摘要
目的探讨优质护理服务在改善下咽癌患者放化疗期间疼痛及负性情绪的应用效果。方法选取2015年10月至2017年10月间福州总医院收治的84例行放化疗治疗的下咽癌患者,采用随机数表法分为研究组和对照组,每组42例。对照组患者采用常规临床护理,研究组患者在常规护理基础上采用优质护理服务,比较两组患者护理前后的疼痛程度、负性情绪变化及并发症发生率。结果护理干预前,两组患者的视觉模拟评分量表(VAS)评分比较,差异无统计学意义(P>0.05);护理后,两组患者VAS评分均低于护理前,且研究组患者为(3.9±0.5)分,低于对照组的(5.1±0.7)分,差异均有统计学意义(均P<0.05)。护理后,两组患者负性情绪[焦虑自评量表(SAS)和焦虑自评量表(SDS)]评分均低于护理前,且研究组患者[(31.3±5.6)分和(37.6±6.9)分]低于对照组[(40.7±5.8)分和(45.3±6.4)分],差异均有统计学意义(均P<0.05)。研究组患者口腔溃疡、放射性皮肤损伤和骨髓抑制发生率(16.7%、11.9%和14.3%)均低于对照组(38.1%、28.6%、33.3%),差异均有统计学意义(均P<0.05)。结论下咽癌患者放化疗期间采用优质护理服务,可有效改善患者疼痛感,调节负性情绪,减少并发症发生率,值得临床推广。
Objective To study the effect of high-quality nursing service to improve the pain and negative emotions in patients with hypopharyngeal carcinoma during radiotherapy and chemotherapy.Methods A total of 84 patients with hypopharyngeal cancer who were receiving radiotherapy and chemotherapy at Fuzhou General Hospital from October 2015 to October 2017 were selected as the study subjects.All the patients were divided into a study group and a control group according to the random number table method,with 42 patients in each group. Patients in the study group received quality care services based on routine care and patients in the control group received routine clinical care. The degree of pain,changes in negative emotional,and incidence of complications were compared between the two groups before and after nursing. Results Before the implementation of nursing intervention,there was no significant difference in visual analogue scale（ VAS） scores between the two groups（ P〉0. 05）. After the nursing,the VAS scores of both groups were lower than before nursing,and the study group（ 3. 9 ± 0. 5） was lower than the control group（ 5. 1 ± 0. 7）（ all P〈0. 05）. The negative emotional scores of self-rating anxiety scale（ SAS） and self-rating anxiety scale（ SDS） after nursing were lower in both groups than before nursing,and the study group（ 31. 3 ± 5. 6 and 37. 6 ± 6. 9,respectively） was lower than the control group（ 40. 7 ± 5. 8 and45. 3 ± 6. 4,respectively）（ all P〈0. 05）. The incidence of oral ulcers,radioactive skin damage and myelosuppression were lower in the study group（ 16. 7%,11. 9% and 14. 3%,respectively） than in the control group（ 38. 1%,28. 6% and 33. 3%,respectively）（ all P〈0. 05）. Conclusion Quality care can effectively improve pain,regulate negative emotions,and reduce complications in patients with hypopharyngeal carcinoma receiving radiochemotherapy. It is worthy of clinical promotion.
作者
林靖怡
林清
李丽钦
李颖
LIN Jing-yi;LIN Qing;LI Li-qin;LI Ying(Department of Otorhinolaryngology,Fuzhou General Hospital,Fuzhou 350001,China)
出处
《中国肿瘤临床与康复》
2018年第10期1247-1250,共4页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
优质护理服务
下咽癌
放化疗
疼痛
负性情绪
Quality care service
Hypopharyngeal carcinoma
Radiochemotherapy
Pain
Negative emotions
