优质护理在老年恶性肿瘤患者治疗及康复过程中的效果  

Effect of high quality nursing care in elderly patients in the process of tumor treatment and rehabilitation

作　　者：鲁元雪[1] 吴琳娜[1] 

机构地区：[1]中国人民解放军总医院,北京100853

出　　处：《中国肿瘤临床与康复》2014年第5期604-606,共3页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨优质护理在老年肿瘤患者治疗与康复过程中的效果,为老年恶性肿瘤患者治疗与护理提供依据。方法选取2009年9月至2011年10月间入院治疗的148例老年恶性肿瘤患者,随机分为两组,对照组患者给予常规护理,观察组患者给予优质护理,比较两组患者疼痛程度、静脉炎发生率、焦虑抑郁情绪以及总体生活质量。结果观察组患者疼痛程度明显低于对照组,差异有统计学意义(P<0.05);观察组患者静脉炎发生率为6.8%,对照组发生率为23.0%,差异有统计学意义(P<0.05);观察组患者焦虑自评量表(SAS)及抑郁自评量表(SDS)评分明显低于对照组,差异有统计学意义(P<0.05);观察组患者总体生活质量评分为19.4分,明显高于对照组14.6分,差异有统计学意义(P<0.05)。结论舒适护理策略可以明显改善患者疼痛、焦虑、抑郁的生理及心理状态,降低患者静脉炎发生率,提高患者整体生活质量,在老年恶性肿瘤患者的治疗与康复过程中值得推广应用。Objective To explore the clinical effect of comfortable nursing in elderly patients with tumor treatment and rehabilitation process. Methods 148 patients with malignancy September 2009 to October 2011 were randomly divided into observation group and control group, the patients in control group were treated with basic nursing, the patients in observation group was received with comfortable nursing. The degree of pain, the incidence of phlebitis, anxiety, depression, and the overall quality of life were measured and the clinical effect was compared. Results The degree of pain in observation group was lower than control group, the differences were statistically significant （ P 〈 0. 05 ） ; The incidence of phlebitis in observation group was 6. 8% while 23.0% in control group. The score of SAS and SDS were significant lower than control （ P 〈 0. 05 ） , the overall quality of life score is 19. 4 in observation group while 14. 6 in control （ P 〈 0.05 ）. Conclusion Comfortable nursing strategy can significantly improve the pain score, anxiety, depression, physical and mental state, reduce the incidence of phlebitis patients, improve overall quality of life, it is worthy for application.

关 键 词：优质护理 老年肿瘤 心理护理 生活质量 

分 类 号：R473.73[医药卫生—护理学]