阶段性护理在宫颈癌CT引导下三维后装放疗的效果以及对患者预后的影响  

Effect of phased nursing on CT-guided three dimensional after-load radiotherapy for cervical cancer and its influence on the prognosis of patients

作　　者：胡婷[1] 陈瑾 孙蕾蕾 兰琼玉[1] HU Ting;CHEN Jin;SUN Leilei;LAN Qiongyu(Department of Oncology,the Second Affiliated Hospital of Nanchang University,Jiangxi Province,Nanchang330006,China)

机构地区：[1]南昌大学第二附属医院肿瘤科,江西南昌330006

出　　处：《中国当代医药》2024年第22期156-160,共5页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202210505)。

摘　　要：目的分析阶段性护理在宫颈癌CT引导下三维后装放疗的效果以及对患者预后的影响。方法选取2021年1月至2023年4月南昌大学第二附属医院肿瘤科收治的82例宫颈癌患者作为研究对象,采用随机数字表法分为观察组和对照组,每组各41例。观察组采用阶段性护理方法,对照组采用常规护理方法。比较两组患者的心理状况、并发症发生率、护理满意度、肿瘤缓解率以及生活质量。结果观察组患者干预后焦虑、抑郁评分低于对照组,差异有统计学意义(P<0.05)。观察组患者并发症总发生率低于对照组,差异有统计学意义(P<0.05)。观察组患者干预后护理总满意度高于对照组,差异有统计学意义(P<0.05)。观察组患者肿瘤总缓解率高于对照组,差异有统计学意义(P<0.05)。观察组生活质量评分均高于对照组,差异有统计学意义(P<0.05)。结论阶段性护理干预可减少三维后装放疗中的各种并发症,还可缓解放疗后患者不良的心理情绪,有效控制肿瘤的发展,提高护理满意度,从而改善预后效果,值得推广。Objective To analyze the effect of phased nursing on CT-guided three dimensional after-load radiotherapy for cervical cancer and its influence on the prognosis of patients.Methods A total of 82 patients with cervical cancer admitted to Department of Oncology of the Second Affiliated Hospital of Nanchang University from January 2021 to April 2023 were selected as the study objects,and they were divided into observation group and control group according to random number table method,with 41 cases in each group.The observation group received phased nursing method,while the control group received routine nursing method.The psychological status,complication rate,nursing satisfaction,tumor remission rate and quality of life of the two groups were compared.Results The anxiety and depression scores of the observation group were lower than those of the control group after intervention,and the differences were statistically significant(P<0.05).The total incidence of complications in observation group was lower than that in control group,and the difference was statistically significant(P<0.05).The total nursing satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The total tumor remission rate in observation group was higher than that in control group,and the difference was statistically significant(P<0.05).The life quality scores of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Phased nursing intervention can reduce various complications in three dimensional after-load radiotherapy,alleviate the adverse psychological emotions of patients after radiotherapy,effectively control the development of tumors,improve nursing satisfaction,and thus improve the prognosis,which is worth promoting.

关 键 词：宫颈癌 三维后装放疗 阶段性护理 并发症 生活质量 

分 类 号：R473.73[医药卫生—护理学]