化疗联合体外射频热疗治疗腹腔肿瘤伴癌性疼痛及腹水的护理体会  

Nursing of chemotherapy combined with external hyperthermia in the treatment of abdominal tumors with cancer pain and ascites

作　　者：王林娥[1] 嵇冰[2] 

机构地区：[1]浙江省湖州市中医院供应科,浙江湖州313000 [2]浙江中医药大学,浙江杭州310022

出　　处：《中国现代医生》2014年第15期98-101,共4页China Modern Doctor

基　　金：浙江省公益性技术应用研究计划项目(2013C37008)

摘　　要：目的总结化疗联合热疗治疗腹腔肿瘤伴癌性疼痛及腹水的护理方法。方法将94例腹腔肿瘤伴癌性疼痛及腹水的患者随机分为两组,每组47例,均实施腹腔灌注化疗及体外射频热疗治疗,在治疗过程中对照组实施常规护理,观察组实施舒适护理,观察两组治疗依从性及护理效果。结果观察组完全从医率、护理满意率均高于对照组(P<0.05);观察组护理后疼痛评分低于护理前及对照组(P<0.05);观察组烫伤、脂肪结节、低血压、电解质紊乱等并发症发生率低于对照组(P<0.05)。结论化疗联合热疗治疗腹腔肿瘤伴癌性疼痛及腹水疗效显著,辅之以优质舒适护理,可最大程度缓解患者疼痛,减少并发症,提高患者护理满意度,对改善患者预后有重要意义。Objective To summarize nursing methods of chemotherapy combined with hyperthermia in the treatment of cancer pain, ascites. Methods A total of 94 patients with abdominal tumors with cancer pain and ascites were randomly divided into two groups,each of 47 patients, all implementation of intraperitoneal chemotherapy and hyperthermia in vitro, during treatment, the control group received routine care, while the observation group received comfort care, nursing effect and treatment compliancewere observed in two groups. Results Complete compliance rate in medicine and satisfaction care rate of the observation group were higher than the control group（P 〈0.05）; Pain score of the obser- vation group after treatment was lower than before and the control group（P〈0.05）; Burns, fat nodules, hypotension, elec- trolyte disorders and other complications of the observation group were lower than the control group （P〈0.05）, Conclu- sion Chemotherapy combined with hyperthermia in the treatment of cancer pain associated with abdominal tumors and ascites has significant effect, complemented by high-quality comfort care, patients can maximize ease pain, reduce complications and improve patient satisfaction with care, can improve the prognosis of patients.

关 键 词：癌性疼痛 腹水 舒适护理 化疗 热疗 

分 类 号：R473[医药卫生—护理学]