Effect of evidence-based nursing pathway on patients with cervical cancer undergoing precise radiotherapy
循证护理路径对宫颈癌精准放疗患者效果探讨

摘要

目的 对宫颈癌患者精准放疗治疗过程中循证护理干预后患者癌症恐惧、毒副反应以及自我感受等各方面影响进行探讨。方法 选择我院2018年3月至2022年4月间所收治的100例宫颈癌精准放疗患者为研究对象，根据组间特征将所有患者均分为观察组及对照组，每组有患者50例。对照组患者入院后采取常规护理方式进行干预。观察组患者则采取循证护理路径进行干预。对两组患者经护理干预后放疗前后自自我感受负担量表（SPBCP）、癌因性疲乏量表（PFS）等评分以及放疗治疗后患者的毒副反应情况进行对比。结果 两组患者在放疗前治疗负担、家庭负担、照顾负担等各层面评分以及自我感受负担量表（SPBCP）指标评分方面对比无明显差异，P>0.05；首次放疗治疗后，在上述几项指标评分方面观察组患者评分明显低于对照组，差异显著，P<0.05。在放疗前两组患者PFS评分无明显差异，P>0.05。首次放疗治疗后两组患者的PFS评分均明显下降，且观察组的评分下降幅度明显更大，差异显著，P<0.05。结论 在宫颈癌患者的精准放疗治疗过程中通过循证护理路径进行积极干预可以让患者的恐惧心理得到有效缓解，同时也可以让患者癌因性疲乏和自我感受负担得到极大减轻，并有效控制患者放疗治疗过程中的毒副反应发生率。

Abstract

Objective To explore the effects of evidence-based nursing intervention on cancer fear, negative reaction and self-perception of patients with cervical cancer during precision radiotherapy.
Methods 100 patients with cervical cancer bacteria treated by our hospital from March 2018 to April 2022 were selected as the study subjects. All patients were divided into the observation group and the control group according to the characteristics between the groups, with 50 patients in each group. Patients in the control group received routine nursing intervention after admission. Patients in the observation group took fumigation nursing pathway for intervention. The scores of self-perceived burden scale (SPBCP) and cancer-related fatigue scale (PFS) before and after radiotherapy and the toxicity and side effects of patients after radiotherapy were compared between the two groups.
Results There was no significant difference between the two groups in the scores of treatment burden, family burden, care burden and SPBCP before radiotherapy (P>0.05); After the first radiotherapy treatment, the scores of the patients in the observation group were significantly lower than those in the control group in terms of the scores of the above indicators (P<0.05). There was no significant difference in PFS score between the two groups before radiotherapy (P>0.05). After the first radiotherapy treatment, the PFS score of the two groups decreased significantly, and the score of the observation group decreased significantly more, with significant difference (P<0.05).
Conclusion   Positive intervention through evidence-based nursing pathway in the process of precise radiotherapy for cervical cancer patients can effectively relieve the patients' fear, at the same time, it can also greatly reduce the patients' cancer-related fatigue and self-feeling burden, and effectively control the incidence of toxic and side effects in the process of radiotherapy.