作者：徐爱利，陈淑德，黄倩婷，雷兰芝，廖柳珍

单位：广东省人民医院（广东省医学科学院） 淋巴瘤科，广东 广州 510120

Authors: Xu Aili，Chen Shude，Huang Qianting，Lei Lanzhi，Liao Liuzhen

Unit: Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou 510120, Guangdong, China

摘要：

目的 探讨综合护理措施在胃肠道淋巴瘤患者病情观察中的应用效果。方法 回顾性分析2017年1月到2020年1月共收治的58例胃肠道淋巴瘤患者的病例资料,全部胃肠道淋巴瘤患者使用综合护理措施。整体综合护理措施的流程为:对胃肠道淋巴瘤患者入院进行全面评估、根据评估结果采取相应干预护理措施,化疗期间的病情观察、化疗期间的特殊饮食护理、健康宣教和心理护理等,动态评估干预效果,做好出院宣教等,观察分析胃肠道淋巴瘤在综合护理措施下发生胃肠道穿孔等并发症的发生率。结果 胃肠道淋巴瘤患者在综合护理措施下,仅有3例病例发生了胃肠道穿孔等相关并发症,占5%,与相关文献报道40%明显减少。结论 综合护理措施是胃肠道淋巴瘤护理的有效护理措施,可以有效地降低胃肠道淋巴瘤并发胃肠道穿孔的概率。

关键词：综合护理；胃肠道；淋巴瘤

Abstract：

Objective To investigate the efficacy of comprehensive nursing measures in observation of patients with gastrointestinal lymphoma. Methods The case data of 58 patients with gastrointestinal lymphoma admitted from January 2017 to January 2020 were reviewed. All patients with gastrointestinal lymphoma used comprehensive nursing measures. The process of overall comprehensive nursing measures is: comprehensive assessment of patients with gastrointestinal lymphoma in the hospital, corresponding intervention nursing measures based on the assessment results, condition observation during chemotherapy, special diet care during chemotherapy, health education and psychological care, etc. Dynamically evaluate the effect of intervention, do a good job of discharging publicity and education, observe and analyze the incidence of gastrointestinal perforation and other complications of gastrointestinal lymphoma under comprehensive nursing measures. Results In patients with gastrointestinal lymphoma under comprehensive nursing measures, only 3 cases had gastrointestinal perforation and other related complications, accounting for 5% , and related literature reported a significant reduction of 40%. Conclusion Comprehensive nursing measures are effective nursing measures for gastrointestinal lymphoma, which can effectively reduce the risk of gastrointestinal lymphoma complicated by gastrointestinal perforation.

Key Words: Comprehensive nursing；Gastrointestinal；Lymphoma