早期无手术指征结肠癌放化疗患者相关调查及护理对策  

Investigation of non operative indications for colon cancer patients with radiotherapy and chemotherapy and nursing strategies

作　　者：张敏 周安霞 江丽青 ZHANG Min;ZHOU Anxia;JIANG Liqing(Department of Surgery,Fugu County Hospital of Traditional Chinese Medicine,Yulin,Shaanxi,719400;Department of Surgery,Ningshan County People＇s Hospital,Ankang,Shaanxi,711600;Depaof Surgery,First Ajflliated Hospital of Military Medical University,Xi＇ an,Shaanxi,710032)

机构地区：[1]陕西省府谷县中医医院外科,陕西榆林719400 [2]陕西省宁陕县人民医院外科,陕西安康711600 [3]空军军医大学第一附属医院外科,陕西西安710032

出　　处：《实用临床医药杂志》2018年第14期43-46,53,共5页Journal of Clinical Medicine in Practice

基　　金：陕西省科学技术研究发展计划项目(2009JM4006;2010K15-03-07)

摘　　要：目的探讨早期无手术指征结肠癌放化疗患者的心理-社会适应能力和护理对策。方法选择96例早期结肠癌无手术指征患者作为研究对象,所有患者均行化疗和放疗,对入组患者采用量表调查其心理-社会适应你能力,并与同期收治的100例早期符合手术指征的结肠癌患者进行比较。采用数字随机表法将96例分为对照组和观察组,每组48例,对照组患者实施常规护理,观察组在常规护理基础上再予以个性化心理干预措施,2组患者入组后3个月,对其心理-社会适应能力、肿瘤患者的生活质量评分(QOL)、放化疗疗程完成情况及治疗依从性进行调查并比较。结果早期无手术指征结肠癌放化疗患者心理社会适应能力低于早期可手术治疗的结肠癌患者(P<0.05);2组入组前心理-社会适应能力评分、Karnofsky评分、拟定化疗放疗周期等指标比较差异均无统计学意义(P>0.05),入组3个月后观察组心理-社会适应能力评分、QOL评分、放化疗治疗依从评分均高于对照组(P<0.05)。观察组放化疗完成率80.90%(233/288)高于对照组的58.33%(168/288)(P<0.05)。结论早期无手术指征结肠癌放化疗患者心理-社会适应能力较低,采取个性化心理干预措施利于提升患者的心理-社会适应能力,改善患者的生活质量及治疗依从性,具有较高的临床价值。Objective To investigate early psychosocial-social adjust ability and nursing strategies for colon cancer patients without operative indications underwent radiotherapy and chemotherapy. Methods A total of 96 non operative indications patients underwent radiotherapy and chemotherapy in our hospital were selected as research objects,and all patients were investigated the psychological and social adaptation ability,and were compared with 100 patients with surgical indications of colon cancer patients were compared. These 96 patients were randomly divided into control group and observation group according to random table method,with 48 cases in each group. The control group received routine nursing,while the observation group was given individualized psychological intervention. Psychological and social adaptation ability,the tumor patient＇ s quality of life score（ QOL）,chemotherapy treatment status and treatment compliance of two groups after three months were investigated and compared. Results Adaptation ability to social psychology for early non indication of colon cancer chemotherapy patients was significantly lower than that of early surgical treatment of colon cancer patients（ P〈0. 05）. There were no significant differences in psychological and social adaptation ability score,Karnofsky score,development cycle index of two groups before inclusion（ P〉0. 05）,but observation group had higher psychological and social adaptation ability score,QOL score,chemotherapy and treatment compliance after 3 months of intervention than controlgroup（ P〈0. 05）. The completion rate of chemotherapy in the observation group was 80. 90%（ 233/288）,which was significantly higher than 58. 33%（ 168/288） of the control group（ P〈0. 05）. Conclusion Early surgical non indications of chemotherapy patients with colon cancer have lower psychological and social adaptation ability. Individualized psychological intervention can improve psychological and social adaptation ability,enhance the quality of life and

关 键 词：早期结肠癌 放化疗 心理-社会适应能力 个性化心理护理 

分 类 号：R473.6[医药卫生—护理学]