延续性护理在肺癌合并肺结核患者治疗中的应用价值  

Significance of continuing nursing in patients with lung cancer complicated with tuberculosis

作　　者：杨艳霞 杨艳 YANG Yan-xia;YANG Yan(Department of Nursing,Xi'an Chest Hospital,Xi'an 710100,China;Department of Cancer,Xi'an Chest Hospital,Xi'an 710100,China)

机构地区：[1]陕西省西安市胸科医院护理部,西安710100 [2]陕西省西安市胸科医院肿瘤科,西安710100

出　　处：《中国肿瘤临床与康复》2020年第10期1261-1264,共4页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨延续性护理对肺癌合并肺结核患者治疗中的应用价值。方法选取2017年12月至2019年12月间西安市胸科医院收治的80例肺癌合并肺结核患者,根据护理方法不同进行分组,采用延续性护理的40例患者纳入延续性护理组,采用常规护理的40例患者纳入常规护理组。比较两组患者的护理满意度、免疫蛋白、炎症因子水平和护理疗效。结果护理后,延续性护理组患者护理满意度为95.5%,高于常规护理组的72.5%,差异有统计学意义(P<0.05)。入院时,两组患者免疫蛋白水平和炎症因子水平比较,差异无统计学意义(P>0.05);护理后,两组患者单核细胞趋化蛋白-1(MCP-1)和巨噬细胞刺激蛋白(MSP)水平均降低,且延续性护理组上述指标水平均低于常规护理组,差异均有统计学意义(均P<0.05)。同时,两组患者肿瘤坏死因子-α(TNF-α)、白细胞介素-1(IL-1)和IL-6水平均升高,且延续性护理组均低于常规护理组,差异均有统计学意义(均P<0.05)。延续性护理组护理总有效率为97.5%,高于常规护理组的77.5%,差异有统计学意义(P<0.05)。结论延续性护理可提高患者护理满意度和护理疗效,有助于改善免疫蛋白和炎症因子表达,对肺癌合并肺结核患者的治疗有一定的应用价值。Objective To study the application value of continuing nursing in patients with lung cancer complicated with tuberculosis.Methods Eighty patients with lung cancer complicated with tuberculosis who were treated at Xi'an Chest Hospital from December 2017 to December 2019 were selected as the research subjects.Of them,40 patients receiving continuing nursing were included in the continuing nursing group and 40 patients receiving conventional nursing were included in the conventional nursing group.Patient satisfaction,levels of immune proteins and inflammatory factors,and nursing outcomes were analyzed and compared between the two groups.Results After nursing,patient satisfaction was 95.5%in the continuing nursing group which was,significantly higher than 72.5%of the conventional nursing group(P<0.05).There was no significant difference in the levels of immune proteins and inflammatory factors between the two groups before nursing(P>0.05).After nursing,the levels of monocyte chemoattractant protein-1(MCP-1)and macrophage stimulating protein(MSP)decreased in the two groups and the levels were significantly lower in the continuing nursing group than in the conventional nursing group(all P<0.05).At the same time,levels of tumor necrosis factor-α(TNF-α),interleukin-1(IL-1)and IL-6 increased in both groups and the levels were significantly lower in the continuing nursing group than in the conventional nursing group(all P<0.05).The overall efficacy of nursing was 97.5%in the continuing nursing group which was higher than 77.5%of the conventional nursing group(P<0.05).Conclusion Continuing nursing can improve patients satisfaction with nursing and nursing efficacy and improve the expression of immune proteins and inflammatory factors in patients with lung cancer complicated with tuberculosis with certain application value.

关 键 词：延续性护理 肺肿瘤 肺结核 单核细胞趋化蛋白-1 巨噬细胞刺激蛋白 炎症因子 护理满意度 

分 类 号：R734.2[医药卫生—肿瘤]