中医情志护理对老年肺癌患者生活质量与应激水平及血清学的影响
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摘要
目的:观察中医情志护理对老年肺癌患者生活质量及应激水平影响。方法:选取2014年1月至2017年1月间在德阳市人民医院确诊并接受化疗的肺癌患者106例,依据随机数字表法将患者分为两组:观察组(53例)采用中医的情志护理,对照组(53例)采用常规护理措施;观察患者护理前后抑郁、焦虑和生存质量的改变情况,记录患者护理前后心率、舒张压和收缩压等水平的改变情况,检测其血清Fb与D-D的水平改变情况。结果:两组患者护理后其SAS及SDS评分、血清Fb及D-D水平均明显下降,与护理前对比差异有统计学意义(P<0. 05),观察组效果比对照组更佳,护理后两组对比差异有统计学意义(P<0. 05);生存质量的相关指标评分均明显上升,与护理前对比差异有统计学意义(P<0. 05),观察组效果比对照组更佳,护理后两组对比差异有统计学意义(P<0. 05);对照组患者护理后收缩压比护理前明显下降,心率、舒张压对比护理前差异无统计学意义(P>0. 05),观察组患者护理后其心率、舒张压和收缩压均有显著下降,与护理前、对照组对比差异均有统计学意义(P<0. 05)。结论:中医情志护理可明显改善老年肺癌患者的生活质量、调节患者治疗中的负面情绪,降低应激水平,使患者预后更好。
Objective: To study the effect of emotional care on the quality of life and stress of elderly patients with lung cancer. Methods: From January 2014 to January 2017 in Deyang People' s Hospital diagnosed and received 106 patients with lung cancer chemotherapy patients,according to random number table method,the patients were divided into two groups: observation group(53cases) with emotional nursing of traditional Chinese medicine,the controlled group(53cases) with routine nursing measures. Observed the changes of depression,anxiety and quality of life the nursing of the patients before and after nursing records of patients before and after the heart rate,diastolic blood pressure and systolic blood pressure changes,serum Fb and DD levels changes. Results: The two groups of patients after nursing in the SAS and SDS score,serum Fb and D-D levels were significantly decreased,with statistically significant differences before treatment(P< 0. 05),the effect of the observation group was better than the controlled group,there were statistically significant differences between the two groups after nursing(P <0. 05),survival quality index the scores were significantly increased,with significant differences before treatment(P< 0. 05),the effect of the observation group was better than the controlled group,there were statistically significant differences between the two groups after nursing(P<0. 05). Patients in the controlled group after nursing care than systolic blood pressure significantly decreased,heart rate and diastolic blood pressure compared with before treatment there was no statistically significant difference(P>0. 05). The patients in the observation group after the nursing care of heart rate,diastolic blood pressure and systolic blood pressure were significantly decreased compared with the controlled group,there were statistically significant differences before treatment(P<0. 05). Conclusion: Emotional nursing of traditional Chinese medicine can obviously improve the quality of life of elderly patients with lung cancer,adjust the negative emotions in patients' treatment,reduce the stress level,and make the prognosis of patients better.
