图文式临床护理路径用于甲状腺癌术后大剂量131I治疗中的效果观察

Zhongxiyi Jiehe Huli (Zhong-Yingwen Ban)

施海燕¹ 

关键词: 临床护理路径;    甲状腺癌;    碘131;    负性情绪;    生活质量;    并发症;   

DOI  :  10.11997/nitcwm.201805002

学科分类：护理学

来源: Shanghai Jiao Tong University Press

【 摘 要 】

Abstract：Objective To investigate the effect of graph-based clinical nursing pathway for postoperative thyroid cancer patients with high-dose iodine-131(131I)treatment. Methods 〓Totally 52 postoperative thyroid cancer patients with high-dose 131I treatment between July, 2015 and July, 2016 were included as the control group. Another 52 patients with high-dose 131I treatment between August 2016 and August, 2017 were selected as the observation group. Patients in the control group were given routine nursing and health education, and those in the study group received graph-based clinical nursing pathway. The negative emotion of postoperative patients was evaluated by Hamilton anxiety rating scale(HAMA)and Hamilton depression rating scale(HAMA). The quality of life of patients was evaluated by European Organization for Research and Treatment of Cancer Quality of Life Questionnaire(EORTC QLQ-C30). The incidence of complications was compared between two groups. Results 〓Patients in the study group achieved lower scores of HAMA(6.78±2.14 vs. 11.38±2.94, P<0.01)and HAMD(7.41±2.29 vs. 11.98±3.07, P<0.01)compared with those in the control group after implementation of nursing interventions. Compared with those in the control group, patients in the study group had a better outcome in10 different domains of EORTC QLQ-C30, including physical function, cognitive function, social function, role function, emotional function, general health, fatigue, pain, nausea and vomiting, economic difficulties(P<0.05). The incidence of nausea, vomiting, parotid gland swelling and neck swelling was lower in the study group than that of controls(P<0.05). Conclusion 〓The graph-based clinical nursing pathway is potentially effective to improve the mental status and quality of life in postoperative thyroid cancer patients with high-dose 131I treatment.

【 授权许可】

CC BY-NC