the difference was statistically significant ( X~2=7.255,P<0.05).The satisfaction degree of the observation group was significantly higher than that of the control group,the difference was statistically significant ( X~2=9.288,P<0.05).Conclusion:Extended nursing in elderly patients with advanced gastric cancer can alleviate the response of chemotherapy and improve the prognosis.
引文
[1]刘红霞.家庭护理干预对晚期胃癌病人生存质量的影响[J].护理研究,2018,32(14):2318-2321.
[2]邹玉芬.延续护理对老年晚期胃癌化疗患者生活质量的影响研究[J].基层医学论坛,2018,22(18):2505-2506.
[3]宋琴.化疗全程延续护理指导对胃癌患者化疗效果体会[J/OL].实用临床护理学电子杂志,2018,3(23):128,131.
[4]吴红霞.亲情延续护理干预对胃癌化疗患者负面情绪的影响[J/OL].实用临床护理学电子杂志,2018,3(11):102-103.
[5]王杰,陈友红,许艺莲,等.胃癌患者个体化延续性护理需求及影响因素[J].世界华人消化杂志,2018,26(1):4-9.
[6]梁茵,杨丽芳,张妮,等.延续性护理在胃癌术后未拆线患者中的应用效果[J].护士进修杂志,2017,32(17):1619-1621.
[7]Zelinska N,Collinson F J,Gregory W M,et al.The STAR trial protocol:a randomised multi-stage phaseⅡ/Ⅲstudy of sunitinib comparing temporary cessation with allowing continuation,at the time of maximal radiological response,in the first-line treatment of locally advanced/metastatic renal cancer[J].BMC Cancer,2017,12(4):590-593.
[8]肖海敏,宋晓雪.延续性护理干预对改善胃癌根治术患者术后生活质量及健康状况的效果分析[J].现代消化及介入诊疗,2017,22(4):558-561.
[9]贾建美,初远萍.全程延续护理指导对胃癌患者化疗依从性的影响评价[J].中国农村卫生,2017(9):65-66.
[10]林雪梅,全小明,林瑶如,等.医护药合作培训在提高护士胃癌术后延续护理知识水平中的应用效果[J].继续医学教育,2017,31(4):3-5.
[11]张艳玲,张素,杨丰华.延续护理对老年晚期胃癌病人化疗反应及生活质量的影响[J].全科护理,2017,15(11):1397-1398.
[12]谯建,张利,张旭.健脾益气方灌肠延续护理对胃癌全切除术后肠功能及生活质量的影响[J].中医药导报,2017,23(6):108-110.
[13]彭雪.基于微信公众平台的延续性护理应用于胃癌手术治疗患者的价值初探[J].中国卫生标准管理,2017,8(3):185-186.
[14]蔡泽君,崔琼.延续性护理干预对腹腔镜胃癌根治术后患者改善健康状况及生活质量的作用[J].中国农村卫生事业管理,2016,36(12):1606-1608.
[15]马春艳.探讨全程延续护理指导对胃癌患者化疗依从性的影响[J].世界最新医学信息文摘,2016,16(101):256,259.
[16]袁梦亚.亲情延续护理干预对胃癌化疗病人负性情绪及生活质量的影响[J].全科护理,2016,14(32):3354-3356.
[17]魏芳,陈婷,刘亚.延续护理及家属同步教育对院外PICC置管患者自护能力及并发症的影响[J].护理实践与研究,2016,13(21):16-18.
[18]梁永红.个体化延续性护理对晚期胃癌合并腹腔积液患者的影响[J].内科,2016,11(1):144-146.
[19]王萍,冯晓东.延续性护理对胃癌患者出院后希望水平及生活质量的影响[J].实用临床医药杂志,2015,19(20):43-46.
[20]马骁.加速康复外科理念对老年胃癌患者术后临床指标及免疫功能的影响[J].实用临床医药杂志,2015,19(10):34-36,53.
[2]邹玉芬.延续护理对老年晚期胃癌化疗患者生活质量的影响研究[J].基层医学论坛,2018,22(18):2505-2506.
[3]宋琴.化疗全程延续护理指导对胃癌患者化疗效果体会[J/OL].实用临床护理学电子杂志,2018,3(23):128,131.
[4]吴红霞.亲情延续护理干预对胃癌化疗患者负面情绪的影响[J/OL].实用临床护理学电子杂志,2018,3(11):102-103.
[5]王杰,陈友红,许艺莲,等.胃癌患者个体化延续性护理需求及影响因素[J].世界华人消化杂志,2018,26(1):4-9.
[6]梁茵,杨丽芳,张妮,等.延续性护理在胃癌术后未拆线患者中的应用效果[J].护士进修杂志,2017,32(17):1619-1621.
[7]Zelinska N,Collinson F J,Gregory W M,et al.The STAR trial protocol:a randomised multi-stage phaseⅡ/Ⅲstudy of sunitinib comparing temporary cessation with allowing continuation,at the time of maximal radiological response,in the first-line treatment of locally advanced/metastatic renal cancer[J].BMC Cancer,2017,12(4):590-593.
[8]肖海敏,宋晓雪.延续性护理干预对改善胃癌根治术患者术后生活质量及健康状况的效果分析[J].现代消化及介入诊疗,2017,22(4):558-561.
[9]贾建美,初远萍.全程延续护理指导对胃癌患者化疗依从性的影响评价[J].中国农村卫生,2017(9):65-66.
[10]林雪梅,全小明,林瑶如,等.医护药合作培训在提高护士胃癌术后延续护理知识水平中的应用效果[J].继续医学教育,2017,31(4):3-5.
[11]张艳玲,张素,杨丰华.延续护理对老年晚期胃癌病人化疗反应及生活质量的影响[J].全科护理,2017,15(11):1397-1398.
[12]谯建,张利,张旭.健脾益气方灌肠延续护理对胃癌全切除术后肠功能及生活质量的影响[J].中医药导报,2017,23(6):108-110.
[13]彭雪.基于微信公众平台的延续性护理应用于胃癌手术治疗患者的价值初探[J].中国卫生标准管理,2017,8(3):185-186.
[14]蔡泽君,崔琼.延续性护理干预对腹腔镜胃癌根治术后患者改善健康状况及生活质量的作用[J].中国农村卫生事业管理,2016,36(12):1606-1608.
[15]马春艳.探讨全程延续护理指导对胃癌患者化疗依从性的影响[J].世界最新医学信息文摘,2016,16(101):256,259.
[16]袁梦亚.亲情延续护理干预对胃癌化疗病人负性情绪及生活质量的影响[J].全科护理,2016,14(32):3354-3356.
[17]魏芳,陈婷,刘亚.延续护理及家属同步教育对院外PICC置管患者自护能力及并发症的影响[J].护理实践与研究,2016,13(21):16-18.
[18]梁永红.个体化延续性护理对晚期胃癌合并腹腔积液患者的影响[J].内科,2016,11(1):144-146.
[19]王萍,冯晓东.延续性护理对胃癌患者出院后希望水平及生活质量的影响[J].实用临床医药杂志,2015,19(20):43-46.
[20]马骁.加速康复外科理念对老年胃癌患者术后临床指标及免疫功能的影响[J].实用临床医药杂志,2015,19(10):34-36,53.
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