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患者参与护理模式在日间化疗患者护理中的应用效果

Effects of patient-participating nursing mode in day-care chemotherapy patients

摘要:

目的 探讨患者参与护理模式提高日间病房化疗患者护理质量的效果.方法 选取宁波市第一医院日间病房2017年4—9月收治的80例化疗患者,随机分为对照组和观察组,各40例.对照组实施常规护理,观察组在对照组的基础上实施患者参与护理模式.观察两组患者静脉化疗安全(输液外渗、静脉炎)、患者满意度及生活质量的情况.结果 对照组静脉炎发生率、输液渗漏发生率、患者满意度分别为22.5%、5.0%、80.0%,观察组分别为15.0%、0%、97.5%,差异均有统计学意义(P<0.05).观察组实施患者参与护理模式后,患者的总体状况、躯体、角色、认知、情绪、社会支持评分均高于对照组,疲乏、失眠、食欲下降、便秘、腹泻评分均低于对照组,差异有统计学意义(P<0.05).两组患者恶心呕吐、疼痛、气促方面发生率差异无统计学意义(P>0.05).结论 日间化疗患者参与护理模式可保障静脉化疗的安全性和有效性,减少化疗的不良反应,一定程度上改善患者的满意度和生活质量.

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Objective To explore the effects of patient-participating nursing mode in improving the nursing quality for chemotherapy patients in day-care ward. Methods A total of 80 cases of chemotherapy patients in the Day-care Ward of Ningbo First Hospital from April to September 2017 were selected and randomly divided into control group and observation group, with 40 patients in each group. Routine nursing care was applied in the control group. On the basis of routine nursing, patient-participating nursing mode was applied in the experimental group. The safety of intravenous chemotherapy (venous exudation and phlebitis), patient satisfaction and quality of life of the two groups were observed and compared. Results The incidences of phlebitis, venous exudation and patient satisfaction of the control group were 22.5%, 5.0% and 80.0% respectively. Those of the observation group were 15.0%, 0% and 97.5% respectively, and the differences were statistically significant (P< 0.05). After the application of patient-participating nursing mode, the patients in the observation group were superior to the control group in their overall condition, body, role, cognition, emotion and social support. The scores of fatigue, insomnia, loss of appetite, diarrhea and constipation were lower than those of the control group, and the differences were statistically significant (P<0.05). There were no statistical differences in the incidences of nausea and vomiting, pain and shortness of breath (P> 0.05). Conclusions Patient-participating nursing mode is conducive to improve the safety and effectiveness of intravenous chemotherapy, reduce the adverse reactions of chemotherapy, and improve patient satisfaction and quality of life to some extent.

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