探讨循证护理干预对青年肺癌患者睡眠障碍的效果
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摘要
目的探讨青年肺癌患者睡眠障碍的原因及循证护理干预效果。方法将青年肺癌患者70例随机均分为干预组和对照组各35例,对照组采用肿瘤内科护理常规进行护理,干预组在肿瘤内科护理常规基础上,根据睡眠障碍的原因进行针对性循证护理。应用匹兹堡睡眠指数量表(PSQI)对2组患者进行评分。结果精神或心理因素是青年肺癌患者睡眠障碍的主要原因,发生率62.9%(44/70)。循证护理干预后,干预组PSQI总评分与差值及精神负担过重、焦虑或恐惧、抑郁PSQI评分与差值,与对照组比较均P<0.05,睡眠质量显著改善。结论 循证护理干预对青年肺癌睡眠障碍患者的睡眠质量有较好的效果,应成为治疗青年肺癌睡眠障碍的主要方法,特别可成为治疗精神负担过重、焦虑或恐惧及抑郁等所引起睡眠障碍的首要方法。
Objective To explore the reason of dyssomnia and effect of evidence based nursing on treatmentof dyssomnia in young patientswith lung cancer.Methods 70 young patients with lung cancer were randomly divided into intervention group and control group,35 casesin each group.The control group was conducted with conventional nursing measures,while the interventional group was conducted with reason targeted evidence based nursing on the basis of the control group.Scale of Pittsburgh sleep quality index(PSQI)was used to assess the quality of sleep in both groups.Results Mental or psychological factorswere the major causesof dyssomnia in young patients with lung cancer,and incidence ratio of these factors was 62.9%(44/70);after the implementation of evidence based nursing,there were significant differences of total score of PSQI,heavy mental burden,anxiety or fear and PSQI score of depression between two groups(P<0.05).Quality of sleep in the intervention group improved significantly.Conclusion Evidence based nursing intervention shows a positive efficacy in the treatment of dyssomnia in young patients with lung cancer,which should be suggested as a main therapeutic method for dyssomnia in young patients with lung cancer,especially for the treatment of patients with dyssomnia induced by various reasons such as heavy mental burden,anxiety or fear and depression.
Objective To explore the reason of dyssomnia and effect of evidence based nursing on treatmentof dyssomnia in young patientswith lung cancer.Methods 70 young patients with lung cancer were randomly divided into intervention group and control group,35 casesin each group.The control group was conducted with conventional nursing measures,while the interventional group was conducted with reason targeted evidence based nursing on the basis of the control group.Scale of Pittsburgh sleep quality index(PSQI)was used to assess the quality of sleep in both groups.Results Mental or psychological factorswere the major causesof dyssomnia in young patients with lung cancer,and incidence ratio of these factors was 62.9%(44/70);after the implementation of evidence based nursing,there were significant differences of total score of PSQI,heavy mental burden,anxiety or fear and PSQI score of depression between two groups(P<0.05).Quality of sleep in the intervention group improved significantly.Conclusion Evidence based nursing intervention shows a positive efficacy in the treatment of dyssomnia in young patients with lung cancer,which should be suggested as a main therapeutic method for dyssomnia in young patients with lung cancer,especially for the treatment of patients with dyssomnia induced by various reasons such as heavy mental burden,anxiety or fear and depression.
引文
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[12]张雍容.护理干预对老年晚期肺癌患者睡眠状况及生活质量的影响[J].临床护理,2012,11:232.
[2]汪向东,王希林,马弘.心理卫生评定量表手册[M].增订版.北京:中国心理卫生杂志社,1999:375.
[3]olke H B,Bakke P S,Gallefoss F.HRQOL changes,mood disorders and satisfaction after treatment in an unselected population of patients with lung cancer[J].Clin Respir J,2010,4(3):168.
[4]吴秋丽,李红蔚,张雷.肺癌患者睡眠剥夺的现状分析[J].中国实用护理杂志,2011,27(4):171.
[5]王红丽,龚敏.高龄肺癌患者睡眠质量及影响因素调查[J].浙江临床医学,2011,13(7):801.
[6]Ayesha S,Bryant M,Robert J,et al.Differences in cutomes between young and older patients with non-small cell lung cancer[J].Ann Thorac Surg,2008,85(5):1735.
[7]罗洪英,王海成,曾庆富.40岁以下肺癌患者的临床及病理特点[J].中华结核和呼吸杂志,2003,26(10):645.
[8]卢锋峰,陈愉生,李鸿茹.青年肺癌和老年肺癌临床特点对比分析[J].国际呼吸杂志,2012,32(2):113.
[9]王克芳,李绍忱,冯美丽.在基础护理中增加睡眠评估的探讨[J].中华护理杂志,2004,39(1):58.
[10]Yannick Le Guen,Frederic Gagnadoux,et al.Sleep disturbances and impaired daytime functioning in outpatients with newly diagnosed lung cancer[J].Lung Cancer,2007,58:139.
[11]黄和平,赵敏,钟小溱.中晚期恶性肿瘤患者失眠相关因素调查分析[J].护理学杂志,2004,19(23):8.
[12]张雍容.护理干预对老年晚期肺癌患者睡眠状况及生活质量的影响[J].临床护理,2012,11:232.