摘要
目的:研究胸部肿瘤同步放化疗并发放射性肺炎的观察及临床护理效果。方法:选择 2020 年
01 月-2021 年 12 月到本院接受治疗的胸部肿瘤同步放化疗并发放射性肺炎病人 60 例作为观察对象,随机分 为实验和对照两组,分析护理效果。结果:实验组满意度 29/30(96.67%)优于对照组治疗效果 20/30(66.67%), P<0.05;护理前,两组营养状况(白蛋白、总蛋白)、生活质量对比,P>0.05;护理后,两组营养状况、 生活质量对比,实验组各项指标均优于对照组,P<0.05。结论:运用针对性护理干预,对胸部肿瘤同步放
化疗并发放射性肺炎病人干预,可改善病人营养状况、生活质量,提升护理满意度,可运用。
关键词: 胸部肿瘤;同步放化疗;放射性肺炎;护理满意度;营养状况;生活质量
Abstract
Objective: To study the observation and clinical nursing effect of radiation pneumonia caused by concurrent radiotherapy and chemotherapy for thoracic tumors. Methods: 60 cases of chest tumor patients who received concurrent radiotherapy and chemotherapy and radiation pneumonia from January 2020 to December 2021 were randomly divided into experimental and control groups to analyze the nursing effect. Results: the satisfaction of 29/30 (96.67%) in the experimental group was better than that of 20/30 (66.67%) in the control group (P < 0.05); Before nursing, the nutritional status (albumin, total protein) and quality of life of the two groups were compared (P > 0.05); After nursing, the nutritional status and quality of life of the two groups were compared. The indexes of the experimental group were better than those of the control group (P < 0.05). Conclusion : targeted nursing intervention can improve the nutritional status, quality of life and nursing satisfaction of patients with radiation pneumonia after concurrent radiotherapy and chemotherapy of chest tumor.
Key words: Chest tumor; Concurrent radiotherapy and chemotherapy; Radiation pneumonia; Nursing satisfaction; Nutritional status; Quality of life
参考文献 References
[1] 陈巧玲. 优质护理干预对肿瘤患者放化疗后睡眠障碍 的效果观察[J]. 中国医药指南,2020,18(7):228.
[2] 陈梅,连碧霞,曾信琴. 同步放化疗患者 PICC 相关性静 脉 血 栓 形 成 影 响 因 素 分 析 [J]. 齐 鲁 护 理 杂 志,2022,28(9):132-135.
[3] 牛芳,杨希,沈小英,等. 小细胞肺癌患者放化疗过程中并 发低钠血症的临床特点及护理管理[J]. 中华全科医 学,2021,19(12):2149-2152.
[4] 郑爱荣,杜家宜,曹艳兵,等. 临床护理路径评估模型在肿 瘤放化疗患者护理管理中的应用研究[J].中国医学装 备,2021,18(10):140-143.
[5] 云婷,王兴莉,袁芳,等. 食管癌放化疗患者信息化健康教 育研究[J].社区医学杂志,2021,19(20):1256-1259,1266.
[6] 王艳荣.规范化评估在胸部肿瘤病人放疗毒副反应 预 见性护理中的应用价值[J].2018,(16).
[7] 吴德香,李桂莲.胸部肿瘤同步放化疗并发放射性肺炎的 观察及护理体会[J].2010,(22).
[8] 崔桂琴.胸部肿瘤同步放化疗并发放射性肺炎的观察及 临床护理分析[J].2018,(A3).
[9] 王树斌,袁飞,武云,等.放射性肺炎与肺癌患者生物学因 素关系的研究进展[J].2018,(13).
[10] 崔顺花.诱导化疗加同步放化疗与单纯同步放化疗治疗 局部晚期非小细胞肺癌的临床疗效比较[J].2019,(1).
[11] 樊凡 脾多肽联合 TP 方案新辅助化疗对局部进展期食 管癌患者临床疗效和免疫功能的影响 . 中国药物与临 床, 2020 ,20 (3) :420-422
[12] 李维娜,刘颖,白向东 脾多肽注射液对中晚期食管癌放 疗中免疫功能的影响和临床应用研究 . 中国急救医学, 2018 ,38 (z1) :302-303
[13] Hidenori,Kawakami,Takao,etc.Spontaneous resolution of thoracic radiation therapy-induced organizing pneumonia: A case series.[J].2019,26