护士和癌症病人对放疗紧张感的比较  

An Comparison on the Nervousness towards Radiotherapy between Nurses and Patients

作　　者：李莉[1] 杨青[1] 杨灵志[1] 周维琦[1] 

机构地区：[1]四川省肿瘤医院,成都610041

出　　处：《肿瘤预防与治疗》2013年第4期231-234,共4页Journal of Cancer Control And Treatment

摘　　要：目的:了解护士和癌症病人对放疗紧张感受的差异。方法:在Likert分型调查表的基础上自行设计最易引起放疗病人生理、心理社会方面紧张感受的调查项目,对114例放疗病人和60名肿瘤放疗病区护士进行调查。结果:在生理方面,53.50%的病人对疲乏和体重下降感到紧张,其次为皮肤反应和口咽疼痛及恶心呕吐,而93.33%的护士对病人的皮肤反应、口咽疼痛和便秘感到紧张,其次为疼痛和恶心呕吐;在心理社会方面,65.78%病人最紧张的是肿瘤复发,其次为费用问题和日常生活改变,93.33%护士也认为病人最紧张的是肿瘤复发,其次为面对癌症现实和费用问题。放疗病人与护士对放疗紧张感受比较,除对社会活动减少的紧张感无差异外,其他条目的紧张感得分差异均存在统计学意义(P<0.05),结论:护士应了解放疗病人的实际感受,提供有效的护理干预,减少放疗病人的紧张感。Objective： To investigate the differences between nurses and patients about their nervousness towards radiothera- py. Methods： Design the issues those were most prone to induce physiological, psychological or social nervousness on patients after ra- diotherapy based on Likert questionnaire, and did surveys on 114 patients receiving radiotherapy and 60 nurses working in radiotherapy ward. Results： Physiologically, 53.50% of patients receiving radiotherapy were mostly nervous towards fatigue and weight loss, with skin reactions, oropharyngeal pains, and vomit, nausea as secondary issues. However, 93.33% of nurses were mostly nervous towards skin reactions, oropharyngeal pains and constipation with pains and vomit, nausea as secondary issues. Psychologically, 65.78% of patients were mostly nervous towards the tumor relapse, with medical expenses and changes in everyday life as secondary issues. 93.33% of nurses also considered that the tumor relapse the primary issue to cause nervousness, with patients＇ acceptance of the real- ity and medical expenses as the secondary issues. Comparisons on the issues that caused most nervousness between patients and nurses towards radiotherapy revealed that excluding the nervousness towards the reductions of social activities, for which patients and nurses displayed similar considerations, the nervousness from patients and nurses towards other issues was statistically significantly different （P 〈 0. 05）. Conclusion ： Nurses need to make effort to understand the actual feelings of patients, so that they are able to provide ef- fective medical interventions to reduce the nervousness of patients receiving radiotherapy.

关 键 词：放疗 肿瘤 病人 护士 紧张感 

分 类 号：R473.73[医药卫生—护理学]