Development and effects of bundled and continuous nursing measures for patients during daytime chemotherapy after gastric cancer surgery
10.3760/cma.j.cn115682-20191224-04744
- VernacularTitle:胃癌术后日间化疗患者集束化延续护理措施制订及应用
- Author:
Zejun CAI
1
;
Haofen XIE
;
Qinhong XU
;
Yiping LI
;
Zhilong YAN
;
Haina CAI
;
Bo FENG
;
Guoying FU
Author Information
1. 浙江省宁波市第一医院胃肠外科 315010
- Keywords:
Gastric neoplasms;
Quality of life;
Daytime chemotherapy;
Bundled nursing;
Continuous nursing
- From:
Chinese Journal of Modern Nursing
2020;26(23):3177-3182
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To develop bundled and continuous nursing measures for patients during daytime chemotherapy after gastric cancer surgery and explore its effects.Methods:Literature search, expert consultation and field visits were used to understand the needs of patients during daytime chemotherapy after gastric cancer surgery, specify the corresponding measures, and determine the final evidence-based bundled and continuous nursing measures. Totally 62 patients undergoing the first chemotherapy after gastric cancer surgery from May to December 2018 were included into the control group, and 53 patients undergoing the first chemotherapy after gastric cancer surgery from January to July 2019 were included into the intervention group. Patients in the control group received conventional continuous nursing, while patients in the intervention group received evidence-based bundled and continuous nursing. The laboratory tests and chemotherapy compliance during the eight chemotherapy treatments were compared between the two groups of patients, and the quality of life and satisfaction with the medical and nursing staff after the eight chemotherapy treatments of the two groups of patients were observed.Results:After the implementation of evidence-based bundled and continuous nursing measures, the compliance of the intervention group was higher than that of the control group ( P<0.05) . There were statistically significant differences in the quality of life between the two groups, except for cognitive function, sleep and economic status ( P<0.05) . The satisfaction with the medical and nursing staff in the control group was 79.03% (49/62) lower than 92.45% (49/53) in the intervention group, and the difference between the two groups was statistically significant ( P<0.05) . Conclusions:The evidence-based bundled and continuing nursing measures can improve the compliance, quality of life and satisfaction with the medical nursing staff in patients undergoing the first chemotherapy after gastric cancer surgery.
