晚期肺癌多发骨转移的护理分析  

Nursing analysis of advanced lung cancer with multiple bone metastases

作　　者：宋方方[1] 祝宾华 王朝霞 Wang Zhaoxia(Department of Radiotherapy,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院放疗一科,河南郑州450052

出　　处：《中华骨与关节外科杂志》2023年第S01期74-75,共2页Chinese Journal of Bone and Joint Surgery

摘　　要：目的:研究晚期肺癌多发骨转移的护理效果。方法:选取本院于2020年1月至2022年12月收治的晚期肺癌多发骨转移患者30例,按照随机数字表方法分为对照组(15例)和观察组(15例),对照组晚期肺癌多发骨转移患者采用常规护理,观察组晚期肺癌多发骨转移患者联用中医特色护理,对比两组晚期肺癌多发骨转移患者的VAS疼痛评分、癌因性疲乏评分、护理满意度。结果:观察组晚期肺癌多发骨转移患者护理后VAS疼痛评分为2.03±0.26(分),低于对照组护理后的3.42±0.49(分)和观察组护理前的5.62±0.80(分),对比结果差异显著(P<0.05)。观察组晚期肺癌多发骨转移患者护理后情感、感知、行为、认知各项癌因性疲乏评分分别为4.21±1.06(分)、4.03±1.10(分)、3.53±1.15(分)、3.64±0.83(分),低于对照组的6.29±1.13(分)、5.74±1.26(分)、4.47±1.35(分)、4.35±0.97(分),对比结果差异显著(P<0.05)。观察组晚期肺癌多发骨转移患者护理总满意度为93.33%,高于对照组的66.67%,对比结果差异显著(P<0.05)。结论:中医特色护理在晚期肺癌多发骨转移患者中更具推广价值。Objective:To study the nursing effect of multiple bone metastases in advanced lung cancer.Method:Thirty patients with multiple bone metastases of advanced lung cancer admitted to our hospital from January 2020 to December 2022 were selected and divided into control group(15 cases)and observation group(15 cases)according to the method of random number table.Patients with multiple bone metastases of advanced lung cancer in the control group received routine nursing,while patients with multiple bone metastases of advanced lung cancer in the observation group received combined nursing of traditional Chinese medicine characteristics.VAS pain scores,cancer-related fatigue scores and nursing satisfaction of patients with advanced lung cancer and multiple bone metastases were compared between the two groups.Results:The VAS pain score of patients with advanced lung cancer and multiple bone metastases after nursing in the observation group was 2.03±0.26(points),lower than that of the control group 3.42±0.49(points)after nursing and the observation group 5.62±0.80(points)before nursing,and the difference was significant(P<0.05).In the observation group,the scores of emotion,perception,behavior and cognition after nursing for patients with advanced lung cancer and multiple bone metastases were 4.21±1.06(min),4.03±1.10(min),3.53±1.15(min),3.64±0.83(min),respectively.It was lower than 6.29±1.13(min),5.74±1.26(min),4.47±1.35(min),4.35±0.97(min)in the control group,and the difference was significant(P<0.05).The total nursing satisfaction of patients with advanced lung cancer and multiple bone metastases in the observation group was 93.33%,higher than 66.67%in the control group,and the difference was significant(P<0.05).Conclusion:Traditional Chinese medicine nursing is more valuable in advanced lung cancer patients with multiple bone metastases.

关 键 词：晚期肺癌多发骨转移 VAS疼痛评分 癌因性疲乏评分 护理满意度 

分 类 号：R734.2[医药卫生—肿瘤]