摘要
目的本着"优质护理服务"(贴近临床,贴近患者,贴近社会,为患者提供安全、有效、全程、无缝隙、满意的护理服务)的宗旨为鼻咽癌患者设计一款智慧服饰(病号服),本文主要探讨智慧服饰在鼻咽癌患者专科护理的新方法,并观察其在鼻咽癌患者中的临床应用效果。方法采用历史对照法将广西壮族自治区人民医院2015年2月—2016年1月鼻咽癌患者213例分为2组,以2015年2—7月采用传统病号服患者107例为对照组,2015年8月—2016年1月采用智慧服饰患者106例为干预组。比较2组患者和护士满意度、Ⅲ度放射性皮炎发生率、Ⅳ度放射性皮炎发生率。结果干预组患者满意度[104(98.1%)vs.6(5.6%),χ~2=178.78,P=0.001]、护士满意度[106(100.0%)vs.3(2.8%),χ~2=200.39,P=0.001]显著提高。干预组Ⅲ度放射性皮炎[3(2.8%)vs.15(14.0%),χ~2=7.23,P=0.007]发生率均显著低于对照组,差异有统计学意义(P<0.05)。结论智慧服饰能有效满足鼻咽癌患者专科护理需求,穿脱过程便捷、方便医疗护理操作及观察,提高护患双方满意度,降低放疗过程中Ⅲ度放射性皮炎发生率,且经济成本低,在一定的程度上值得在临床头颈肿瘤病房推广使用。
Objective This study is based on the purpose of ＂high-quality nursing service＂（ close to the clinical, close to the patient, close to the community, to provide patients with safe, effective, whole-course, seamless, satisfactory care services）, to design an intelligent dress for the patients with nasopharyngeal carcinoma. It mainly aims to explore the ap- plication of intelligent dress as a new method for the nursing care of the patients with nasopharyngeal carcinoma, and to observe its clinical application effects. Methods A total of 213 cases of nasopharyngeal carcinoma patients from Febru- ary, 2015 to January, 2016 were divided into two groups. Collected from February, 2015 to July, 2015, 107 cases pro- vided with traditional dress were used as the control group, and 106 cases provided with intelligent dress collected from August, 2015 to January; 2016 were used as the intervention group. Comparisons of the satisfaction for nurses, incidence of grade-Ⅲ radiation dermatitis, incidence of grade-Ⅳ radiation dermatitis were performed between the two groups. Re- suits The satisfaction rate [ 104 （ 98. 1% ） vs. 6 （ 5.6% ） , X2 = 178.78, P = 0. 001 ] and nurse satisfaction rate [ 106（ 100.0% ） vs. 3（2.8% ）, X2 = 200.39, P = 0. 001 ] were significantly increased in the intervention group. The incidence of grade-Ⅲ radiation dermatitis[ 3 （2.8%） vs. 15 （14.0%）, X2 = 7.23, P = 0. 007 ] was significantly lower in the intervention group than those in the control group（ P 〈 0.05）. Conclusion Intelligent dress can effectively meet the needs of the nursing care for the patients with nasopharyngeal carcinoma, and the process of wearing off is convenient. Intelligent dress is also convenient for medical care operation and observation, improve the satisfaction, and reduce the incidence of grade- Ⅲ radiation dermatitis, with low economic costs. It is worthy of promoting the use of intelligent dress in head and neck cancer ward.
作者
蒋青玉
李湘
傅桂芬
黄晓艳
张金桃
韦嘉章
JIANG Qing-yu;LI Xiang;FU Gui-fen;et al(Department of Otolaryngology ＆ Head and Neck Oncology, the People＇s Hospital of Guangxi Zhuang Autonomous Region, Nanning , Guangxi 530021, China)
出处
《中华全科医学》
2018年第2期319-322,共4页
Chinese Journal of General Practice
基金
广西壮族自治区卫计委自筹经费科研计划课题(Z2014218
Z2015686)
广西科技计划项目(桂科AB16450009)
关键词
智慧服饰
鼻咽癌
设计
应用体会
Intelligent dress
Nasopharyngeal carcinoma
Design
Application experience
