辨证施护联合共情护理对奥沙利铂化疗患者的疗效观察  

作　　者：王林飞 陈灵芝[2] 周希禛[2] 

机构地区：[1]浙江中医药大学,310053 [2]杭州市第一人民医院,310006

出　　处：《浙江临床医学》2024年第9期1390-1392,共3页Zhejiang Clinical Medical Journal

基　　金：浙江省医药卫生科技计划项目(2021KY885)。

摘　　要：目的观察中医辨证施护联合共情护理对奥沙利铂(OXA)不良反应相关症状的影响。方法选取2021年1月至2023年1月OXA化疗患者120例,采用随机数字表法分为对照组与观察组各60例,对照组予常规护理,观察组在对照组基础上予辨证施护联合共情护理,比较两组患者并发症发生率、Kolcaba量表、汉密尔顿焦虑量表(HAMA)、汉密顿抑郁量表(HAMD)和Herth希望量表(HHI)评分、中医证候积分以及化疗依从性。结果观察组OXA化疗并发症发生率、HAMA、HAMD评分以及中医证候积分低于对照组(P<0.05);观察组Kolcaba、HHI评分以及化疗依从性高于对照组(P<0.05)。结论中医辨证施护联合共情护理能够减轻OXA化疗患者的不良反应相关症状并改善其心理状态。Objective To observe the effects of traditional Chinese medicine(TCM)evidence-based care combined with empathic nursing on symptoms related to oxaliplatin(OXA)adverse reactions.Methods 120 cases of OXA chemotherapy patients were selected from January 2021 to January 2023,and were divided into 60 cases each in the control group and the observation group by using the random number table method.The control group was given conventional nursing care,and the observation group was given TCM evidence-based care combined with empathic nursing care on the basis of the control group.The incidence of complications,scores of the Kolcaba Scale,Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD)and Herth Hope Scale(HHI),TCM symptom scores and chemotherapy compliance of the OXA chemotherapy patients in both groups were compared.Results The incidence of OXA chemotherapy complications,HAMA,HAMD scores and TCM symptom scores of the observation group were lower than those of the control group(P<0.05);the Kolcaba,HHI scores and adherence to chemotherapy of the observation group were higher than those of the control group(P<0.05).Conclusion TCM evidence-based care combined with empathic nursing can reduce the symptoms related to adverse reactions and improve the psychological state of OXA chemotherapy patients.

关 键 词：辨证施护 共情护理 化学治疗 不良反应 负性情绪 

分 类 号：R473.73[医药卫生—护理学]