【摘要】 目的对化学治疗的肿瘤患者实施延续护理,探讨其对患者生存质量的影响。方法将2013年1月至2016年6月河南医学高等专科学校附属医院收治的174例肿瘤患者分为观察组(90例)和对照组(84例),2组患者出院时均按常规给予出院指导,观察组患者在此基础上给予电话随访与网络医学教育等形式实施延续护理。采用欧洲癌症治疗研究组织开发的癌症患者生活质量核心量表(EORTC QLQ-C30)对2组患者出院后3个月进行问卷调查评分,比较2组患者的生存质量情况,并进行满意度调查。结果观察组患者共有49例发生并发症,其中32例(65.31%)因并发症发生而到门诊就诊;对照组患者共有37例发生并发症,其中9例(24.32%)因发生并发症而到门诊就诊;观察组患者发生并发症到门诊就诊率显著高于对照组(χ2=14.19,P<0.05)。与对照组比较,观察组患者出院后3个月EORTC QLQ-C30中躯体功能、角色功能、情绪功能、认知功能、社会功能和整体生活质量得分均显著高于对照组,疲劳、疼痛、恶心呕吐、呼吸困难、睡眠紊乱、食欲下降、便秘、腹泻等症状领域得分均显著低于对照组(P<0.05)。对照组患者对护理服务满意率为88.09%,观察组患者为96.67%,观察组患者对护理服务满意率显著高于对照组(χ2=4.62,P<0.05)。结论包括电话随访、网络教育为手段的延续护理服务模式有利于肿瘤患者居家应对化学治疗出现的不良反应,可有效提高肿瘤患者的生存质量。更多还原

【Abstract】 Objective To investigate the effect of the transitional care on the quality of life of tumor patients with chemotherapy. Methods One hundred and seventy-four patients with tumor in the Affiliated Hospital of Henan Medical College from January 2013 to June 2016 were randomly divided into the observation group( n = 90) and control group( n = 84).All of the patients were given the routine discharge guidance,based on this,the patients in observation group were given transitional care by telephone follow-up and network of medical education. The European organization for research and treatment of cancer quality of life questionnaire-core 30( EORTC QLQ-C30) was used to conduct a questionnaire survey in all patients at 3months after discharging from the hospital. The quality of life of the patients were compared between the two groups. The service satisfaction of patients with the nursing service were surveyed. Results In the observation group,forty-nine parients occurred complication,of which 32 patients( 65. 3%) went to the outpatient clinic; in the control group,thirty-seven parients occurred complication,of which 9 patients( 24. 32%) went to the outpatient clinic. The clinic treatment rate of the patients with complication in observation group was significantly higher than that in the control group( χ2= 14. 19,P < 0. 05). At the 3 months after discharging from the hospital,the scores of the physical function,role function,emotional function,cognitive function,social function and overall quality of life in EORTC QLQ-C30 of patients in the observation group were significantly higher than those in the control group; but the scores of fatigue,pain,nausea and vomiting,dyspnea,sleep disorders,loss of appetite,constipation and diarrhea of patients in observation group were significantly lower than those in the control group( P < 0. 05). The satisfaction rate of patients with the nursing service in the observation group( 96. 67%) was significantly higher than that in the control group( 88. 09%)( χ2= 4. 62,P < 0. 05). Conclusion Transitional care including telephone follow-up and network education is contribute to tumor patients to cope with adverse reactions of chemotherapy at home,and it can improve the quality of life of patients with tumor.更多还原