多学科协作护理管理对非小细胞肺癌患者化疗间歇期自我管理能力及癌痛的影响  

Effect of continuous nursing intervention on the ability of self-management and cancer pain of patients with non-small cell lung cancer during the interval of chemotherapy

作　　者：金爱华 李可吟 Jin Aihua;Li Keyin(Department of Radiotherapy,Taizhou Hospital of Zhejiang Province,Taizhou 317000,China;Department of Cardiovascular,Taizhou Enze Medical Center(Group)Enze Hospital,Taizhou 318050,China)

机构地区：[1]浙江省台州医院放疗科,317000 [2]台州恩泽医疗中心(集团)恩泽医院心血管内科,318050

出　　处：《中国实用护理杂志》2020年第24期1903-1907,共5页Chinese Journal of Practical Nursing

摘　　要：目的探讨分析多学科协作下延续性护理干预对非小细胞肺癌患者化疗间歇期自我管理能力及癌痛的影响。方法选取2016年3月至2018年12月收治的86例非小细胞肺癌患者作为研究对象,按照随机数字表法分为2组,对照组行常规出院指导,观察组行多学科协作下延续性护理干预,对比两组患者护理前后自我管理能力、癌痛与生命质量。结果与护理前比较,两组护理后自我管理能力评分均提高,观察组(128.88±8.88)分,高于对照组的(88.15±3.69)分,差异有统计学意义(t值为27.775,P<0.01);与护理前比较,2组护理后视觉模拟评分法(VAS)评分均降低,观察组为(1.02±0.28)分,低于对照组的(3.15±0.15)分,差异有统计学意义(t值为43.971,P<0.01);与护理前比较,2组护理后各项生命质量均提高,观察组为(85.28±5.88)、(88.02±6.88)、(89.08±6.18)、(90.02±2.57)、(89.96±3.68)分,高于对照组的(63.15±3.85)、(65.05±4.28)、(66.28±5.16)、(67.15±3.25)、(62.12±2.58)分,差异有统计学意义(t值为9.637~12.632,P<0.01)。结论多学科协作下延续性护理干预利于提高非小细胞肺癌患者化疗间歇期的自我管理能力与生命质量,减轻癌痛。Objective To explore and analyze the effect of continuous nursing intervention on the self-management ability and cancer pain of patients with non-small cell lung cancer during the interval of chemotherapy.Methods Totally 86 patients with non-small cell lung cancer admitted to our hospital from March 2016 to December 2018 were selected as the study objects.According to the random number table method,they were divided into two groups.The control group received routine discharge guidance,and the observation group received continuous nursing intervention under multi-disciplinary cooperation.The self-management ability,cancer pain and quality of life of the two groups were compared before and after nursing.Results Compared with before nursing,the scores of self-management ability of the two groups were improved,and the observation group was(128.88±8.88)points higher than(88.15±3.69)points in the control group(t value was 27.775,P<0.01);compared with that before nursing,the Visual Analogue Scale(VAS)scores of the two groups after nursing decreased,the VAS scores of the observation group were(1.02±0.28)points,lower than that of the control group(3.15±0.15)points,the difference was statistically significant(t value was 43.971,P<0.01);compared with that before nursing,the quality of life in the two groups improved after nursing,the scores in the observation group were(85.28±5.88),(88.02±6.88),(89.08±6.18),(90.02±2.57),(89.96±3.68)points,higher than(63.15±3.85),(65.05±4.28),(66.28±5.16),(67.15±3.25),(62.12±2.58)points in the control group,the difference was statistically significant(t values were 9.637-12.632,P<0.01).Conclusion the continuous nursing intervention under multi-disciplinary cooperation can improve the self-management ability and quality of life of patients with non-small cell lung cancer during the chemotherapy interval,and reduce cancer pain.

关 键 词：多学科协作 延续性护理 非小细胞肺癌 自我管理能力 癌痛 

分 类 号：R473.73[医药卫生—护理学]