Open Access Article
Journal of Modern Nursing Medicine. 2024; 3: (1) ; 156-158 ; DOI: 10.12208/j.jmnm.20240050.
Observe the targeted effect of adverse effects of chemotherapy on sleep quality and nursing effect in patients with advanced tumor
观察晚期肿瘤患者化疗不良反应对睡眠质量及护理效果的针对性影响
作者:
姚香妹 *
青县人民医院 河北沧州
*通讯作者:
姚香妹,单位:青县人民医院 河北沧州;
发布时间: 2024-01-31 总浏览量: 638
PDF 全文下载
引用本文
摘要
目的 研究并观察晚期肿瘤患者化疗不良反应对睡眠质量及护理效果的针对性影响。方法 选择2021年10月至2023年10月在我院就医的80位肿瘤晚期患者,分成两组。研究组患者采用针对性护理干预措施,参照组患者仅采用常规护理干预措施,观察两组患者的睡眠质量和护理效果。结果 (1)两组患者护理干预前的生活质量评分和临床相关指标无显著差异性,护理干预后虽都有改善,但研究组的社会功能、生理功能、情感职能、健康精神等生活质量评分均高于参照组,而对比夜间苏醒次数和入睡时间后研究组小于参照组,同时睡眠时间和睡眠质量组间比较后研究组高于参照组,有统计学意义(P<0.05)。(2)研究组患者的综合护理满意率为95.00%、有效率为100.00%,高于参照组的77.50%、90.00%,而不良反应发生率研究组仅为5.00%低于参照组20.00%,对比结果差异性不存在,同时P<0.05,没有统计学意义。结论 对晚期肿瘤化疗患者施以针对性的护理干预措施,能有效降低不良反应对睡眠质量的影响,显著提高患者的生活质量,对综合护理满意度和综合治疗有效率有明显的提高作用,帮助患者恢复,值得在临床护理中推广。
关键词: 常规护理干预;针对性护理干预;晚期肿瘤;化疗;不良反应;睡眠质量;生活质量评分;护理效果
Abstract
Objective: To study and observe the adverse effects of chemotherapy on sleep quality and nursing effect in advanced tumor patients. Methods: The 80 patients with advanced tumor who sought medical treatment in our hospital from October 2021 to October 2023 were selected and divided into two groups. Patients in the study group adopted targeted nursing intervention, and the reference group only used routine nursing intervention to observe the sleep quality and nursing effect of the two groups. Results: (1) two groups of life quality score and clinical related indicators before nursing intervention has no significant difference, although nursing intervention has improved, but the study group of social function, physiological function, emotional function, healthy mental quality of life score are higher than the reference group, and after the night and the sleep time, and the sleep time and sleep quality group is higher than the reference group, statistical significance (P <0.05).(2) The satisfaction rate of comprehensive nursing of patients in the study group was 95.00% and the response rate was 100.00%, which was higher than the 77.50% and 90.00% of the reference group, while the incidence rate of adverse reactions was only 5.00% was lower than the reference group 20.00%. The difference of comparison results did not exist, and P <0.05, which had no statistical significance. Conclusion : The targeted nursing intervention measures for patients with advanced tumor chemotherapy can effectively reduce the impact of adverse reactions on sleep quality, significantly improve the quality of life of patients, significantly improve the satisfaction of comprehensive nursing and the efficiency of comprehensive treatment, and help patients recover, which is worth promoting in clinical nursing.
Key words: Routine nursing intervention; targeted nursing intervention; advanced tumor; chemotherapy; adverse reactions; sleep quality; quality of life score; nursing effect
参考文献 References
[1] 陈莉.综合护理干预措施对减轻恶性肿瘤化疗患者胃肠道不良反应和睡眠障碍的临床研究[J].世界最新医学信息文摘, 2019, 19(25):287+290.
[2] 李艳丽.针对性护理干预对肺癌化疗患者睡眠质量及并发症的影响分析[J].健康前沿, 2019.
[3] 金丽平,蔡燕梅.针对性护理干预改善肺癌化疗患者睡眠质量[J].世界睡眠医学杂志, 2020, v.7;No.58(10):148-149.
[4] 吴丽丽,牛芹.心理护理干预在肿瘤化疗患者中的应用效果及对睡眠状况的影响[J].特别健康 2021年28期, 170页, 2021.
[5] 薛文莉,侯诗箐,王轶鹤.延续护理措施对老年晚期胃癌化疗患者不良反应和生活质量的影响[J].中国肿瘤临床与康复, 2020(008):027.
[6] 盛叶红,项文彦,华清.护理干预对肺癌化疗患者睡眠质量及不良反应的影响价值分析[J].当代医学, 2019, 25(5):3.
[7] 宋晶晶.护理干预对肺癌化疗患者睡眠质量及不良反应的影响价值分析[J].健康大视野, 2019, 000(014):202.
[8] 李辉.综合护理对于肿瘤晚期化疗所致患者胃肠反应和睡眠的影响研究[J].世界睡眠医学杂志, 2019, 6(11):3.
[9] 林燕,谢莉,肖丹丹.针对性护理干预对肺癌化疗患者睡眠质量的护理效果观察[J].世界睡眠医学杂志, 2020, 7(3):2.
[10] 郭美丽.观察晚期肿瘤患者化疗不良反应对睡眠质量及护理效果的针对性影响[J].世界睡眠医学杂志, 2023, 10(2):412-414.
引用本文
姚香妹, 观察晚期肿瘤患者化疗不良反应对睡眠质量及护理效果的针对性影响[J]. 现代护理医学杂志, 2024; 3: (1) : 156-158.