摘要
目的:探讨家属支持护理对结直肠癌术后化疗患者营养状况、身心健康及生命质量的影响效果。方法:将2012年1月~2017年1月80例结直肠癌术后化疗患者随机等分为干预组和对照组,对照组给予常规护理;干预组给予家属支持护理。干预前及干预3个月后,发放自测健康评定量表(SRHMS)及总体幸福感评估量表(GWB)评估患者身心健康,采用欧洲癌症研究与治疗组织研发的生命质量问卷(EORTC QLQC30)中文版评估患者生命质量,并检测血清白蛋白(ALB)、前清蛋白(PA)、血红蛋白(Hb)水平。结果:家庭干预组干预后SRHMS评分中的生理评分、心理评分、社会健康评分及GWB评分均高于对照组,差异有统计学意义(P<0.05);家庭干预组干预后QLQ-C30评分中的躯体功能、角色功能、认知功能、情绪功能、社会功能、整体健康分值高于对照组,疲乏、疼痛、恶心呕吐、失眠、食欲减退、便秘、腹泻分值低于对照组,差异有统计学意义(P<0.05);家庭支持组干预后ALB,PA水平明显高于对照组,差异有统计学意义(P<0.05)。结论:家属支持护理模式可改善患者营养状态及身心健康,提高生命质量。
Objective：To explore the effect of family support nursing on nutritional status,physical and mental health and quality of life in patients with colorectal cancer after chemotherapy.Methods：A total of 80 patients with colorectal cancer after chemotherapy from January 2012 to January 2017 were randomly and equally divided into intervention group and control group.The control group was treated with routine nursing,and the intervention group was treated with family support nursing.Before the intervention and 3 months after the intervention,a self-rated health measurement scale（SRHMS） and general well-being schedule（GWB） were distributed for the assessment of physical and mental health of patients.European organization for research and treatment of cancer quality of life questionnaire（EORTC QLQ-C30） Chinese version was adopted for the assessment of quality of life of patients.The levels of serum albumin（ALB）,prealbumin（PA）,and hemoglobin（Hb） were detected.Results：The SRHMS scores of physiological,psychological,social health and GWB in the family intervention group were higher than those in the control group,and the difference was statistically significant（P〈0.05）.After intervention the QLQ-C30 scores of physical function,role function,cognitive function,emotional function,social function and overall health in the family intervention group were higher than those in the control group.The scores of fatigue,pain,nausea,vomiting,insomnia,anorexia,constipation and diarrhea in the intervention group were lower than those in the control group,and the difference was statistically significant（P〈0.05）;after intervention the levels of ABL and PA of the family intervention group were significantly higher than those in the control group,and the difference was statistically significant（P〈0.05）.Conclusion：Family support nursing mode can improve the nutritional status and physical and mental health of patients,and improve the quality of life.
出处
《护理实践与研究》
2017年第20期1-4,共4页
Nursing Practice and Research
关键词
家属
护理
结直肠癌
化疗
营养状况
生命质量
Family
Nursing
Colorectal cancer
Chemotherapy
Nutritional status
Quality of life
