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前列腺癌患者放射性肠炎预防护理流程改进的行动研究

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目的 基于行动研究法改进前列腺癌患者放射性肠炎预防护理流程,并探讨其有效性.方法 便利选取112例前列腺癌拟行根治性放疗患者,按时间段分为对照组和行动研究组.对照组采用前列腺癌放射性肠炎优化护理;行动研究组采用行动研究法,通过计划-行动-观察-反思螺旋式循环,继续改进护理流程,共开展2个循环.比较对照组与行动研究组放射性肠炎发生率及严重程度、心理困扰程度以及生活质量.结果 行动研究组放射性肠炎发生率、心理困扰程度显著低于对照组(均P<0.05),生活质量总分及维度得分(除性行为维度外)显著高于对照组(均P<0.05).结论 应用行动研究法优化前列腺癌患者放射性肠炎预防护理流程,可降低放射性肠炎发生率,改善患者心理困扰程度,提高生活质量.
Improving the workflow of care for radiation enteritis in prostate cancer patients:an action research
Objective To improve the workflow of care for radiation enteritis in prostate cancer patients based on action research ap-proach and to explore its effectiveness.Methods A convenience sample of 112 patients with prostate cancer scheduled for radical ra-diation therapy were allocated into a control group and an action research group chronologically.The control group implemented op-timized nursing care for radiation enteritis,while the action research group received nursing care that was further improved using action research approach,including four steps:plan,act,observe,and reflect.Two circles were performed.The incidence and se-verity of radiation enteritis,psychological distress and quality of life were compared between the controls and the action research group.Results The incidence of radiation enteritis,and the level of psychological distress were significantly lower,whereas the total score and dimension scores of quality of life(except sexual behavior)were significantly higher in the action research group com-pared with the control group(all P<0.05).Conclusion Workflow of care for radiation enteritis optimized using the action research approach,can reduce the incidence of radiation enteritis,alleviate psychological distress and enhance quality of life of patients with prostate cancer.

prostate cancerradiation enteritisaction researchnursing workflowpsychological distressquality of lifehealth educationoncology nursing

黄定凤、刘玥、郑利媛、罗珍、杨洁

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湖北省肿瘤医院腹部放疗一病区(湖北 武汉,430079)

湖北省肿瘤医院护理部(湖北武汉,430079)

前列腺癌 放射性肠炎 行动研究 护理流程 心理困扰 生活质量 健康教育 肿瘤护理

湖北省卫生健康委科研项目(2023-2024)

WJ2023F027

2024

护理学杂志
华中科技大学同济医学院

护理学杂志

CSTPCD北大核心
影响因子:2.062
ISSN:1001-4152
年,卷(期):2024.39(9)
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