强化护理干预对骨肿瘤患者不良反应和下肢功能的影响

发布时间：2018-03-26 00:07

本文选题：强化护理干预　切入点：骨肿瘤　出处：《中国肿瘤临床与康复》2017年04期

【摘要】：目的探讨强化护理干预对骨肿瘤患者不良反应和下肢功能的影响。方法选取2014年8月至2016年8月河北省沧州市中心医院收治的90例骨肿瘤患者,采用随机数表法分为对照组与观察组,每组45例,观察组患者在常规护理基础上给予强化护理,对照组患者给予常规护理,对比两组患者的不良反应、负性情绪和下肢功能。结果对照组患者骨髓抑制、口腔黏膜炎、肝肾功能损害、胃肠道反应、肌肉关节痛和过敏反应的发生率分别为17.8%、20.0%、22.2%、31.1%、17.8%和13.3%,观察组患者上述指标分别为11.1%、11.1%、13.3%、17.8%、8.9%和6.7%,观察组患者上述指标发生率均较低,组间比较差异均有统计学意义(均P0.05)。治疗后,对照组患者的焦虑自评量表(SAS)和抑郁自评量表(SDS)评分分别为(53.02±5.19)分和(52.89±5.19)分,观察组患者的SAS及SDS评分分别为(46.56±5.23)分和(45.71±5.16)分,两组患者护理后与护理前相比,上述评分均降低,护理后观察组患者上述评分比对照组低,差异均有统计学意义(均P0.05)。对照组患者护理3周时下肢功能为(23.78±2.45)分,护理5周时下肢功能为(17.56±2.56)分,观察组患者上述评分分别为(15.36±2.19)分和(8.93±2.41)分,两组护理3周和护理5周下肢功能评分与护理前相比较低,观察组患者上述评分比对照组患者低,差异均有统计学意义(均P0.05)。结论强化护理干预可有效减少骨肿瘤患者化疗期间的不良反应,缓解负性情绪,促进患者下肢功能恢复。
[Abstract]:Objective to explore the effect of intensive nursing intervention on adverse reactions and lower limb function in patients with bone tumor. Methods 90 patients with bone tumor were selected from Cangzhou Central Hospital of Hebei Province from August 2014 to August 2016. The patients in the observation group were given intensive nursing on the basis of routine nursing, while the patients in the control group were given routine nursing, and the adverse reactions of the two groups were compared. Results in the control group, bone marrow suppression, oral mucositis, liver and kidney function damage, gastrointestinal reaction, The incidence of muscular arthralgia and allergic reaction were 17.8% and 13.3%, respectively. The above indexes in the observation group were 11.1% and 11.31%, respectively. The incidences of the above indexes were lower in the observation group than in the control group (P 0.05), and the difference between the two groups was statistically significant (P 0.05). The scores of SAS and SDS in the control group were 53.02 卤5.19 and 52.89 卤5.19 respectively. The scores of SAS and SDS in the observation group were 46.56 卤5.23 and 45.71 卤5.16, respectively. The scores above in the observation group were lower than those in the control group (P 0.05), and the lower limb function in the control group was 23.78 卤2.45 at 3 weeks of nursing, and 17.56 卤2.56 in the fifth week of nursing care. The above scores in the observation group were 15.36 卤2.19 and 8.93 卤2.41, respectively. The scores of lower limb function in the two groups were lower than those in the control group after 3 weeks and 5 weeks of nursing, and those in the observation group were lower than those in the control group. Conclusion intensive nursing intervention can effectively reduce adverse reactions during chemotherapy in patients with bone tumors, relieve negative emotions, and promote the recovery of lower extremity function in patients with bone tumor.
【作者单位】：河北省沧州市中心医院骨四科;
【分类号】：R473.73

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