舒适护理在肝癌中晚期化疗患者中的运用研究  

The effect of comfortable care use in chemotherapy patients with advanced liver cancer

作　　者：李小银[1] 陈玉花[1] 岑展芬[1] 唐碧英[1] 

机构地区：[1]中山大学附属第一医院介入放射科,510080

出　　处：《护理实践与研究》2012年第4期4-6,共3页Nursing Practice and Research

摘　　要：目的:探讨舒适护理在肝癌中晚期化疗患者中的应用效果。方法:将120例肝癌中晚期实行化疗治疗的患者随机分为实验组65例和对照组55例。实验组采取舒适护理,对照组按常规护理。比较两组患者化疗期间的不舒适反应和对护理工作的满意度。结果:实验组患者在化疗期间腰酸背痛、乏力、食欲减退、恶心、呕吐、睡眠困难等发生率比对照组低,差异有统计学意义(P<0.05,P<0.01);出院患者满意度调查中,两组患者在病室环境、基础护理、操作技术三方面比较无统计学差异(P>0.05),在护患沟通、健康教育、睡眠指导、转换体位舒适度等方面满意度实验组比对照组高,差异有统计学意义(P<0.05);患者社会支持状况中实验组在社会支持总分、客观支持、主观支持、社会支持利用度等方面明显优于对照组,差异有统计学意义(P<0.05,P<0.01)。结论:对肝癌中晚期实行化疗治疗的患者实施舒适护理,可增加患者的舒适度,提高生存质量,提高患者的满意度。Objective：To discuss the effect of comfortable care used in chemotherapy patients with advanced liver cancer.Methods：120 chemotherapy patients with advanced liver cancer were divided into experimental group（n=65）and control group（n=55） at random.The experimental group received comfortable care and the control group received normal care.To compare the side effect and nursing satisfaction of patients during chemotherapy of two group.Results：The side effect occur rate（such as hypodynamia,vomiting,dyscoimesis,et al）in experimental group was lower than in control group（P0.05,P0.01）.There was no significant different on room environment,basic nursing and operation skill between two groups（P0.05）.While the satisfaction on nurse-patient communication,health education,sleeping guidance and social support（such as the total score of social support,subjective and objective support）in experimental group was higher than in control group（P0.05,P0.01）Conclusion：Comfortable care used in chemotherapy patients with advanced liver cancer could improve the quality of life and satisfaction of patients.

关 键 词：舒适护理 肝癌 化疗 运用 

分 类 号：R473.73[医药卫生—护理学]