个体化护理干预对非小细胞肺癌患者睡眠质量和负性情绪的影响

Influence of individualized nursing intervention on sleep quality and negative emotion of patients with non-small cell lung cancer

目的探讨个体化护理干预对非小细胞肺癌患者睡眠质量和负性情绪的影响。方法选取2012年10月至2014年10月间诊治的82例非小细胞肺癌患者,采用随机数字表法分为观察组和对照组,各41例。观察组患者实施个体化护理干预,对照组患者实施常规护理。于护理前后分别行匹兹堡睡眠质量指数量表(PSQI)评定、睡眠呼吸监测、汉密尔顿焦虑量表(HAMA)评定、汉密尔顿抑郁量表(HAMD)评定、正性负性情绪量表评定。比较两组患者的护理效果。结果护理后,两组患者PSQI评分、呼吸紊乱指数、氧减指数、HAMA评分、HAMD评分、负性情绪评分均低于护理前(均P<0.05),而最低血氧饱和度、平均血氧饱和度、正性情绪评分均高于护理前(均P<0.05)。观察组患者PSQI评分、呼吸紊乱指数、氧减指数、HAMA评分、HAMD评分、负性情绪评分均明显低于对照组,而最低血氧饱和度、平均血氧饱和度、正性情绪评分均高于对照组,差异均有统计学意义(均P<0.05)。结论个体化护理干预可明显改善非小细胞肺癌患者的睡眠质量和负性情绪,值得临床推广使用。

Objective To investigate the influence of individualized nursing intervention on sleep quality and negative emotion of patients with non-small cell lung cancer（ NSCLC）. Methods Totally 82 patients with NSCLC in The Second Hospital Affiliated to Suzhou University from October 2012 to October2014 were selected,and randomly divided into two groups,each group has 41 patients. Observation group was given individualized nursing intervention,while control group was given routine nursing. Pittsburgh sleep quality index scale（ PSQI）,sleep apnea monitoring,Hamilton anxiety scale（ HAMA）,Hamilton depression scale（ HAMD）,positive and negative emotion scale（ PANAS） evaluated before and after treatment. Nursing effect was compared between two groups. Results After nursing,PSQI score,respiratory disturbance index,oxygen desaturation index,HAMA score,HAMD score and negative emotional score decreased significantly,while lowest oxygen saturation,average oxygen saturation,positive emotion score increased significantly in two groups. PSQI score,respiratory disturbance index,oxygen desaturation index,HAMA score,HAMD score and egative emotional score in observation group were significantly lower than control group. Lowest oxygen saturation,average oxygen saturation and positive emotion score in observation group were significantly higher than that in control group,with significant difference（ P〈0. 05）. Conclusion Individualized nursing intervention can significantly improve sleep quality and negative emotion of patients with non-small cell lung cancer,which is worthy of clinical use.