临床路径护理联合循证护理对非小细胞肺癌化疗 患者的影响  

Impact of Clinical Pathway Nursing Combined with Evidence-based Nursing on Chemotherapy Patients with Non-small Cell Lung Cancer

作　　者：吴苏雅 张晓燕 WU Suya;ZHANG Xiaoyan(Suzhou Municipal Hospital,Suzhou 215000,China)

机构地区：[1]苏州市立医院,江苏苏州215000

出　　处：《中外医学研究》2025年第8期100-104,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:研究临床路径护理联合循证护理对非小细胞肺癌(NSCLC)化疗患者的影响。方法:以2020年3月—2023年3月苏州市立医院收治的96例NSCLC化疗患者为研究对象,按信封抽签法随机分为常规组(n=48)及观察组(n=48),常规组采取常规护理,观察组采用临床路径护理联合循证护理。比较两组患者化疗期间临床疗效、症状改善情况、化疗不良反应发生率及健康状况调查简表(SF-36)评分。结果:观察组疾病控制率较常规组高,差异有统计学意义(P<0.05)。护理后,两组症状评分均降低,且观察组明显低于常规组,差异有统计学意义(P<0.05)。观察组化疗不良反应发生率显著低于常规组,差异有统计学意义(P<0.05)。护理后,观察组SF-36各项得分均高于常规组,差异有统计学意义(P<0.05)。结论:临床路径护理联合循证护理可以提高NSCLC化疗患者疾病控制率,改善症状,降低化疗不良反应发生率,提高生活质量。Objective:To study the impact of clinical pathway nursing combined with evidence-based nursing on chemotherapy patients with non-small cell lung cancer(NSCLC).Method:A total of 96 chemotherapy patients with NSCLC in Suzhou Municipal Hospital from March 2020 to March 2023 were selected as study subjects.They were randomly divided into conventional group(n=48)and observation group(n=48)using the envelope draw method.The conventional group received routine nursing care,while the observation group received clinical pathway nursing combined with evidence-based nursing.The clinical efficacy,symptom improvement,incidence of chemotherapy-related adverse reactions during chemotherapy,and the MOS item short from health survey(SF-36)were compared between the two groups.Result:The disease control rate of the observation group was higher than that of the conventional group,and the difference was statistically significant(P<0.05).After nursing,the symptom scores of both groups were decreased,and the scores of the observation group were significantly lower than those of the conventional group,the differences were statistically significant(P<0.05).The incidence of chemotherapy adverse reactions in observation group was significantly lower than that in conventional group,and the difference was statistically significant(P<0.05).After nursing,the scores of SF-36 in the observation group were higher than those in the conventional group,and the differences were statistically significant(P<0.05).Conclusion:Clinical pathway nursing combined with evidence-based nursing can improve the disease control rate of chemotherapy patients with NSCLC,improve symptoms,reduce the incidence of chemotherapy adverse reactions,and improve the quality of life.

关 键 词：临床路径护理 循证护理 非小细胞肺癌 疾病控制率 症状改善 

分 类 号：R473.73[医药卫生—护理学]