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目的探讨个体化护理干预对Ⅲ期结肠癌术后化疗患者生存质量的影响。方法Ⅲ期结肠癌术后接受FOLFOX4化疗方案(奥沙利铂+亚叶酸钙+5-氟尿嘧啶)的患者102例,按随机数字表法分为干预组和对照组,每组51例。对照组患者化疗过程中实施常规护理,干预组患者化疗过程中给予常规护理的同时有针对性给予个体化护理干预。治疗结束后采用生存质量问卷比较两组患者的生存质量;调查两组的护理满意度。结果干预前两组身体功能、角色功能、情绪功能、认知功能、社会功能、总体健康/生活质量评分比较,差异无统计学意义(P>0.05)。干预后干预组角色功能、情绪功能、认知功能、社会功能、总体健康/生活质量评分明显高于干预前,也高于对照组(P<0.05);干预后两组身体功能评分比较,差异无统计学意义(P>0.05)。对照组干预前后身体功能、角色功能、情绪功能、认知功能、社会功能、总体健康/生活质量评分比较,差异无统计学意义(P>0.05)。干预后干预组角色功能、情绪功能、认知功能、社会功能、总体健康/生活质量评分明显高于干预前(P<0.05)。干预组护理满意度92.2%,对照组为78.4%(P>0.05)。结论个体化护理干预,可在角色功能、情绪功能、认知功能、社会功能以及总体健康/生活方面提高Ⅲ期结肠癌术后化疗患者的生存质量,增加患者护理满意度。然而个体化护理对身体功能方面的影响不明显。
Objective To explore the impact of individualized nursing intervention on the quality of life of patients with stage Ⅲ colon cancer after chemotherapy. Methods Totally 102 patients undergoing FOLFOX4 chemotherapy (oxaliplatin + leucovorin + 5-fluorouracil) after the operation of stage Ⅲ colon cancer were divided into intervention group and control group according to random number table method, with 51 cases in each group. Patients in the control group underwent routine nursing during chemotherapy, while patients in the intervention group were given routine nursing while chemotherapy-related individualized nursing interventions were given. After the treatment, the quality of life of the two groups was compared by questionnaire of quality of life. The nursing satisfaction of the two groups was investigated. Results There was no significant difference in body function, role function, emotion function, cognitive function, social function and overall health / quality of life score between the two groups before intervention (P> 0.05). After intervention, the scores of role, emotion, social function and general health / quality of life in intervention group were significantly higher than those in control group (P <0.05). After the intervention, body function scores of two groups were significantly different No statistical significance (P> 0.05). There was no significant difference in body function, role function, emotion function, cognitive function, social function and overall health / quality of life before and after intervention in the control group (P> 0.05). After intervention, the role, emotion, cognitive function, social function and overall health / quality of life in intervention group were significantly higher than those before intervention (P <0.05). The nursing satisfaction rate was 92.2% in the intervention group and 78.4% in the control group (P> 0.05). Conclusion Individualized nursing intervention can improve the quality of life of postoperative chemotherapy in patients with stage Ⅲ colon cancer and improve patient satisfaction in the role of function, emotional function, cognitive function, social function and overall health / life. However, the impact of personalized care on physical function is not obvious.