摘要
目的:观察中医护理方案配合阶段性健康教育对肺癌晚期化疗患者希望水平、遵医行为及生活质量的影响。方法:选取我院2016年1月~2017年3月收治的120例肺癌晚期化疗患者为研究对象,随机分为观察组和对照组,每组各60例。对照组予以常规护理+阶段性健康教育,观察组在对照组的基础上予以中医护理,两组均干预1个月。比较两组患者干预前后Herth希望量表评分、遵医行为问卷评分、生活质量评估量表(EORTC QLQ-C30)评分以及不良反应的发生率。结果:干预后,观察组的希望水平、遵医行为、生活质量各项量表评分均高于对照组,差异具有统计学意义(P<0.05);观察组的白细胞减少、失眠、消化道反应的发生率明显低于对照组,差异具有统计学意义(P<0.05),两组在肝功能异常、口腔溃疡的发生率方面比较,差异无统计学意义(P>0.05)。结论:肺癌晚期化疗患者应用中医护理配合阶段性健康教育,希望水平、遵医行为以及生活质量均得以明显改善,且化疗中的不良反应显著降低。
Objective:To observe the effect of TCM nursing regimen combined with staged health education on hope level,compliance behavior and quality of life for patients with chemotherapy foradvanced lung cancer.Methods:120 cases of patients with chemotherapy for advanced lung cancer admitted to our hospital from January 2016 to March 2017 were selected for the study and were randomly divided into observation group and controlled group,with 60 cases in each group.The controlled group was given routine nursing+staged health education,and the observation group was given TCM nursing on the basis of the controlled group,and the two groups were treated for 1 month.The Herth hope scale score,compliance behavior questionnaire score,quality of life scale(EORTC QLQ-C30)score and incidence rate of adverse reactions were compared between the two groups.Results:After intervention,the scales scores of hope level,compliance behavior and quality of life in the observation group were higher than those in the controlled group(P<0.05).The incidence rates of leukopenia,insomnia and digestive tract reaction in the observation group were significantly lower than those in the controlled group(P<0.05).There was no significant difference in the incidence rates of abnormal liver function and oral ulcer between the two groups(P>0.05).Conclusions:TCM nursing regimen combined with phased health education for patients with chemotherapy for advanced lung cancer can significantly improve the hope level,compliance behavior and quality of life,and significantly reduce the adverse reactions during chemotherapy.
作者
胡星
吴琳娜
曾忠仪
张嘉妮
魏莉娟
HU Xing;WU Linna;ZENG Zhongyi(West China Hospital of Sichuan University(Chengdu Sichuan 611130,China))
出处
《四川中医》
2019年第10期213-216,共4页
Journal of Sichuan of Traditional Chinese Medicine
关键词
中医护理
阶段性健康教育
肺癌
希望水平
遵医行为
TCM nursing
Phased health education
Lung cancer
Hope level
Compliance behavior
