腫瘤化療患者出院后護理隨訪管理的對策

腫瘤化療患者出院后護理隨訪管理的對策 　　[摘要] 目的 探討腫瘤化療患者出院后護理隨訪的意義及對策。 方法 選取2012年1月～2015年12月在本院住院的122例腫瘤化療患者，隨機分成隨訪組（62例）與對照組（60例），隨訪組患者出院1周內(nèi)進行首次護理隨訪。觀察和評價兩組患者再次進行化療時的精神狀態(tài)（樂觀開朗、焦慮抑郁悲傷、無反應(yīng)）、營養(yǎng)狀態(tài)（正常、較差、差）、入院時間（準時、延期、未再次化療）。 結(jié)果 隨訪組患者樂觀開朗者（80.7%）明顯高于對照組（33.3%）（P0.05）；隨訪組身體營養(yǎng)狀態(tài)正常者（79.0%）明顯高于對照組（48.3%）（P0.05）；隨訪組準時接受再次化療比例（85.5%）明顯高于對照組（58.3%）（P0.05）。 結(jié)論 腫瘤化療患者出院后護理隨訪，對患者出院后的飲食、心理及功能鍛煉等進行持續(xù)地護理和指導，能使患者的生活質(zhì)量得到全面提高、精神狀態(tài)明顯改善。 　　[關(guān)鍵詞] 護理隨訪；管理對策；腫瘤化療；出院后管理 　　[中圖分類號] R473.73 [文獻標識碼] B [文章編號] 1673-9701（2017）31-0154-03 　　[Abstract] Objective To investigate the significance and countermeasures of nursing follow-up in patients receiving tumor chemotherapy after discharge. Methods A total of 122 hospitalized patients receiving tumor chemotherapy in our hospital from January 2012 to December 2015 were selected. They were randomly divided into follow-up group（n=62） and control group（n=60）. Follow-up group was given initial nursing follow-up within a week after discharge； the mental state（optimistic and cheerful， anxious， depressed and sad， no response） of the patient receiving re-chemotherapy， nutritional status during the re-chemotherapy（normal， relatively poor， poor）， and admission time during re-chemotherapy（on time， delayed， re-chemotherapy not received） were observed and evaluated. Results The ratio of patients who were optimistic and cheerful in the follow-up group（80.7%） was significantly higher than that in the control group（33.3%）（P0.05）； the ratio of patients with normal nutritional status in the follow-up group（79.0%） was significantly higher than that in the control group（48.3%）（P0.05）； the ratio of patients receiving re-chemotherapy on time in the follow-up group（85.5%） was also significantly higher than that in the control group（58.3%）（P0.05）. Conclusion Nursing follow-up for the patients receiving tumor chemotherapy after discharge can provide continuous nursing and guidance on the diet， psychological and functional exercises after discharge， which can make the patients quality of lif

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