预知护理联合叙事护理在免疫治疗进展期非小细胞肺癌患者中的护理效果  

Nursing Effect of Predictive Nursing Combined with Narrative Nursing in Patients with Advanced Non-small Cell Lung Cancer Undergoing Immunotherapy

作　　者：何绍娟 杨绍兰 HE Shao-juan;YANG Shao-lan(The First Ward,Yichun People's Hospital Tumor Hospital,Yichun 336000,Jiangxi,China;Department of Urology and Andrology,Yichun People's Hospital Tumor Hospital,Yichun 336000,Jiangxi,China)

机构地区：[1]宜春市人民医院肿瘤医院一病区,江西宜春336000 [2]宜春市人民医院肿瘤医院泌尿外科男科,江西宜春336000

出　　处：《医学信息》2024年第16期157-160,共4页Journal of Medical Information

摘　　要：目的研究预知护理联合叙事护理在免疫治疗进展期非小细胞肺癌(NSCLC)患者中的护理效果。方法以2019年1月-2021年12月于宜春市人民医院行免疫治疗的60例进展期NSCLC患者为研究对象,按照随机数字表法分为对照组(30例)与观察组(30例),对照组给予常规护理联合叙事护理,观察组则给予预知护理联合叙事护理,比较两组安德森症状评估量表(MDASI-C)评分、不良反应、癌症经验与效能量表(CEES)评分、肺癌患者生存质量测定量表(FACT-L)评分、护理满意度。结果两组护理后MDASI-C评分(严重程度、困扰程度)均低于护理前,且观察组MDASI-C评分(严重程度、困扰程度)低于对照组(P<0.05);观察组不良反应发生率为6.67%,低于对照组的26.67%(P<0.05);两组护理后CEES癌症经验评分低于护理前,CEES控制效能、FACT-L评分高于护理前,且观察组CEES癌症经验评分低于对照组,CEES控制效能、FACT-L评分高于对照组(P<0.05);观察组护理满意度高于对照组(P<0.05)。结论预知护理联合叙事护理可有效缓解免疫治疗进展期NSCLC患者的临床症状,减轻其日常困扰,同时降低治疗引起的不良反应,改善其生活质量,且患者对护理满意度较高。Objective To study the nursing effect of predictive nursing combined with narrative nursing in patients with advanced non-small cell lung cancer(NSCLC)undergoing immunotherapy.Methods A total of 60 patients with advanced NSCLC who underwent immunotherapy in Yichun People's Hospital from January 2019 to December 2021 were enrolled in the study.They were divided into control group(30 patients)and observation group(30 patients)according to the random number table method.The control group was given routine nursing combined with narrative nursing,while the observation group was given predictive nursing combined with narrative nursing.The M.D.Anderson Symptom Inventory(MDASI-C)score,adverse reactions,Cancer Experience and Efficacy Scale(CEES)score,the Functional Assessment of Cancer Therapy-Lung(FACT-L)score,and nursing satisfaction were compared between the two groups.Results The MDASI-C scores(severity and distress)of the two groups after nursing were lower than those before nursing,and the MDASI-C scores(severity and distress)of the observation group were lower than those of the control group(P<0.05).The incidence of adverse reactions in the observation group was 6.67%,which was lower than 26.67%in the control group(P<0.05).The CEES cancer experience score of the two groups after nursing was lower than that before nursing,and the CEES control efficiency and FACT-L score were higher than those before nursing,while the CEES cancer experience score of the observation group was lower than that of the control group,and the CEES control efficiency and FACT-L score were higher than those of the control group(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group(P<0.05).Conclusion Predictive nursing combined with narrative nursing can effectively alleviate the clinical symptoms of patients with advanced NSCLC treated with immunotherapy,reduce their daily troubles,reduce the adverse reactions caused by treatment,improve their quality of life,and patients have higher satisfaction

关 键 词：进展期非小细胞肺癌 免疫治疗 预知护理 叙事护理 不良反应 控制效能 

分 类 号：R473[医药卫生—护理学]