循证护理对乳腺癌化疗患者护理依从性及安全性的影响研究

发布时间：2018-03-13 09:33

本文选题：循证护理　切入点：化疗　出处：《当代护士(上旬刊)》2017年04期 　论文类型：期刊论文

【摘要】：目的探讨应用循证护理干预对乳腺癌化疗患者依从性及安全性的疗效。方法选取本院2012年10月~2014年12月收住的98例乳腺癌化疗患者,按随机分配原则分为循证组和常规组。循证组乳腺癌化疗患者,采取早期循证护理干预治疗,常规组乳腺癌化疗患者,仅采取常规护理方法。观察两组患者治疗前后汉密尔顿焦虑量表评分及生活质量评分,护理满意度及护理后不良反应评分比较。结果护理前汉密尔顿焦虑量表及生活质量评分循证组和常规组乳腺癌患者得分比较,差异无统计学意义(P0.05)。护理后进行汉密尔顿焦虑量表及生活质量评分时,循证组和常规组乳腺癌患者在分数上比较差异有统计学意义(P0.05);循证组乳腺癌患者护理满意度95.9%,高于常规组83.7%(P0.05);循证组患者护理干预后并发症恶心呕吐0分例数最多,占71.43%,在1分、2分、3分上人数均低于常规组(P0.05)。结论循证护理干预对乳腺癌化疗患者意识障碍者疗效显著,能减少并发症发生率,帮助患者重建正常心理防御机制,消除抑郁焦虑等异常心理状态,改善患者的生活质量。
[Abstract]:Objective to explore the effect of evidence-based nursing intervention on compliance and safety of breast cancer patients with chemotherapy. Methods 98 patients with breast cancer received from October 2012 to December 2014 were selected. According to the principle of random distribution, they were divided into evidence based group and routine group. Only routine nursing methods were used to observe the scores of Hamilton anxiety scale and quality of life before and after treatment in the two groups. Results before nursing care, the scores of Hamilton anxiety scale and quality of life score of patients with breast cancer were compared between the evidence-based group and the routine group. The difference was not statistically significant (P 0.05). After nursing care, Hamilton anxiety scale and quality of life score were used. There were significant differences in the scores of breast cancer patients between the evidence based group and the routine group (P 0.05), the nursing satisfaction degree of the breast cancer patients in the evidence based group was 95.9, which was higher than that in the routine group (83.7%, P 0.05), the number of the patients in the evidence based group was the highest after nursing intervention, and there were 0 cases of nausea and vomiting after nursing intervention in the evidence based group. The number of patients in 1, 2 and 3 points was lower than that in the routine group (P 0.050.Conclusion Evidence-based nursing intervention has a significant effect on patients with disturbance of consciousness in patients with breast cancer chemotherapy, can reduce the incidence of complications and help patients rebuild normal psychological defense mechanism. To eliminate depression and anxiety and other abnormal psychological state, improve the quality of life of patients.
【作者单位】：江苏省常州市第二人民医院;
【分类号】：R473.73;R-03

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