随访干预在肺癌化疗患者延续护理中的作用  

The role of follow-up intervention in continuous nursing cares of patients with lung cancer undergoing chemotherapy

作　　者：刘剑梅[1] 王自秀[1] 王绍燕 黎裕秋 罗健娅 庞春燕 LIU Jian-mei;WANG Zi-xiu;WANG Shao-yan;LI Yu-qiu;LUO Jian-ya;PANG Chun-yan(Department of Respiratory Medicine,The First Affiliated Hospital of Guangxi Medical University,Nanning,Guangxi,530021,China)

机构地区：[1]广西医科大学第一附属医院呼吸内科

出　　处：《蛇志》2019年第4期532-534,共3页Journal of Snake

基　　金：广西卫生与计划生育委员会自筹课题(Z2016736)

摘　　要：目的探讨随访干预在肺癌化疗患者延续护理中的作用。方法选择2017年1月~2018年8月在广西医科大学第一附院医院住院的肺癌化疗患者184例,化疗次数938例次,按治疗时间前后分为对照组和干预组。对照组给予肺癌化疗患者常规护理服务流程及出院1周电话随访;干预组在对照组的基础上对患者进行强化健康教育及出院1周电话随访,同时对血常规复查结果有异常的患者进行第2、3周连续回访。观察两组患者的血常规复检率并进行比较。结果干预组的血常规复检率高于对照组,差异有统计学意义(χ^2=45.457,P<0.001)。结论对肺癌化疗患者进行强化健康教育及连续随访干预,提高了患者血常规复检率,有效避免感染、骨髓抑制等重症毒副反应发生,减少患者化疗后并发症发生率,减轻患者心理负担,提高肺癌化疗患者的生活质量。Objective To explore the role of follow-up intervention in continuous nursing care of patients with lung cancer undergoing chemotherapy. Methods 184 patients with lung cancer who were hospitalized in the first affiliated hospital of Guangxi Medical University from January 2017 to August 2018 were divided into control group and intervention group according to the time.The control group was given routine nursing service flow and telephone follow-up for one week after discharge from hospital, while the intervention group was given intensive health education and telephone follow-up for one week on the basis of the control group.The patients with abnormal results of blood routine examination were monitored for the second and third weeks.The re-examination rate of blood routine was compared between the two groups. Results The re examination rate of blood routine in the intervention group was higher than that in the control group,and the difference was statistically significant(χ^2=45.457,P<0.001). Conclusion Intensive health education and continuous follow up intervention for patients with lung cancer chemotherapy can improve the re-examination rate of blood routine,effectively avoid the occurrence of severe toxic and side effects such as infection and bone marrow suppression,and reduce the occurrence of complications after chemotherapy.Reduce the psychological burden of patients,improve the quality of life in patients with lung cancer chemotherapy.

关 键 词：随访 肺癌 化疗 延续护理 

分 类 号：R734.2[医药卫生—肿瘤] R473.73[医药卫生—临床医学]