邓红　何倩文

【摘要】 目的：探究共同参与式护理对日间化疗患者静脉化疗安全及满意度的影响。方法：选取2017年8月-2019年8月本院收治的日间病房化疗癌症患者84例为研究对象。按照随机数字表法将患者分为研究组和对照组，每组42例。对照组患者行常规护理干预，研究组患者行共同參与式护理。比较两组静脉化疗安全性及对护理的满意度。结果：研究组静脉化疗时静脉炎、输液渗漏的发生率均高于对照组，差异均有统计学意义（P<0.05）。化疗前，两组QLQ-C30各项评分比较，差异均无统计学意义（P>0.05）;化疗后，研究组QLQ-C30各项评分均优于对照组，差异均有统计学意义（P<0.05）。研究组护理满意度为95.24%，高于对照组的78.57%，差异有统计学意义（P<0.05）。结论：共同参与式护理可有效提高日间化疗患者的生活质量，降低患者化疗不良反应发生率，增加患者治疗的满意度。

【关键词】 日间化疗 静脉化疗安全 共同参与式护理 满意度

Effect of Co-participation Nursing on Safety and Satisfaction of Intravenous Chemotherapy in Patients Undergoing Chemotherapy during Daytime/DENG Hong， HE Qianwen. //Medical Innovation of China， 2021， 18（23）： -122

[Abstract] Objective： To explore the influence of co-participation nursing on safety and satisfaction of intravenous chemotherapy in patients with daytime chemotherapy. Method： A total of 84 cancer patients receiving chemotherapy in the day ward of our hospital from August 2017 to August 2019 were selected as the study subjects. According to the random number table method， the patients were divided into study group and control group， 42 cases in each group. The patients in the control group received routine nursing intervention， the patients in the study group received co-participation nursing. The safety and nursing satisfaction of intravenous chemotherapy were compared between the two groups. Result： The incidence of phlebitis and fluid leakage during intravenous chemotherapy was higher in the study group than that in the control group， the differences were statistically significant （P<0.05）. Before chemotherapy， comparison of QLQ-C30 scores between the two groups， there were no statistical significance （P>0.05）; after chemotherapy， the scores of QLQ-C30 in the study group were better than those in the control group， the differences were statistically significant （P<0.05）. The nursing satisfaction of the study group was 95.24%， which was higher than 78.57% of the control group， the difference was statistically significant （P<0.05）. Conclusion： Co-participative nursing can effectively improve the quality of life of patients with daytime chemotherapy， reduce the incidence of adverse reactions to chemotherapy， and increase the satisfaction of patients with treatment.

[Key words] Daytime chemotherapyay Safety of intravenous chemotherapy Co-participative nursing Satisfaction

First-author’s address： Sun Yat-Sen Univesity Cancer Center， Guangzhou 510000， China

doi：10.3969/j.issn.1674-4985.2021.23.029

癌症目前在临床上已较常见，其发病率及死亡率渐高，严重影响癌症患者的生命安全。现临床上针对癌症的治疗主要以放化疗为主。但资料显示，癌症患者放化疗持续治疗时间较长，治疗费用相对较高，且近年来医疗资源相对匮乏，因此住院治疗不仅增加了患者的家庭负担，而且阻碍了医院的周转[1-2]。而日间化疗是一种全新化疗模式，其是指癌症患者白天在医院接受化疗，晚上回家休息[3]。国外已有研究表明，日间化疗模式不仅有效缩短了患者的住院时间及费用，而且提高了医疗资源的利用，且放化疗多毒副作用，患者耐受性不强，一定程度上易影响患者静脉化疗安全性[4-5]。……