恶性肿瘤晚期伴低蛋白水肿的皮肤护理效果研究

doi:10.3969/j.issn.1006-6233.2018.05.045

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摘要 目的:研究分析恶性肿瘤晚期伴低蛋白水肿的皮肤护理效果,以获得有效的护理方式,有效避免并发症以及感染。方法:将我院在2016年3月至2017年8月收治的40例恶性肿瘤晚期伴低蛋白水肿患者作为本次研究对象,采用随机数字表法分为对照组和观察组,两组患者均为20例,对照组采用常规护理方式,观察组主要对患者危险因素进行分析,并实施相应的护理措施。进行3周护理后,观察两组患者的压疮情况、生存情况、抑郁情况、焦虑情况以及护理满意情况。结果:研究组患者褥疮发生率低于对照组(χ²=4.329,P<0.05)。护理1周、3周后,研究组的KPS评分、QOL评分明显高于对照组(t=2.954、3.053,P<0.05),研究组的焦虑自评量表评分和抑郁自评量表评分明显低于对照组(t=2.942、2.487,P<0.05)。整体上,研究组患者的满意度显著优于对照组患者(z=-3.606,P<0.05),总满意率也明显高于对照组患者(χ²=5.714,P<0.05)。结论:在临床中对恶性肿瘤低蛋白水肿患者实施有针对性的护理措施能够有效降低患者的压疮情况,提高患者的生存情况和生存质量,同时也能够缓解患者焦虑、抑郁情绪,提高患者护理满意度。因而,在恶性肿瘤低蛋白水肿患者的临床护理工作中需要注重针对性的皮肤护理。

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	梁颖

关键词 ：恶性肿瘤, 低蛋白水肿, 护理效果

Abstract：Objective: To study study and analyze the skin care effect of advanced malignant tumor with low protein edema, so as to get effective nursing methods, effectively avoid complications and infection. Methods: In this study, 40 patients with advanced malignant tumor with low protein edema were treated in our hospital from March 2016 to August 2017. The randomized digital table was used to divide into the control group and the observation group. The two groups were 20 cases. The control group was treated with routine nursing. The main risk factors of the observation group were analyzed, and the corresponding nursing measures were implemented. After 3 weeks of nursing, the pressure sores, survival, depression, anxiety and nursing satisfaction of the two groups were observed. Results: The incidence of bedsore in the study group was lower than that in the control group (χ²=4.329, P<0.05). After 1 weeks and 3 weeks of nursing, the KPS score and QOL score of the study group were significantly higher than those in the control group (t=2.954, 3.053, P<0.05). The scores of self rating Anxiety Scale and self rating depression scale of the study group were significantly lower than those of the control group (t=2.942, 2.487, P<0.05). On the whole, the degree of satisfaction of the patients in the study group was significantly better than that of the control group (z=-3.606, P<0.05), and the total satisfaction rate was significantly higher than that of the control group (χ²=5.714, P<0.05). Conclusion: In clinical treatment of malignant tumor with low protein edema, the targeted nursing measures can effectively reduce the pressure sore, improve the patient's survival and quality of life, at the same time, it can also relieve the anxiety and depression of the patients and improve the patient's nursing satisfaction.

Key words： Malignant tumor Low protein edema Nursing effect

基金资助:安徽中医药大学校级科研项目,(编号:2017fyyb016)

引用本文:

梁颖. 恶性肿瘤晚期伴低蛋白水肿的皮肤护理效果研究[J]. 河北医学, 2018, 24(5): 868-872.
LIANG Ying. Effect of Skin Care on Patients with Advanced Malignant Tumor Accompanied by Low Protein Edema. HeBei Med, 2018, 24(5): 868-872.

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http://www.hbyxzzs.cn/CN/10.3969/j.issn.1006-6233.2018.05.045 或 http://www.hbyxzzs.cn/CN/Y2018/V24/I5/868