压力管理对改善胸腔镜肺段切除术治疗早期非小细胞肺癌患者生活质量的效果分析

Effect of stress management on the quality of life of patients with early-stage non-small cell lung cancer treated by video-assisted thoracoscopic surgery

目的探讨压力管理对改善胸腔镜肺段切除术治疗早期非小细胞肺癌患者生活质量的效果。方法选择2014年8月~2016年8月在新疆医科大学第一附属医院胸外科行胸腔镜肺段切除术治疗的早期非小细胞肺癌患者60例作为研究对象,按随机数字表将患者随机分为干预组和对照组,每组各30例。两组患者均接受常规护理,干预组在此基础上接受压力管理,干预时间均为6个月。应用癌症患者生存质量测定量表评估两组患者的生活质量。结果干预后,干预组患者总体生活质量、躯体功能、角色功能、情绪功能、认知功能、社会功能等项目得分均明显高于对照组(P<0.05)。干预后,干预组患者疼痛、恶心呕吐、呼吸困难、失眠、食欲丧失、便秘、腹泻、经济影响等项目得分均明显低于对照组(P<0.05)。结论对胸腔镜肺段切除术治疗早期非小细胞肺癌患者实施压力管理能够缓解患者的压力,提高其生活质量。

Objective To investigate the effect of stress management on the quality of life of patients with early-stage non-small cell lung cancer treated by video-assisted thoracoscopic surgery.Methods Date were from Department of Thoracic Surgery, the First Affiliated Hospital of Xinjiang Medical University, an intervention study of 60 patients with early-stage non-small cell lung cancer treated by video-assisted thoracoscopic surgery who were admitted from August 2014 to August 2016.Patients were divided into intervention group（30 cases） and control group（30 cases） by random number table.Two groups were received conventional care, and implemented stress management on the intervention group for 6 months.The quality of life of two groups was assessed using the cancer patients＇ quality of life scale developed by the European Organization for cancer research and treatment（EORTC QLQ-C30）.Results After intervention,the overall quality of life, physical function, role function, emotional function, cognitive function and social function of the patients in the intervention group were significantly higher than those in the control group（P〈 0.05）.After intervention, the scores of the patients in the intervention group were significantly lower than those in the control group（P〈 0.05）, such as pain, nausea and vomiting, dyspnea, insomnia, loss of appetite, constipation, diarrhea, and economic influence.Conclusion Stress management can relieve the pressure and improve the quality of life of patients with earlystage non-small cell lung cancer treated by video-assisted thoracoscopic surgery.