肿瘤化疗病人应用心理护理临床路径的生存质量评价  

Assessment on living quality of tumor patients undergoing chemotherapy via applying psychological nursing clinical path

作　　者：高静儒 李娜[1] 吕妍喆 孙惠军[1] 胡志霞[1] 王亚峰[1] 顾旭宁 王岩[1] 刘伟[1] 蔡洁[1] 

机构地区：[1]北京市普仁医院,100062

出　　处：《护理研究》2004年第11期1910-1912,共3页Chinese Nursing Research

基　　金：北京市崇文区卫生局中青年科研资助课题

摘　　要：[目的 ]评价肿瘤化疗病人应用心理护理临床路径后的生存质量。 [方法 ]选取晚期肿瘤化疗病人119例 ,分组对照 ,治疗组按心理护理临床路径进行护理 ,对照组按常规护理方法进行 ,在入院、出院时采用EORTCQLQ -C3 0量表进行生存质量评估。 [结果 ]治疗组病人在角色、认知、情绪、社会功能和总体健康状况方面改善明显 (P <0 .0 1) ,而对照组病人仅躯体功能改善明显 (P <0 .0 1) ,化疗的副反应反而加重。 [结论 ]肿瘤化疗病人在住院化疗期间实施心理护理临床路径 ,可有效地提高其生存质量。Objective:to evaluate the living qualities of tumor patients undergoing chemotherapy after applied psychological nursing care clinical path. Method: a total of 119 tumor patients undergoing chemotherapy in late stage were selected randomly and divided into two groups. Patients in test group were given psychological nursing care in clinical path, while patients in control group were given nursing care as routine. Then living quality of both groups patients were evaluated by filling out the EORTC QLQ-C30 scales both at admission and before discharged from the hospital. Result: the role, cognition, mood, social function and general health condition of test group patients have been improved apparently (P<0.01). While only body function has been improved in control group patients obviously(P<0.01). But their chemotherapy induced adverse effects become more serious. Conclusion: it showed that tumor patients' living quality can be enhanced effectively by taking psychological nursing care in clinical path during hospitalization chemotherapy.

关 键 词：肿瘤病人 化学疗法 心理护理 临床路径 生活质量 

分 类 号：R473.73[医药卫生—护理学]