崔爽

【摘要】 目的：研究基于团体治疗的延续性护理对老年胃肠肿瘤患者化疗中自我护理能力和生活质量的影响。方法：选择2017年12月-2018年12月入笔者所在医院诊断老年胃肠肿瘤患者共80例，采用随机数字法分组，试验组患者采用团体治疗的延续性护理，对照组患者采用延续性护理，对比两组干预后自我护理能力和生活质量评分。结果：干预前，两组患者的自我护理能力和生活质量评分对比，差异无统计学意义（P>0.05）;干预后，观察组各项自我护理能力和生活质量评分显著高于对照组，差异有统计学意义（P<0.05）。结论：基于团体治疗的延续性护理可进一步改善老年胃肠肿瘤患者化疗中自我护理能力和生活质量。

【关键词】 团体治疗; 延续性护理; 胃肠肿瘤; 自我护理能力; 生活质量

doi：10.14033/j.cnki.cfmr.2019.27.038 文献标识码 B 文章编号 1674-6805（2019）27-00-03

Influence of Continuous Nursing Care of Group Therapy on Self-nursing Ability and Quality of Life of Elderly Patients with Gastrointestinal Tumors in Chemotherapy/CUI Shuang.//Chinese and Foreign Medical Research，2019，17（27）：-90

【Abstract】 Objective：To study the effect of continuous nursing based on group therapy on self-nursing ability and quality of life in chemotherapy for elderly patients with gastrointestinal tumors.Method：A total of 80 cases of elderly patients diagnosed with gastrointestinal tumors in our hospital from December 2017 to December 2018 were selected.The patients were divided into two groups by random number method.Experimental group used continuous nursing based on group therapy，control group used continuous nursing.And the self-care ability and quality of life scores of the two groups after intervention were compared.Result：Before treatment，Self-care ability and quality of life scores of the two groups had no significant differences（P>0.05）.After treatment，Self-care ability and quality of life scores of the experimental group were higher than those of control group（P<0.05）.Conclusion：Continuous nursing based on group therapy can further improve self-nursing ability and quality of life of elderly patients with gastrointestinal tumors in chemotherapy.

【Key words】 Group therapy; Continuous care; Gastrointestinal tumors; Self-care ability; Quality of life

First-authors address：Fujian Cancer Hospital，Fuzhou 350001，China

胃肠肿瘤在临床中是较为常见的恶性肿瘤类型，多数患者确诊时已处于中晚期，需要多个疗程的化疗[1]。化疗药物大多具有一定的毒副反应，如脱发、骨髓抑制、消化道反应、发热、感染等，给治疗增加了难度[2]。因此，科学、安全的护理管理对早期预防并发症，提高康复质量具有十分重要意义。延续性护理服务是常规专科护理的补充，为患者提供更加针对性、连贯的护理服务，可进一步优化护理质量，提高患者满意度[3-4]。因此，该研究旨在分析基于团体治疗的延续性护理对老年胃肠肿瘤患者化疗中自我护理能力和生活质量的影响，以提高护理服务质量和满意度。

1 资料与方法

1.1 一般资料

选择2017年12月-2018年12月入筆者所在医院诊断老年胃肠肿瘤患者共80例，纳入标准：（1）年龄65～80岁;