进行综合护理对晚期肺癌患者生活质量的影响

The Affects of Comprehensive Nursing Intervention to Life Quality of Patients with Advanced Lung Cancer

目的:探讨进行综合护理对晚期肺癌患者生活质量的影响。方法:对2009年3月～2012年1月期间我院收治的70例晚期肺癌患者的临床资料进行回顾性研究。我们采用随机数字表法将这70例患者分为对照组和综合组,每组各有35例患者。我们对对照组患者进行常规护理,对综合组患者进行综合护理。4个月后,比较两组患者生活质量核心量表(QOL-C30)的评分、焦虑自评量表(SAS)的评分和抑郁自评量表(SDS)的评分,同时对两组患者接受护理前后的疲乏程度、血液中白细胞和血红蛋白的水平以及在接受护理期间发生毒副反应的几率进行比较。结果:在接受护理4个月后,综合组患者生活质量核心量表各项指标的评分及总分均明显低于对照组患者,二者相比差异具有显著性(P<0.05)。在接受护理前,综合组患者和对照组患者血液中白细胞和血红蛋白的水平无显著差异。而在接受护理4个月后,综合组患者血液中白细胞和血红蛋白的水平均明显高于对照组患者,二者相比差异具有显著性(P<0.05)。在接受护理4个月后,综合组患者的疲乏程度明显轻于对照组患者,二者相比差异具有显著性(P<0.05)。在接受护理4个月后,综合组患者焦虑自评量表的评分和抑郁自评量表的评分均明显低于对照组患者,二者相比差异具有显著性(P<0.05)。在接受护理期间,综合组患者发生毒副反应的几率明显低于对照组患者,二者相比差异具有显著性(P<0.05)。结论:对晚期肺癌患者进行综合护理能够显著提高其生活质量,缓解其焦虑、抑郁的情绪,改善其疲乏的状态,降低其发生毒副反应的几率,具有较高的临床应用价值。

Objective To investigate the affects of comprehensive nursing intervention to life quality of patients with advanced lung cancer.Methods 70 patients with advanced Lung cancer were chose in the period from March 2009 to January 2012 in our hospital and randomly divided into two groups including control group（35 patients） with conventional nursing intervention and intervention group（35 patients） with omprehensive nursing intervention;and the scores of QOL-C30,the level of white blood cells and hemoglobin,the scores of BFI,the scores of SAS,the scores of SDS and the side effects were compared.Results The scores of QOL-C30 of intervention group were significantly lower than control group（p0.05）.The ？level of white blood cells and hemoglobin,scores of BFI of intervention group were significantly better than control group（p0.05）.The scores of SAS and SDS of intervention group were significantly lower than control group（p0.05）.And the incidence of side effects of intervention group were significantly better than control group（p0.05）.Conclusion The comprehensive nursing intervention can effectively improve the life quality of patients with advanced Lung cancer and is worthy of clinical application.