Objective: To study the effect of emotional care on the quality of life and stress of elderly patients with lung cancer. Methods: From January 2014 to January 2017 in Deyang People' s Hospital diagnosed and received 106 patients with lung cancer chemotherapy patients,according to random number table method,the patients were divided into two groups: observation group(53cases) with emotional nursing of traditional Chinese medicine,the controlled group(53cases) with routine nursing measures. Observed the changes of depression,anxiety and quality of life the nursing of the patients before and after nursing records of patients before and after the heart rate,diastolic blood pressure and systolic blood pressure changes,serum Fb and DD levels changes. Results: The two groups of patients after nursing in the SAS and SDS score,serum Fb and D-D levels were significantly decreased,with statistically significant differences before treatment(P< 0. 05),the effect of the observation group was better than the controlled group,there were statistically significant differences between the two groups after nursing(P <0. 05),survival quality index the scores were significantly increased,with significant differences before treatment(P< 0. 05),the effect of the observation group was better than the controlled group,there were statistically significant differences between the two groups after nursing(P<0. 05). Patients in the controlled group after nursing care than systolic blood pressure significantly decreased,heart rate and diastolic blood pressure compared with before treatment there was no statistically significant difference(P>0. 05). The patients in the observation group after the nursing care of heart rate,diastolic blood pressure and systolic blood pressure were significantly decreased compared with the controlled group,there were statistically significant differences before treatment(P<0. 05). Conclusion: Emotional nursing of traditional Chinese medicine can obviously improve the quality of life of elderly patients with lung cancer,adjust the negative emotions in patients' treatment,reduce the stress level,and make the prognosis of patients better.
引文
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[12]陈严.中西医结合护理对老年肺癌患者围手术期中的应用分析[J].中西医结合心血管病电子杂志,2016,4(13):187~187
[13] Adams R N,Winger J G,Mosher C E. A meta-analysis of the relationship between social constraints and distress in cancer patients[J].Journal of Behavioral Medicine,2015,38(2):1~12
[14]刘虹虹,林明.中医护理方案在肺癌患者护理中的应用研究[J].医学信息,2015,56(32):54~59
[15]张偲.中医护理在对肺癌患者实施化疗中的应用效果评价[J].当代医药论丛,2017,15(3):147~148
[2]陈丽丽.情志护理及饮食调护对肺癌患者生活质量的影响[J].新中医,2015,118(12):238~239
[3]耿立轩,王健,王秀云.中医情志护理联合引导式教育锻炼在肺癌术后患者中的应用效果[J].中华现代护理杂志,2015,21(33):4029~4032
[4] Barre V P,Padmaja G,Saxena R K,et al. Impact of Medical Intervention on Stress and Quality of Life in Patients with Cancer[J]. Lancet,2015,21(2):203~208
[5]陈秋航.中医情志护理联合引导式教育锻炼在肺癌术后患者中的应用观察[J].内蒙古中医药,2017,36(6):215~219
[6]郝淑华.术前访视中医情志护理对老年手术患者耐受性及应激水平影响[J].辽宁中医药大学学报,2015,33(6):246~248
[7]杨杰,张燕艳,付萌.中西医结合护理对晚期肺癌患者希望水平及生活质量的影响[J].中西医结合护理,2016,2(6):14~16
[8] Kim Y,Ryn M V,Jensen R E,et al. Effects of gender and depressive symptoms on quality of life among colorectal and lung cancer patients and their family caregivers[J]. Psycho-Oncology,2015,24(1):95~99
[9]彭廷云,刘梨,廖若夷,等.肺癌中医护理方案对Ⅲ-Ⅳ期肺癌患者生活质量的影响[J].中医药导报,2015,7(2):94~96
[10]喻小红.综合性中医护理对晚期肺癌患者生活质量的影响[J].保健医学研究与实践,2016,13(5):82~83
[11] Carrera P M,Ormond M. Current practice in and considerations for personalized medicine in lung cancer:From the patient’ s molecular biology to patient values and preferences.[J]. Maturitas,2015,82(1):94~99
[12]陈严.中西医结合护理对老年肺癌患者围手术期中的应用分析[J].中西医结合心血管病电子杂志,2016,4(13):187~187
[13] Adams R N,Winger J G,Mosher C E. A meta-analysis of the relationship between social constraints and distress in cancer patients[J].Journal of Behavioral Medicine,2015,38(2):1~12
[14]刘虹虹,林明.中医护理方案在肺癌患者护理中的应用研究[J].医学信息,2015,56(32):54~59
[15]张偲.中医护理在对肺癌患者实施化疗中的应用效果评价[J].当代医药论丛,2017,15(3):147~148