The effect of health education on tumor patients during daytime chemotherapy
-
摘要:
目的探讨护理健康教育在癌症患者日间化疗康复中的效果。 方法选取我院日间化疗病房的94例患者，根据化疗后患者焦虑和抑郁的评分将患者分为症状组(>50分)与无症状组(≤50分)，调查两组患者住院期间的护理方式、患者健康状况(胃肠道反应，白细胞降低比例)以及对护理工作满意度。 结果无症状组接受健康教育的比例大于症状组(P<0.05)，无症状组胃肠道反应率与症状组无差别(P>0.05)，无症状组的白细胞降低比例高于症状组(P<0.05)，患者对护理工作满意度，包括服务态度，护理质量以及心理支持方面显著高于症状组(P<0.05)。 结论对接受日间化疗患者进行护理健康教育能够显著提高护理满意率，有效缓解患者焦虑和抑郁情绪，有利于患者疾病转归。 Abstract:ObjectiveTo tudy the effect of health education on tumor patients during daytime chemotherapy. Method94 patients from Radiotherapy Department of Nanfang hospital were divided into symptom group (>50 points) and asymptomatic group(≤50 points) according to the anxiety and depression score of patients after daytime chemotherapy. The nursing way, physical condition, including gastrointestinal reaction and the droop rate of white blood cells, and satisfaction of nursing work were investigated retrospectively. ResultsHealth education in the asymptomatic group was greater than the symptoms group (P<0.05). The incidence of gastrointestinal reaction had no difference between two groups, while the droop rate of white blood cells in asymptomatic group was higher than that of symptom group (P<0.05). In addition, the satisfaction with nursing work of asymptomatic group was markedly higher than that of symptom group. ConclusionHealth education significantly relieves the anxiety and depression during daytime chemotherapy, while it also improves the satisfaction with nursing service and promotes health of tumor patients. -
Key words:
- health education /
- tumor /
- daytime chemotherapy
-
表 1 两组患者接受的健康教育情况比较(n, %)
组别 例数 常规护理 出院指导 入院时健康教育 化疗前健康教育 化疗期间健康教育 症状组 28 27 (96.4) 26 (92.9) 12 (42.9) 15 (53.6) 11(39.3) 无症状组 66 64 (97.0) 62 (93.9) 49(74.2) 57 (86.4) 48 (72.8) χ2 - 0.019 0.039 8.500 11.793 9.408 P - >0.05 >0.05 <0.05 <0.05 <0.05 
下载: 导出CSV
表 2 两组化疗患者满意率比较(n, %)
组别 总例数 服务态度 宣教水平 护理质量 心理支持 症状组 28 17 (60.7) 19 (67.9) 16(57.1) 11(39.3) 无症状组 66 58 (87.9) 47 (71.2) 54 (81.8) 47 (71.2) χ2 - 8.995 0.106 6.296 8.480 P - <0.05 >0.05 <0.05 <0.05
下载: 导出CSV
表 3 两组患者胃肠道反应和白细胞降低情况比较(n, %)
组别 例数 胃肠道反应例数 白细胞降低例数 症状组 28 9 (32.1) 16 (57.1) 无症状组 66 15 (22.7) 17 (25.8) χ2 - 0.917 8.500 P - >0.05 <0.05
下载: 导出CSV
-
[1] 王秀珍. 妇科恶性肿瘤患者化疗期间的护理[J]. 山西医药杂志: 下半月版, 2011, 40(10): 515-6. http://d.wanfangdata.com.cn/Periodical/sxyyzz201110079 [2] 王凤丽. 恶性肿瘤患者化疗期间的护理[J]. 中国现代药物应用, 2011, 5(20): 86. [3] 冯运, 陆舜, 宋正波, 等. 肺癌日间化疗的安全性分析[J]. 中国肺癌杂志, 2010, 13(7): 713-6. http://www.cnki.com.cn/Article/CJFDTOTAL-FAIZ201007018.htm [4] 王黎. 患儿视频脑电图检查的优质护理服务[J]. 现代医药卫生, 2012, 28(24): 3801-2. http://www.cnki.com.cn/Article/CJFDTOTAL-XYWS201224076.htm [5] Naylor MD, Brooten DA, Campbell RL, et al. Transitional care of older adults hospitalized with heart failure: A randomized, controlled trial[J]. J Am Geriatr Soc, 2004, 52(5): 675-84. doi: 10.1111/(ISSN)1532-5415 [6] 张鸣鸣, 黄玉红, 姜敏. 肠易激综合征患者焦虑及抑郁症状分析[J]. 中国医科大学学报, 2010, 39(11): 947-9, 952. http://cdmd.cnki.com.cn/Article/CDMD-10159-2010117487.htm [7] 颜鸿芳. 全程优质护理服务在内科肿瘤病人中的应用[J]. 全科护理, 2012, 10(25): 2372-3. http://www.cnki.com.cn/Article/CJFDTOTAL-JTHS201225055.htm [8] 石敬芹, 张伟亮, 刘桂芬, 等. 癌症化疗患者健康教育的实施[J]. 肿瘤防治杂志, 2003, 10(6): 597. http://d.wanfangdata.com.cn/Periodical/qlzlzz200306044 [9] Day D. Keeping patients safe during intrahospital transport[J]. Crit Care Nurse, 2010, 30(4): 18-32. doi: 10.4037/ccn2010446 [10] 戚洁. 肿瘤患者化疗的护理[J]. 中国中医急症, 2008, 17(1): 132-3. [11] 钟运超. 肿瘤内科常见安全问题与对策分析[J]. 社区医学杂志, 2011, 9(17): 14-5. http://www.cnki.com.cn/Article/CJFDTOTAL-SQYX201117009.htm [12] 陈丽琴, 潘珊. 恶性肿瘤病人化疗期的心理护理[J]. 现代医药卫生, 2010, 26(15): 2323-5. http://www.cnki.com.cn/Article/CJFDTOTAL-XYWS201015061.htm [13] Oyama H, Kito A, Maki H, et al. Cerebral hemorrhage and cerebral infarction in 30 cases of adult moyamoya disease: comparison between conservative therapy and superficial temporal artery-middle cerebral artery anastomosis[J]. Nagoya J Med Sci, 2013, 75(1/2): 37-40. http://www.oalib.com/paper/2522223 -
点击查看大图
表(3)
计量
- 文章访问数: 448
- HTML全文浏览量: 199
- PDF下载量: 2
- 被引次数: 0
