辨证施护对胃肠道恶性肿瘤术后化疗患者不良反应及预后的影响  

Effects of Traditional Chinese Medicine Syndrome Differentiation Nursing on Adverse Reactions and Prognosis of Patients Undergoing Postoperative Chemotherapy for Gastrointestinal Malignancy

作　　者：杨学岩[1] 王平[1] 丁荣楣[1] YANG Xueyan;WANG Ping;DING Rongmei(Ward Two of Oncology,Shengjing Hospital Affiliated to China Medical University,Liaoning Province,Shenyang 110021,China)

机构地区：[1]中国医科大学附属盛京医院第二肿瘤病房

出　　处：《中国中医药现代远程教育》2020年第2期120-122,共3页Chinese Medicine Modern Distance Education of China

摘　　要：目的探讨中医辨证施护对胃肠道恶性肿瘤术后化疗患者不良反应及预后的影响。方法将2017年3月—2018年9月156例胃肠道恶性肿瘤术后化疗患者随机分为2组各78例,对照组仅接受常规护理,研究组在其基础上进行中医辨证施护。比较2组的化疗不良反应情况及生存质量改善情况。结果研究组Ⅲ~Ⅳ级胃肠道反应、骨髓抑制、肝功能异常分别占26.5%、21.8%、12.8%,对照组分别占55.1%、35.9%、20.5%,研究组化疗不良反应明显轻于对照组(P<0.05)。研究组护理后的躯体功能为(63.17±6.75)分、情绪功能为(59.73±8.29)分、角色功能为(64.64±6.08)分、社会功能为(75.64±7.68)分,对照组分别为(55.08±8.43)分、(55.19±7.20)分、(58.09±8.94)分、(71.13±9.53)分,研究组护理后的生存质量改善情况明显优于对照组(P<0.05)。结论将中医辨证施护引入胃肠道恶性肿瘤术后化疗患者的护理中是一种极具意义的事,能够显著提高患者化疗的舒适度,改善生存质量。Objective To explore the effect of TCM syndrome differentiation nursing on adverse reactions and prognosis of patients undergoing postoperative chemotherapy for gastrointestinal malignancy.Methods 156 cases of postoperative chemotherapy for gastrointestinal malignancy from March 2017 to September 2018 were randomly divided into two groups,with 78 cases in each group.The control group received routine nursing,while the study group received TCM dialectical nursing on the basis of the control group.The adverse reactions of chemotherapy and the improvement of quality of life were compared between the two groups.Results Ⅲ~Ⅳ gastrointestinal reaction,bone marrow suppression,liver function abnormal in the study group were respectively accounted for 26.5%,21.8% and 12.8%,while those in the control group were respectively accounted for 55.1%,35.9%and 20.5%,and adverse reactions to chemotherapy in the study group were significantly less than those in the control group(P<0.05).The scores of physical function,emotional function,role function and social function in the study group were(63.17±6.75),(59.73±8.29),(64.64±6.08),(75.64±7.68),while those in the control group were respectively(55.08±8.43),(55.19±7.20),(58.09±8.94),(71.13±9.53),the improvement of quality of life in the study group were significantly better than that in the control group(P<0.05).Conclusion It is of great significance to introduce TCM syndrome differentiation nursing into postoperative chemotherapy for patients with gastrointestinal malignant tumor,which can significantly improve the comfort level of chemotherapy for patients and improve the quality of life.

关 键 词：辨证施护 胃肠道恶性肿瘤 化疗 不良反应 预后 

分 类 号：R473.73[医药卫生—护理学]