基于约翰霍普金斯循证护理干预在胸部肿瘤放疗致放射性肺炎患者中的应用效果  

Clinical Efficacy of Johns Hopkins Evidence-based Nursing Intervention in Patients with Radiation Pneumonitis During Thoracic Tumor Radiotherapy

作　　者：杨春月 林辉亮 刘阿英 YANG Chun-yue;LIN Hui-liang;LIU A-ying(Department of Thoracic Oncology,the Second Affiliated Hospital of Xiamen Medical College,Xiamen 361021,China)

机构地区：[1]厦门医学院附属第二医院胸部肿瘤科,福建厦门361021

出　　处：《实用临床医学（江西）》2024年第2期98-102,124,共6页Practical Clinical Medicine

摘　　要：目的分析基于约翰霍普金斯循证护理干预在胸部肿瘤放疗致放射性肺炎患者中的应用效果。方法选取2022年厦门医学院附属第二医院收治的100例胸部肿瘤放疗并发放射性肺炎患者,采用随机数字表法分为对照组(行常规护理,n=50)和观察组(行基于约翰霍普金斯循证护理,n=50)。比较2组肺功能改善情况[最大呼气中段流量(MMF)、第1秒用力呼气量(FEV1)及第1秒用力呼气量/用力肺活量(FEV1/FVC)],血气指标及炎性因子水平[动脉血二氧化碳分压(PaCO_(2))、血氧分压(PaO_(2))及氧合指数、C-反应蛋白(CRP)];并评估比较2组生活质量[生活质量评价量表(SF-36)]、心理状态[焦虑、抑郁自评量表(SAS、SDS)]、自我感受评价[自我感受负担量表(SPBS)]。结果护理干预后,观察组FVC、FEV1、FEV1/FVC、PEF及PaO_(2)、PaO_(2)/FiO_(2)指标均高于对照组(P<0.05或P<0.001);PaCO_(2)及CRP水平低于对照组(P<0.001)。护理干预后,观察组SF-36各项内容评分均高于对照组(P<0.05);SDS、SAS及SPBS评分均低于对照组(P<0.001)。结论基于约翰霍普金斯循证护理干预在胸部肿瘤放疗致放射性肺炎患者中的应用效果显著,有利于提升患者肺功能,提高其生活质量及治疗依从性,有助病情改善。Objective To analyze the clinical efficacy of Johns Hopkins evidence-based nursing intervention in patients with radiation pneumonitis during thoracic tumor radiotherapy.Methods A total of 100 patients with thoracic tumor radiotherapy complicated with radiation pneumonitisadmitted to the Second Hospital of Xiamen Medical College in 2022 were selected and divided into the control group(practicing conventional nursing care,n=50)and the observation group(practicing Johns Hopkins evidence-based nursing care,n=50)by using the random number table method.The improvement of pulmonary function[maximum mid-expiratory flow(MMF),forced expiratory volume in the first second(FEV1)and forced expiratory volume in the first second/forced vital capacity(FEV1/FVC)],blood gas indexes and inflammatory factor levels[arterial partial pressure of carbon dioxide(PaCO_(2)),blood partial pressure of oxygen(PaO_(2))and oxygenation index,C-reactive protein(CRP)]were compared between the two groups;the quality of life[Quality of Life Evaluation Scale(SF-36)],psychological status[Self-assessment Scale for Anxiety and Depression(SAS,SDS)],and self-perception evaluation[Self-Perceived Burden Scale(SPBS)]were assessed and compared between the two groups.Results After care,FVC,FEV1,FEV1/FVC,PEF and PaO_(2),PaO_(2)/FiO_(2) indexes of the observation group were higher than those of the control group(P<0.05 or P<0.001);PaCO_(2) and CRP levels were lower than those of the control group(P<0.001).After the nursing care,the SF-36 scores of all contents in the observation group were higher than those in the control group(P<0.05);the SDS,SAS and SPBS scores were lower than those in the control group(P<0.001).Conclusion The application of Johns Hopkins evidence-based nursing intervention in patients with thoracic tumor radiotherapy complicated with radiation pneumonitis might be effective in improving patients’lung function,improving their quality of life and treatment compliance,and contributing to the improvement of their conditions.

关 键 词：约翰霍普金斯循证护理 胸部肿瘤 放射性肺炎 

分 类 号：R730.6[医药卫生—肿瘤] R473.5[医药卫生—临床医学]