临床护理路径在紫杉醇联合卡铂治疗卵巢癌护理中的应用及对患者QOL评分的影响  

Application of Clinical Nursing Pathway in Paclitaxel Combined with Carboplatin in the Treatment of Ovarian Cancer and Its Effect on Patients’ QOL Score

作　　者：姜晨[1] JIANG Chen(Affiliated Hospital of Nanjing Medical University(Nanjing Maternal and Child Health Institute),Nanjing 210004,China)

机构地区：[1]南京医科大学附属妇产医院(南京市妇幼保健院)

出　　处：《中国医学创新》2019年第29期92-95,共4页Medical Innovation of China

摘　　要：目的:探讨临床护理路径在紫杉醇联合卡铂治疗卵巢癌护理中的应用及对患者QOL评分的影响。方法:选取2017年1月-2018年12月卵巢癌患者70例,随机分为研究和对照组,各35例。两组均使用紫杉醇联合卡铂治疗,同时,对照组给予常规护理,研究组在常规护理的基础上给予临床护理路径护理。比较两组心理状态、生活质量变化情况、护理满意度。结果:研究组护理干预后SDS评分及SAS评分均低于对照组,差异均有统计学意义(P<0.05)。护理干预后,研究组在宗教信仰、生活环境、社会关系、独立能力、心理状况及身体机能的评分均高于对照组,差异均有统计学意义(P<0.05)。干预后,研究组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论:临床护理路径应用于紫杉醇联合卡铂治疗卵巢癌患者的护理中,能使得患者负性情绪得到更好的缓解,且患者护理满意度较高,生活质量得到提升,值得应用推广。Objective: To explore the application of clinical nursing pathway in Paclitaxel combined with Carboplatin in the treatment of ovarian cancer and its effect on patients’ QOL score. Method: A total of 70 patients with ovarian cancer from January 2017 to December 2018 were selected, they were randomly divided into research group and control group, 35 cases in each group. Both groups were treated with Paclitaxel combined with Carboplatin. Meanwhile, the control group was given routine nursing, and research group was given clinical nursing pathway nursing on the basis of routine care. The changes of psychological status, quality of life and nursing satisfaction were compared between the two groups. Result: SDS and SAS scores in the research group were lower than those in the control group after nursing intervention, with statistically significant differences(P<0.05). After intervention, the scores of religious belief, living environment, social relationship, independent ability, psychological status and physical function of the research group were higher than those of the control group, the differences were statistically significant(P<0.05). The nursing satisfaction of the research group was higher than that of the control group, the difference was statistically significant(P<0.05). Conclusion: The application of clinical nursing pathway in the nursing of patients with ovarian cancer treated by Paclitaxel combined with Carboplatin can better alleviate the negative emotions of patients, and improve the patients’ nursing satisfaction and quality of life, which is worthy of application and promotion.

关 键 词：临床护理路径 生活质量 卵巢癌 紫杉醇 卡铂 

分 类 号：R[医药卫生]