延伸营养护理干预方案在宫颈癌急性放射性肠炎患者中的应用  

Application of extended nutritional nursing intervention in cervical cancer patients with acute radiation enteritis

作　　者：马艳丽[1] 杨靖[1] 石青霞 靳水玲 Ma Yanli;Yang Jing;Shi Qingxia;Jin Shuiling(The 3rd Department of Radiotherapy,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院放疗三科,郑州450000

出　　处：《保健医学研究与实践》2023年第5期101-105,共5页Health Medicine Research and Practice

基　　金：河南省医学科技攻关计划项目(SBGJ202102137)。

摘　　要：目的探讨延伸营养护理干预方案在宫颈癌急性放射性肠炎(ARE)患者中的应用效果。方法选取2019年12月—2021年6月郑州大学第一附属医院收治的78例宫颈癌ARE患者为研究对象,根据所采用的护理干预方案分为对照组和观察组,每组39例。对照组患者采用常规护理干预,观察组患者采用延伸营养护理干预。比较2组患者放疗期间的ARE转归情况、干预前后的营养情况、患者出院时与出院半年后自护能力及自我效能评分、不良反应发生情况及患者满意度等指标。结果观察组患者放疗期间ARE转归总有效率为94.87%(37/39),高于对照组的79.49%(31/39),差异有统计学意义(χ^(2)=4.129,P=0.042)。干预前,2组患者营养风险筛查简表(NRS2002)及患者主观整体营养评估量表(PG-SGA)评分比较,差异无统计学意义(P>0.05);干预后,2组患者NRS2002及PG-SGA评分均低于干预前,且观察组NRS2002及PG-SGA评分均低于对照组,差异均有统计学意义(P<0.05)。出院时,2组患者的自护能力评分及自我效能评分比较,差异均无统计学意义(P>0.05);出院半年后,2组患者自护能力评分及自我效能评分均高于出院时,且观察组自护能力评分及自我效能评分均高于对照组,差异均有统计学意义(P<0.05)。观察组不良反应发生率为17.94%(7/39),低于对照组的38.46%(15/39),差异有统计学意义(χ^(2)=4.052,P=0.044)。观察组患者护理满意度为94.87%(37/39),高于对照组的76.92%(30/39),差异有统计学意义(χ^(2)=5.186,P=0.023)。结论在临床上对宫颈癌ARE患者采用延伸营养护理干预方案,能够有效提高患者ARE转归有效率,改善其营养状况,增强自护能力和自我效能,降低不良反应发生风险,提高患者满意度。Objective The aim of this study was to investigate the effect of extended nutritional nursing intervention in cervical cancer patients with acute radiation enteritis(ARE).Methods Seventy-eight cervical cancer patients with ARE admitted to the First Affiliated Hospital of Zhengzhou University from December 2019 to June 2021 were selected as the study participants.They were allocated into the control group and the observation group following the employed nursing intervention program,with 39 cases in each group.Routine nursing intervention was used in the control group and extended nutrition nursing intervention in the observation group.ARE outcomes during radiotherapy,nutrition before and after intervention,self-care ability,self-efficacy score,adverse reactions,and patient satisfaction were compared between the groups.Results The overall response rate of ARE outcome during radiotherapy in the observation group was 94.87%(37/39),which was significantly higher than that in the control group(79.49%,31/39;χ^(2)=4.129,P=0.042).Before intervention,there was no significant difference in nutritional risk screening 2002(NRS2002)and patient-generated subjective nutrition assessment(PG-SGA)scores between the two groups(P>0.05).After intervention,NRS2002 and PG-SGA scores in the two groups were significantly lower than those before intervention,and NRS2002 and PG-SGA scores in the observation group were significantly lower than those in the control group(P<0.05).At discharge,there was no significant difference in self-care ability and self-efficacy scores between the two groups(P>0.05).Half a year after discharge,the self-care ability and self-efficacy scores in the two groups were higher than those at discharge;the self-care ability and self-efficacy scores in the observation group were higher than those in the control group,all with statistical significance(P<0.05).The incidence rate of adverse reactions in the observation group was 17.94%(7/39),which was significantly lower than that in the control group(38.46%,15/39;χ^(

关 键 词：延伸营养护理干预 宫颈癌 急性放射性肠炎 营养状况 自护能力 预后随访 

分 类 号：R473.73[医药卫生—护理学]