在肺癌患者中预防静脉血栓栓塞的新型模型
Alternative therapies in health and medicine
|October 26, 2023
概括
在接受化疗和PICC安置的肺癌患者中,护士-患者联合管理有效地预防静脉血栓栓塞 (VTE). 这种方法增强了自我照顾,改善了心理健康,并支持免疫恢复.
科学领域:
- 瘤科 护理 护理专业
- 患者管理 患者管理
- 血栓栓塞栓症的预防 预防
背景情况:
- 接受卡博普拉丁和格米西塔化疗的肺癌患者通常需要中央静脉通道.
- 周围静脉穿刺中心静脉导管 (PICC) 与风险相关,包括静脉血栓塞栓症 (VTE).
- 有效的管理策略对于减轻并发症和改善患者的治疗结果至关重要.
研究的目的:
- 评估护士-病人联合管理模式在预防VTE方面的有效性.
- 评估该模型对PICC肺癌患者的自我管理,生活质量和免疫功能的影响.
- 为了比较联合管理组和接受常规护理的对照组之间的并发症率.
主要方法:
- 一项随机对照试验,涉及100名肺癌患者,接受卡博普拉丁和凝胺化疗和PICC.
- 患者被分配到护士和患者联合管理组 (n=50) 或常规护理控制组 (n=50).
- 干预持续了2个月,评估包括舒适度,自我管理,生活质量,焦虑,抑郁,免疫指数和VTE发生率.
主要成果:
- 与对照组相比,联合管理组的焦虑和抑郁的得分明显较低.
- 在共同管理组中,自我概念,自我责任,自我护理技能,健康知识,舒适度,自我管理和生活质量的改善显著更高.
- 在联合治疗组中,VTE和整体并发症的发生率明显较低 (2%对VTE14%;8%对所有并发症26%).
- 在联合治疗组中,免疫指数 (CD3+,CD3+CD4+,CD3+CD4+/CD3+CD8+) 显著提高.
结论:
- 护士-患者联合管理是预防肺癌患者接受PICC化疗的VTE的高效策略.
- 这种模式显著提高了患者的自我护理和自我管理能力.
- 联合管理方法对心理健康,生活质量和免疫系统恢复有积极的影响.
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