基于风险理念肿瘤护理计划结合腕踝针对肺癌患者化疗不良反应发生情况的影响

The Impact of a Risk-Based Tumor Care Plan Combined with Wrist Ankle Care on the Occurrence of Chemotherapy Adverse Reactions in Lung Cancer Patients

摘要: 目的：分析探讨基于风险理念肿瘤护理计划结合腕踝针对肺癌患者化疗不良反应发生情况的影响。方法：选取2024年1月~2024年12月期间在我院行化疗的肺癌患者120例，采用随机数字表法将其分为常规组和研究组，各组60例。常规组采用常规化疗护理，研究组采用基于风险理念肿瘤护理计划结合腕踝针治疗。为减少测量偏倚，结局评估者及数据分析人员对分组情况设盲。对比两组患者护理期间不良反应发生情况、护理前后FACT-L评分、心理状态及患者对护理的满意度评分。结果：护理期间，两组食欲不振的发生率无显著差异(P > 0.05)；研究组恶心呕吐、白细胞减少、血小板减少、口干、手足麻木发生率显著低于常规组(P < 0.05)；护理后，研究组FACT-L各维度评分及生活质量总分显著高于常规组(P < 0.05)；护理后，研究组HADS-A评分、HADS-D评分均显著低于常规组(P < 0.05)；研究组护理满意评分显著高于常规组(P < 0.05)。结论：基于风险理念的肿瘤护理计划结合腕踝针可显著降低肺癌患者化疗恶心呕吐、骨髓抑制等不良反应发生率，能有效改善患者生活质量及心理状态，同时能提高患者对护理的满意度，具有临床推广价值。

Abstract: Objective: To analyze and explore the impact of a risk-based tumor care plan combined with wrist and ankle care on the occurrence of chemotherapy adverse reactions in lung cancer patients. Method: 120 lung cancer patients who underwent chemotherapy in our hospital from January 2024 to December 2024 were selected and randomly divided into a control group and a study group using a random number table method, with 60 patients in each group. The conventional group received conventional chemotherapy care, while the research group received a risk-based tumor care plan combined with wrist and ankle acupuncture treatment. To reduce measurement bias, outcome assessors and data analysts blinded the grouping situation. Compare the incidence of adverse reactions, FACT-L scores before and after nursing, psychological status, and patient satisfaction scores during nursing care between two groups of patients. Result: During the nursing period, there was no significant difference in the incidence of loss of appetite between the two groups (P > 0.05); The incidence of nausea, vomiting, leukopenia, thrombocytopenia, dry mouth, and numbness in the study group was significantly lower than that in the control group (P < 0.05); After nursing, the FACT-L scores and total quality of life scores in the study group were significantly higher than those in the control group (P < 0.05); After nursing, the HADS-A score and HADS-D score of the study group were significantly lower than those of the control group (P < 0.05); The nursing satisfaction score of the research group was significantly higher than that of the control group (P < 0.05). Conclusion: A tumor care plan based on the risk concept combined with wrist ankle acupuncture can significantly reduce the incidence of adverse reactions such as chemotherapy nausea, vomiting, and bone marrow suppression in lung cancer patients, effectively improve their quality of life and psychological state, and increase their satisfaction with nursing care. It has clinical promotion value.