Tang Liqin, Xing Yan, Li Hui
Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science and Technology of China, Chengdu 610041, China.
Appl Bionics Biomech. 2022 Jun 17;2022:5450575. doi: 10.1155/2022/5450575. eCollection 2022.
To construct a case management model of synchronous radiotherapy and concurrent chemotherapy and radiochemotherapy (CRR) for cervical cancer led by nurses and carry out preliminary implementation and evaluation, so as to explore a new model of nursing practice.
Totally 80 cervical cancer patients were included in this study, 43 patients were in the experimental group, and 37 patients were in the control group. The clinical data, side effects, psychological reactions, and nutritional indexes were collected before and after the intervention.
The results of Hospital Anxiety and Depression Scale (HADs) showed that anxiety and depression scores decreased after intervention in the experimental group, and the difference between two groups had significant after intervention ( < 0.05). Serum fatty acids, albumin, and cholesterol in the experimental group were decreased after the intervention. Moreover, the incidence of radiation vaginitis and radiation dermatitis had significant differences between the two groups ( < 0.05).
The case management nursing practice mode of concurrent radiotherapy and chemotherapy for cervical cancer can effectively promote the self-management of risk factors, reduce the occurrence of complications, and improve the ability of self-care.
构建以护士为主导的宫颈癌同步放化疗及放化疗联合（CRR）病例管理模式并进行初步实施与评价，以探索新的护理实践模式。
本研究共纳入80例宫颈癌患者，其中43例为实验组，37例为对照组。收集干预前后的临床资料、副作用、心理反应及营养指标。
医院焦虑抑郁量表（HADs）结果显示，实验组干预后焦虑和抑郁评分降低，两组干预后差异有统计学意义（<0.05）。实验组干预后血清脂肪酸、白蛋白和胆固醇降低。此外，两组放射性阴道炎和放射性皮炎的发生率差异有统计学意义（<0.05）。
宫颈癌同步放化疗病例管理护理实践模式可有效促进危险因素的自我管理，减少并发症的发生，提高自我护理能力。
