以问题为导向的护理管理在肺癌放射治疗中的应用  

Application effect of problem-oriented care management on radiotherapy in lung cancer patients

作　　者：施蓓芳[1] 严晓霞[1] 陆祎[1] 

机构地区：[1]上海市肺科医院放疗科,上海200438

出　　处：《中国肿瘤临床与康复》2016年第1期100-103,共4页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨以问题为导向的护理管理在肺癌放疗中的应用效果。方法以2012年1月至2014年6月间收治的80例肺癌患者作为研究对象,按照随机数字表法分为护理组和对照组,每组40例。对照组患者采取常规护理方式护理,护理组患者在对照组护理的基础上增加以问题为导向的护理管理模式进行护理。比较两组患者护理前和护理3个月后焦虑自评量表(SAS)和抑郁自评量表(SDS)评分,以及两组患者护理后生活质量评分和护理过程中的不良反应发生率。结果两组患者护理3个月后SAS和SDS评分均低于护理前,差异均有统计学意义(均P<0.05)。护理3个月后,护理组SAS和SDS评分均低于对照组,差异均有统计学意义(均P<0.05)。生活质量方面,护理组精力、情感、睡眠、社交和活动各项评分均低于对照组,差异均有统计学意义(均P<0.05)。护理组中,20.0%的患者出现食欲减退,27.0%的患者出现睡眠障碍,17.5%的患者出现关节疼痛;对照组中,45.0%的患者食欲减退,50.0%的患者睡眠障碍,32.5%的患者出现关节疼痛,护理组不良反应发生率低于对照组,差异有统计学意义(P<0.05)。结论以问题为导向的护理管理能够有效改善肺癌放疗患者的抑郁和焦虑情绪,提高患者的生活质量,减少患者放疗过程中不良反应的发生率。Objective To explore the problem-oriented care management application effect of radiotherapy in lung cancer patients. M ethods 8 0 cases of lung cancer patients were selected in Shanghai Pulmonary Hospital from January 2 0 1 2 to June 2 0 1 4 as research subjects and randomly divided into nursing group and the control group according to a random number table method,4 0 cases in each group. The control group received routine nursing care,and the nursing group accepted problem-oriented nursing care management on the basis of routine nursing care. The self-rating anxiety scale（ SAS） and self-rating depression scale（ SDS） scores,quality of life scores and incidence of adverse reactions were compared. Results After three months treatment,the SAS and SDS scores were lower than before（ P〈0. 0 5）,the SAS and SDS scores of the nursing group were significantly lower than those of the control group（ P〈0. 0 5）; the quality of life of the nursing group,including emotion,sleep,socialize and activities,were lower than those of the control group（ P〈0. 0 5）; In the nursing group,2 0. 0 % with anorexia,2 7. 0 % with sleep disorders,1 7. 5 % with joint pain; in the control group,4 5. 0 % with loss of appetite,5 0. 0 % with sleep disorders and 3 2. 5 % with joint pain,and the incidence of adverse reactions in the nursing group were better than those of the control group（ P〈0. 0 5）. Conclusion Problem-oriented care management can effectively improve depression in lung cancer patients treated with radiotherapy,improve the quality of life and reduce the incidence of adverse reactions.

关 键 词：肺肿瘤 放射治疗 以问题为导向 护理 

分 类 号：R473.73[医药卫生—护理学]