糖尿病伴肺癌上腔静脉压迫综合征患者化疗的护理效果  

Nursing Effect of Chemotherapy in Patients with Superior Vena Cava Compression Syndrome of Diabetes with Lung Cancer

作　　者：谢艳珊 XIE Yanshan(the First Affiliated Hospital of Fujian Medical University,Fuzhou 350000,China)

机构地区：[1]福建医科大学附属第一医院,福建福州350000

出　　处：《中国医药指南》2022年第11期138-140,共3页Guide of China Medicine

摘　　要：目的 探究糖尿病伴肺癌上腔静脉压迫综合征患者化疗期间的具体护理措施以及临床效果。方法 选取2019年1月至2020年1月福建医科大学附属第一医院收治的66例糖尿病伴肺癌上腔静脉压迫综合征患者作为研究对象。以奇偶数分组方式将其分为对照组(共33例,给予常规护理)和优质护理组(共33例,给予优质的护理干预),对比两组患者护理前后血糖控制效果、生活质量,同时对比两组化疗效果。结果 护理前,两组患者血糖指标、血糖达标率比较,差异无统计学意义(P> 0.05);护理后,较对照组,优质护理组空腹血糖水平、餐后2 h血糖水平、糖化血红蛋白更低(P <0.05),优质护理组血糖达标率为93.93%明显高于对照组的75.86%(P <0.05)。护理前,两组患者生活质量各项评分比较,差异无统计学意义(P> 0.05);护理后,较对照组,优质护理组生理领域、心理领域、精神领域以及社会领域等生活质量指标评分更高(P <0.05)。优质护理组患者的治疗有效率为87.88%明显高于对照组的66.67%(P <0.05)。结论 糖尿病伴肺癌上腔静脉压迫综合征患者在化疗期间接受优质且专业的护理服务能更有效的控制血糖,同时改善患者的生活质量,提高化疗效果,临床效果显著。Objective To explore the specific nursing measures and clinical effect of patients with superior vena cava compression syndrome of diabetes with lung cancer. Methods A total of 66 patients with superior vena cava compression syndrome from January 2019 to January 2020 were selected as the subjects of this study. They were divided into reference groups(33 cases, with routine nursing) and high-quality nursing groups(33cases, with high-quality nursing intervention). They compared the blood glucose control effect and quality of life between the two groups, and the chemotherapy effect of the two groups was compared. Results Before nursing, there was no significant difference in blood glucose index and blood glucose compliance rate between the two groups(P>0.05);after nursing, compared with the control group, the fasting blood glucose level, 2 h postprandial blood glucose level and glycosylated hemoglobin in the high-quality nursing group were lower(P<0.05), the blood glucose compliance rate in the high-quality nursing group was 93.93%, which was significantly higher than 75.86% in the control group(P<0.05). Before nursing, there was no significant difference in the scores of quality of life between the two groups(P>0.05). After nursing, the scores of quality of life indicators in the physical, psychological, spiritual and social domains of the high-quality nursing group were higher compared with the control group(P<0.05).The effective rate of patients in the high-quality nursing group was 87.88%, which was significantly higher than that in the control group, 66.67%(P<0.05). Conclusion Patients with superior vena cava compression syndrome with lung cancer receiving high quality and professional nursing services can control blood sugar, improve the quality of life and improve the chemotherapy effect with significant clinical effect.

关 键 词：上腔静脉压迫综合征 化疗 护理 生活质量 

分 类 号：R543.73[医药卫生—心血管疾病]