护理干预在降低胃癌患者化疗后消化系统反应中的应用效果  

Effect of nursing intervention in reducing digestive system responses after chemotherapy in patients with gastric cancer

作　　者：薛娟[1] 张亚娜 XUE Juan;ZHANG Ya′na(Yulin Municipal First Hospital,Yulin,Shaanxi 718000,China)

机构地区：[1]陕西省榆林市第一医院,718000

出　　处：《检验医学与临床》2018年第20期3059-3062,共4页Laboratory Medicine and Clinic

摘　　要：目的探讨护理干预在降低胃癌患者化疗后消化系统反应中的应用效果。方法选择2015年2月至2017年1月于该院行化疗的154例胃癌患者作为研究对象,采用随机数字表法分为对照组和观察组,各77例。对照组在化疗期间接受常规化疗护理,观察组在常规护理基础上给予综合性护理干预措施。比较两组患者护理实施前后焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、消化系统反应及营养状况。结果实施护理前,两组SAS、SDS评分差异无统计学意义(P>0.05);护理后,两组SAS、SDS评分均低于护理前,观察组SAS、SDS评分低于对照组,差异均有统计学意义(P<0.05);护理后,观察组腹泻、呕吐、便秘、食欲减退等消化系统反应发生率低于对照组,差异均有统计学意义(P<0.05);护理后,两组患者的预后营养指数(PNI)均降低,但观察组PNI高于对照组,差异有统计学意义(P<0.05)。结论在胃癌患者化疗期间给予综合性的护理干预措施可有效缓解患者心理状态,减少化疗后消化系统反应发生率,改善患者营养状况,降低胃癌患者死亡风险,应用效果显著,值得积极推广。Objective To study the application effect of nursing intervention in reducing the digestive system responses after chemotherapy in the patients with gastric cancer. Methods A total of 154 patients with gastric cancer who underwent chemotherapy in this hospital from February 2015 to January 2017 were selected as the research subjects and divided into the control group and observation group according to the random number table method,77 cases in each group.The control group received the routine nursing during the chemotherapeutic period,and the observation group was given comprehensive nursing intervention on the basis of routine care.The Self-rating Anxiety Scale （SAS） score,Self-rating Depression Scale （SDS） score,digestive system responses and nutritional status before and after nursing implementation were compared between the two groups. Results The SAS and SDS scores before implementing the nursing care had no statistically significant difference between the two groups （ P 〉0.05）.The SAS and SDS scores after nursing in the two groups were lower than those before nursing,while the SAS and SDS scores in the observation group were lower than those in the control group,the difference was statistically significant （ P 〈0.05）.After nursing,the incidence rates of digestive system reactions such diarrhea,vomiting,constipation and loss of appetite were lower than those in the control group,the difference was statistically significant （ P 〈0.05）.After nursing,the prognosis nutrition index （PNI） in the two groups was decreased,however PNI of the observation group was higher than that of the control group,the difference was statistically significant （ P 〈0.05）. Conclusion Giving the comprehensive nursing intervention measures during the chemotherapeutic period in the patients with gastric cancer can effectively alleviate the psychological state of the patients,reduces the occurrence rate of digestive system responses after chemotherapy,improves the nutritional status of the patients

关 键 词：胃癌 化疗 护理干预 营养状况 消化系统反应 

分 类 号：R473.73[医药卫生—护理学]