综合性护理干预在进展期胃癌围手术期腹腔热灌注化疗中的应用价值探讨  

Discussion on the application value of comprehensive nursing intervention in peritoneal hyperthermic perfusion chemotherapy of advanced gastric carcinoma during perioperative period

作　　者：叶倩[1] 付欢英[1] 陈灵燕[1] 汪丽菁[1] 

机构地区：[1]浙江省肿瘤医院腹部外科,浙江杭州310022

出　　处：《中国现代医生》2016年第30期162-164,共3页China Modern Doctor

基　　金：浙江省医药卫生一般研究计划(A类)(2013KYA029)

摘　　要：目的 研究综合性护理干预在进展期胃癌围手术期腹腔热灌注化疗中的应用价值。方法 选择2014年1月-2015年1月在我科进行围手术期腹腔热灌注化疗治疗的进展期胃癌患者70例,以数字法随机分为观察组和对照组各35例。对照组实施传统护理干预,观察组实施综合性护理干预。比较两组化疗成功率、腹腔感染率以及1年内腹腔内局部复发率等,并进行满意度问卷调查。结果 观察组化疗成功率为100.00%（35/35）,高于对照组的91.42%（32/35）;而观察组1年内腹腔内局部复发、1年内远处转移以及腹腔感染率等比例均显著低于对照组,观察组护理的非常满意比例以及满意度均显著高于对照组,差异有统计学意义（P〈0.05）。结论 进展期胃癌围手术期腹腔热灌注化疗中采用综合护理干预能显著提高化疗的成功率,同时降低化疗后感染几率,提高满意度,在临床上具有较高的应用价值。Objective To study the application value of comprehensive nursing intervention in peritoneal hypetthermic perfusion chemotherapy of advanced gastric cancer during perioperative period. Methods 70 patients with advanced gastric cancer who were treated with intraperitoneal hyperthermic perfusion chemotherapy during perioperative period in our department from January 2014 to January 2015 were selected. The patients were randomly assigned into the observation group （35 cases） and the control group （35 cases）. The control group was given traditional nursing intervention, and the observation group was given comprehensive nursing intervention. The successful rate of chemotherapy, intraperitoneal infection rate and local recurrence rate within 1 year were compared, and the satisfaction questionnaire were also investigated. Results The successful rate of chemotherapy in the observation group was 100.00% （35/35）, which was higher than that of 91.42% in the control group （32/35）. 1-year intraperitoneal local recurrence rate, 1-year distant metastasis rate and peritoneal infection rate in the observation group were significantly lower than those in the control group. The proportion of very satisfaction to nursing and satisfaction degree in the observation group were significantly higher than those in the control group, and the difference was statistically significant （all P〈 0.05）. Conclusion Comprehensive nnrsing intervention in the peritoneal hyperthermic perfusion chemotherapy of ad- vanced gastric cancer during perioperative period can significantly improve the successful rate of chemotherapy, and reduce the incidence of infection after chemotherapy. It is able to effectively alleviate anxiety, depression, and improve patient satisfaction, which is of high application value in clinical settings.

关 键 词：综合性护理 进展期胃癌 围手术期 腹腔热灌注 腹腔感染率 

分 类 号：R473.73[医药卫生—护理学]