摘要
目的探讨预见性护理措施对自体DC/CIK细胞维持治疗肺腺癌患者的疼痛及并发症的预防情况。方法回顾性分析2016年1月~2017年12月我院接收的80例患者的诊疗情况。按照护理方式不同,分为两组,各40例。对照组采取常规的护理干预措施,观察组采取预见性护理措施。经1个月治疗,对两组患者治疗的疗效、出现的不良反应进行比较,同时分析两组患者对护理的满意度,评估患者护理前后情绪状态及疼痛情况。结果观察组总缓解率(70.0%)明显高于对照组(42.5%),比较差异有统计学意义(P<0.05)。护理后,两组的疼痛评估指数(PRI)、现时疼痛强度(PPI)、视觉模拟量表(VAS)以及焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均降低,且观察组降低较对照组更明显(P<0.05)。观察组对护理的满意程度(90.0%)明显高于对照组(77.5%),差异有统计学意义(P<0.05)。观察组患者不良反应发生率明显低于对照组,两组比较差异具有统计学意义(P<0.05)。结论预见性护理措施应用于自体DC/CIK细胞维持治疗肺腺癌患者,能够明显提高临床治疗效果,有效缓解患者疼痛,有效改善患者不良情绪,同时提高患者对护理的满意率,减少不良反应发生情况,临床应用价值较高。
Objective To investigate the prevention of predictive nursing measures for pain and complications in patients with lung adenocarcinoma treated with autologous DC/CIK cells. Methods The diagnosis and treatment of 80 patients in our hospital from January 2016 to December 2017 was retrospectively analyzed. According to different nursing methods, they were divided into two groups, with 40 cases in each group. The control group was treated with routine nursing interventions and the observation group was given predictive nursing measures. After one month of treatment, the therapeutic efficacy and satisfaction between the two groups of patients were compared and analyzed. The emotional state and pain of the patients before and after treatment were evaluated, and the adverse reactions of the patients were compared and analyzed. Results The total remission rate(70.0%) in the observation group was significantly higher than that in the control group(42.5%), and the difference was statistically significant(P<0.05). After nursing, the pain assessment index (PRI), present pain intensity (PPI), visual analog scale (VAS), self-rating anxiety scale (SAS), and depression self-rating scale (SDS) scores of the two groups were lower than those before treatment. The scores of the observation group were significantly lower than those of the control group, and the difference was statistically significant(P<0.05). The satisfaction degree of the observation group(90.0%) was significantly higher than that of the control group (77.5%), and the difference was statistically significant(P<0.05). The incidence of adverse reactions was significantly lower in the observation group than that in the control group. The difference between the two groups was statistically significant(P<0.05). Conclusion Predictive nursing measures for autologous DC/CIK cells in maintaining lung adenocarcinoma patients can not only improve clinical outcomes,patient satisfaction with care, but also effectively alleviate patients' pain and improve patients' bad mood and
作者
张越
顾云超
钱彩华
邱国琴
王斌
ZHANG Yue;GU Yunchao;QIAN Caihua;QIU Guoqin;WANG Bin(Department of Respiratory and Critical Care, Huzhou Central Hospital in Zhejiang Province, Huzhou 313000, China)
出处
《中国现代医生》
2019年第12期157-160,164,共5页
China Modern Doctor
基金
浙江省医药卫生平台计划(学科带头人)项目(2015DTA016)
