延续护理在急性放射病患者远期效应随访应用  

Application of extended nursing for patients with acute radiation sickness in long-term follow-up observation

作　　者：王雯 王冰 王媛 刘燕杰 姜恩海[2] 

机构地区：[1]中国医学科学院血液病医院,天津300020 [2]中国医学科学院放射医学研究所,300192

出　　处：《中国职业医学》2015年第2期153-155,共3页China Occupational Medicine

基　　金：卫生部行业基金(201002009);中国医学科学院放射医学研究所所立科研基金(1423);天津市放射医学与分子核医学重点实验室

摘　　要：目的分析延续护理在急性放射病(ARS)患者远期效应随访中应用的效果。方法 2010—2013年对河南省钴-60放射源辐射事故中的3例ARS患者"梅"、"天"和"旺"实施延续护理,采用中文版《欧洲五维健康量表》(EQ-5D)对患者进行调查,并对其实际复查时间和计划复查时间是否符合的情况进行调查。结果 2010—2013年实施延续护理后,"梅"的EQ-5D指数从2010年0.586持续增加到2013年的0.848,视觉模拟标尺(VAS)得分由2010年的78分持续增加至2013年的90分;"天"因2012年因罹患弥漫性大B细胞非霍奇金淋巴瘤EQ-5D指数得分由2010、2011年的0.848下降至0.537,经有效治疗后2013年增加至0.653,VAS评分由2010年的95分逐渐下降至2012年的80分,2013年增加至88分;"旺"EQ-5D指数保持不变,VAS得分由2010年的95分逐渐增加至2013年的98分。延续护理实施后,3例患者实际复查时间均与计划复查时间相同,均无发生失访。结论延续护理应用于辐射事故患者远期效应随访,有利于提高其生活质量,促进健康转归,保证复查依从性。Objective To explore the application effects of extended nursing for patients with acute radiation sickness （ARS） in long-term follow-up observation. Methods The extended nursing was carried out to 3 patients （ Mei, Tian and Wang） with ARS from 2010 to 2013 after the Henan Co-60 radioactive source accident, and the European quality of life 5-dimensions （EQ-SD） form was used to investigate the condition of these patients. Moreover, we also investigated the compliance of the patients according to real follow-up time and scheduled time. Results After the extended nursing treatment from 2010 to 2013, EQ-SD index of Mei increased continually from 0. 586 in 2010 to 0. 848 in 2013, while the visual analogue scaling （VAS） value increased continually from 78 in 2010 to 90 in 2013 ; EQ-SD index of Tian decreased from 0. 848 in 2010 and 2011 to 0. 537 in the first two years due to his suffering from diffuse large B cell non-Hodgkin＇s lymphoma in 2012. However, the index increased to 0. 653 in 2013 after the effective treatment. Tian＇ s VAS value decreased from 95 in 2010 to 80 in 2012 and it increased to 88 in 2013. EQ-SD index of Wang did not have any changes during these 3 years but VAS value increased gradually from 95 in 2010 to 98 in 2013. Furthermore, we found that after the implementation of extended nursing, the real follow-up time was well matched with the scheduled time in these 3 patients without any lost follow-up. Conclusion The extended nursing in the long-term follow-up for the patients suffering from radiation accidents contributes to improve the patients＇ life quality, promote their health recovery, and ensure their compliance of reexamination.

关 键 词：辐射事故 急性放射病 随访 延续护理 

分 类 号：X591[环境科学与工程—环境工程] R818.71[医药卫生—放射医学]