综合护理干预对非小细胞肺癌化疗患者生活质量及心理状况的影响
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摘要
目的:探讨综合护理干预措施对非小细胞肺癌(NSCLC)化疗患者生活质量及心理状况的影响。方法:选取2017年1月至2018年6月四川省达州市中西医结合医院收治的NSCLC患者80例,按随机数字表法分为观察组和对照组,每组40例。对照组给予常规基础护理,观察组在对照组的基础上给予综合护理干预。采用Zung焦虑量表(SAS)、抑郁量表(SDS)评估患者心理状况,采用欧洲癌症研究与治疗组织生活质量测定量表(EORTC QLQ-C30)及肺癌患者生命质量测定特异性模块(EORTC QLQ-LC13)中文版量表对两组患者的生活质量进行评价。比较两组患者对护理的满意度。结果:干预前,两组患者SAS评分、SDS评分无明显差异(P>0.05);干预后,观察组SAS评分、SDS评分均明显低于对照组,生活质量、护理满意度优于对照组,差异均有统计学意义(均P<0.05)。结论:在NSCLC患者化疗过程中予以综合护理干预,可以明显改善患者的生活质量及心理状况,提高护理满意度。
Objective:To explore the effect of integrated nursing care on the quality of life and mental status of patients with non-small cell lung cancer(NSCLC)who received chemotherapy.Methods:Eighty patients with NSCLC admitted to our hospital from January 2017 to June 2018 were randomly divided into an observation group and a control group.The patients in the control group received conventional nursing care,and those in the observation group were treated as the control group with addition of integrated nursing care.Zung self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were used to evaluate the mental status of patients.EORTC QLQ-C30 and EORTC QLQ-LC13(Chinese version)were applied to evaluate the quality of life.The nursing satisfaction rate was compared.Results:There was no significant difference in SAS and SDS scores between the two groups before intervention(P>0.05).The SAS and SDS scores of the observation group after intervention were significantly lower than those of the control group,while the quality of life and nursing satisfaction rate were notably higher(P<0.05).Conclusion:Integrated nursing care could improve the quality of life and mental status,and elevate nursing satisfaction in NSCLC patients receiving chemotherapy.
Objective:To explore the effect of integrated nursing care on the quality of life and mental status of patients with non-small cell lung cancer(NSCLC)who received chemotherapy.Methods:Eighty patients with NSCLC admitted to our hospital from January 2017 to June 2018 were randomly divided into an observation group and a control group.The patients in the control group received conventional nursing care,and those in the observation group were treated as the control group with addition of integrated nursing care.Zung self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were used to evaluate the mental status of patients.EORTC QLQ-C30 and EORTC QLQ-LC13(Chinese version)were applied to evaluate the quality of life.The nursing satisfaction rate was compared.Results:There was no significant difference in SAS and SDS scores between the two groups before intervention(P>0.05).The SAS and SDS scores of the observation group after intervention were significantly lower than those of the control group,while the quality of life and nursing satisfaction rate were notably higher(P<0.05).Conclusion:Integrated nursing care could improve the quality of life and mental status,and elevate nursing satisfaction in NSCLC patients receiving chemotherapy.
引文
[1]何建平,熊小芳.常规护理联合心理及饮食护理对肺癌化疗患者焦虑抑郁情绪和生活质量的影响[J].中国肿瘤临床与康复,2015,22(4):483-485.
[2]柏茂树,王熙才,孙娇,等.参附注射液联合痰热清注射液对老年晚期肺癌脾虚痰湿证化疗的减毒增效作用[J].中国实验方剂学杂志,2018,24(14):159-162.
[3]熊浪.中药浴足对慢性阻塞性肺疾病患者睡眠状态的影响[J].中国中医药现代远程教育,2018,16(2):108-109.
[4]马方.护理干预对肺癌化疗患者生活质量及满意度的影响[J].中国肿瘤临床与康复,2016,23(2):237-239.
[5]成晓云.情志护理及饮食调护对肺癌化疗患者生活质量的影响[J].中医药导报,2013,19(12):146-148.
[6]王冬梅.优质护理服务对肺癌化疗病人生存质量的影响[J].护理研究,2015,29(10):3838-3838.
[7]唐彦,高慧玲,雷新宁.个性化护理对肺癌化疗患者心理状态及生活质量的影响[J].齐鲁护理杂志,2018,24(11):31-33.
[8]许娟.护理干预对肺癌化疗患者睡眠质量和生活质量的影响[J].中国医药科学,2015,5(22):103-105.
[9]朱梦君.中西医结合护理对非小细胞肺癌化疗患者的影响[J].辽宁中医杂志,2014,41(12):2679-2680.
[10]郝晓玲,陈秀梅,杨翠芹,等.个性化护理干预对晚期肺癌患者疼痛及生活质量的影响[J].实用临床医药杂志,2015,19(23):223-224.
[11]马丽颖.情志护理对肺癌晚期患者VAS、HAMD的干预作用[J].解放军预防医学杂志,2017,35(6):678-680.
[12]苏秋妹,王清华.情志干预与个性化饮食对胃癌术后患者营养状况及生存质量的影[J].中医药导报,2013,19(6):116-118.
[13]孔轻轻,沙永生,赵岳.肺康复训练对肺癌术后化疗患者生活质量的影响[J].护士进修杂志,2014,29(10):880-882.
[14]华桦,韩冰,张建博.探究NSCLC患者的肺康复治疗效果[J].齐齐哈尔医学院学报,2016,37(16):2060-2061.
[2]柏茂树,王熙才,孙娇,等.参附注射液联合痰热清注射液对老年晚期肺癌脾虚痰湿证化疗的减毒增效作用[J].中国实验方剂学杂志,2018,24(14):159-162.
[3]熊浪.中药浴足对慢性阻塞性肺疾病患者睡眠状态的影响[J].中国中医药现代远程教育,2018,16(2):108-109.
[4]马方.护理干预对肺癌化疗患者生活质量及满意度的影响[J].中国肿瘤临床与康复,2016,23(2):237-239.
[5]成晓云.情志护理及饮食调护对肺癌化疗患者生活质量的影响[J].中医药导报,2013,19(12):146-148.
[6]王冬梅.优质护理服务对肺癌化疗病人生存质量的影响[J].护理研究,2015,29(10):3838-3838.
[7]唐彦,高慧玲,雷新宁.个性化护理对肺癌化疗患者心理状态及生活质量的影响[J].齐鲁护理杂志,2018,24(11):31-33.
[8]许娟.护理干预对肺癌化疗患者睡眠质量和生活质量的影响[J].中国医药科学,2015,5(22):103-105.
[9]朱梦君.中西医结合护理对非小细胞肺癌化疗患者的影响[J].辽宁中医杂志,2014,41(12):2679-2680.
[10]郝晓玲,陈秀梅,杨翠芹,等.个性化护理干预对晚期肺癌患者疼痛及生活质量的影响[J].实用临床医药杂志,2015,19(23):223-224.
[11]马丽颖.情志护理对肺癌晚期患者VAS、HAMD的干预作用[J].解放军预防医学杂志,2017,35(6):678-680.
[12]苏秋妹,王清华.情志干预与个性化饮食对胃癌术后患者营养状况及生存质量的影[J].中医药导报,2013,19(6):116-118.
[13]孔轻轻,沙永生,赵岳.肺康复训练对肺癌术后化疗患者生活质量的影响[J].护士进修杂志,2014,29(10):880-882.
[14]华桦,韩冰,张建博.探究NSCLC患者的肺康复治疗效果[J].齐齐哈尔医学院学报,2016,37(16):2060-2061.