喉癌术后静脉置管化疗患者实施循证理念导向预警性护理干预的应用效果分析  

Application Effect Analysis of Evidence-based Concept-oriented Early Warning Nursing Intervention in Patients with Laryngeal Cancer After Intravenous Catheterization Chemotherapy

作　　者：杨琴 陈晓芳[1] Yang Qin;Chen Xiaofang(Department of Otorhino laryngology,Head and Neck Surgeny,People’s Hospital of Deyang City,Deyang,Sichuan,618000,China)

机构地区：[1]德阳市人民医院耳鼻咽喉头颈外科,四川德阳618000

出　　处：《黑龙江医学》2025年第8期987-989,共3页Heilongjiang Medical Journal

基　　金：四川省医学(青年创新)科研课题资助(Q21039)。

摘　　要：目的:探究喉癌术后静脉置管化疗患者经循证理念导向的预警性护理干预的效果。方法:选取2021年11月—2023年11月德阳市人民医院耳鼻咽喉头颈外科收治的128例喉癌术后静脉置管化疗患者作为研究对象,采用随机数表法将其分为观察组(n=64)和对照组(n=64)。对照组实施常规护理,观察组在常规护理基础上行循证理念导向的预警性护理;比较两组患者护理前后营养指标[血浆白蛋白(ALB)、总蛋白(TP)]、生活质量[癌症患者生活质量测定量表体系(QLICP)],护理不良事件发生情况和护理满意度情况。结果:护理后,观察组患者ALB、TP水平均高于对照组,差异均有统计学意义(t=2.575、2.864,P<0.05);观察组患者QLICP相关维度评分均高于对照组,差异均有统计学意义(t=3.814、3.436、2.915、3.417,P<0.05)。观察组患者不良事件发生率低于对照组,差异有统计学意义(χ^(2)=4.506,P<0.05);观察组患者护理总满意度高于对照组,差异有统计学意义(χ^(2)=4.833,P<0.05)。结论:喉癌术后静脉置管化疗患者经循证理念导向的预警性护理干预可改善患者营养状况,提高生活质量,护理期间不良反应发生率较低,护理满意度较高。Objective:To explore the intervention effect of evidence-based concept-oriented early warning nursing for patients with laryngeal cancer after intravenous catheterization chemotherapy.Methods:128 patients with postoperative intravenous catheterization chemotherapy for laryngeal cancer in the Department of Otorhinolaryngology,Head and Neck Surgery of Deyang People’s Hospital from November 2021 to November 2023 were selected.They were divided into the observation group(n=64)and the control group(n=64)with randomized numerical table method.The control group implemented routine care,and the observation group was given early warning care oriented by evidence-based concepts on the basis of the control group.Nutritional indicators[plasma albumin(ALB),total protein(TP)],quality of life in cancer patients(QLICP)scores,the incidence of nursing adverse events during nursing care,and patient satisfaction with nursing care after nursing care were compared between the two groups.Results:After care,ALB and TP levels were higher in both groups than before care(t=2.575,2.864;P<0.05).The scores of QLICP scale related dimensions were higher in both groups than before nursing,and the above indicators were higher in the observation group than in the control group(t=3.814,3.436,2.915,3.417;P<0.05).The incidence of adverse events was lower in the observation group than that in the control group(χ^(2)=4.506,P<0.05).After care,the satisfaction of care in the observation group was higher than that in the control group(χ^(2)=4.833,P<0.05).Conclusion:Early warning nursing based on evidence-based concept can improve the nutritional status of patients with laryngeal cancer after intravenous catheterization chemotherapy,and improve the quality of life.And the incidence of adverse reactions during nursing is low.The nursing model can improve their nursing satisfaction.

关 键 词：喉癌术后静脉置管化疗 循证理念 预警性护理 生活质量 不良事件发生率 

分 类 号：R473.73[医药卫生—护理学]