目的 探讨PDCA(P:制定护理计划,D:采取护理措施,C:检查护理执行情况,A:对每个护理细节进行质量控制)护理结合中医针灸护理对恶性脑胶质瘤术后放疗联合蒂清同期化疗出现不良反应情况患者生活质量的改善情况.方法 选取2014年6月至2015年9月间于我院治疗的恶性脑胶质瘤术后放疗联合蒂清同期化疗出现不良反应的患者共64例,以数字表法将其随机分为实验组及对照组,每组32例,对照组患者行常规护理,实验组患者行PDCA护理联合中医针灸护理方法,60 d为1个疗程,护理3个疗程后观察护理效果,对比观察2组患者护理后不良反应出现情况及各项生存质量评分情况.结果 护理干预后,实验组患者骨髓抑制、呕吐等胃肠道反应、血液系统反应等不良反应出现情况明显少于对照组患者,差异具有统计学意义(P＜0.05).护理干预后,观察组患者躯体功能、社会功能、角色状态、心里健康、体力、精力等项目评分明显优于对照组患者,差异均具有统计学意义(P＜0.05).结论 对恶性脑胶质瘤术后放疗联合蒂清同期化疗患者行PDCA法进行护理,可明显减少患者不良反应出现情况,有助于患者尽快恢复,值得于临床中进一步推广使用.%Objective To investigate the effects of PDCA nursing combined with acupuncture on the relief of adverse reactions induced by Di Qing chemotherapy and improvement of life quality,following malignant glioma surgery.Methods Sixty-four patients who displayed obvious adverse reactions following malignant glioma surgery combined with chemotherapy in our hospital from June 2014 to September 2015 were chosen as research subjects.They were randomly divided into the experimental and control groups,each consisting of 32 patients.The control group received routine care,while the experimental group was given PDCA nursing care combined with acupuncture,with 60 days a treatment course.After three courses of treatment,nursing effects were observed,and occurrence of adverse reactions and various scores of life quality were compared between the 2 groups.Results Following nursing intervention,such gastrointestinal and blood system adverse reactions as myelosuppression and vomiting of the experimental group were obviously less severer than those of the control group,and statistical significance could be seen when comparisons were made between the 2 groups (P ＜0.05).After nursing intervention,the scores of somatic function,social function,role of the state,mental health,physical strength and energy of the observation group were significantly superior to those of the control group,also with statistical significance (P ＜0.05).Conclusion Following malignant glioma surgery,the application of PDCA nursing to those patients with radiotherapy combined with Di Qing chemotherapy could obviously reduce adverse reactions,and facilitate quick recovery of the patients,which was worth further clinical extension.
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