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目的探讨临床路径指导下心理干预对食管癌放疗患者生存质量的影响。方法选取2015年1月至2015年12月间北京肿瘤医院收治的100例食管癌放疗患者,采用随机数表法分为观察组和对照组,每组50例。观察组患者在临床路径指导下实施心理干预,对照组患者采用常规护理,采用生活质量评估表QLQ-C30对两组患者干预前后的生活质量进行评价,并采用问卷调查形式了解两组患者的护理满意度。结果两组患者干预前各项生活质量评分比较,差异无统计学意义(P>0.05)。干预后,观察组患者的功能领域总分、躯体功能、角色功能、认知功能、情绪功能及社会功能评分均高于对照组患者,差异均有统计学意义(均P<0.05),观察组患者的症状领域总分、疲倦、失眠及食欲减退评分均低于对照组患者,差异均有统计学意义(均P<0.05)。观察组患者的护理满意度达到100.0%,高于对照组患者的88.0%,差异有统计学意义(P<0.05)。结论在临床路径指导下实施心理干预能有效改善食管癌放疗患者的生活质量,提高患者的护理满意度,值得在临床上推广及应用。
Objective To investigate the effect of psychological intervention on the quality of life of esophageal cancer patients under the guidance of clinical pathology. Methods A total of 100 esophageal cancer radiotherapy patients admitted to Beijing Cancer Hospital from January 2015 to December 2015 were selected and divided into observation group and control group with 50 cases in each group. Patients in the observation group underwent psychological intervention under the guidance of the clinical pathway. Patients in the control group were treated with routine nursing. Quality of life questionnaire QLQ-C30 was used to evaluate the quality of life of the two groups before and after intervention. The questionnaires were used to understand the nursing care of the two groups Satisfaction. Results There was no significant difference in quality of life scores between the two groups before intervention (P> 0.05). After intervention, the score of functional area score, body function, role function, cognitive function, emotional function and social function in observation group were higher than those in control group, the difference was statistically significant (all P <0.05) The scores of symptom field patients in total score, tiredness, insomnia and loss of appetite were lower than those in the control group, the differences were statistically significant (P <0.05). The satisfaction rate of nursing in the observation group reached 100.0%, which was higher than that in the control group (88.0%), the difference was statistically significant (P <0.05). Conclusion Psychological intervention under the guidance of clinical pathway can effectively improve the quality of life of radiotherapy patients with esophageal cancer and improve patient satisfaction with nursing. It is worth to be popularized and applied clinically.