马斯洛需要层次理论在肺癌患者中的应用

Application of Maslow＇ s need hierarchy on lung cancer patients

目的研究马斯洛需要层次理论在肺癌患者中的应用效果。方法选择2010年4月至2011年11月收治的46例晚期肺癌患者为研究对象，将患者随机分为干预组和对照组，对照组给予临床常规护理，干预组采取马斯洛需要层次理论进行干预。采用匹兹堡睡眠质量量表（PSQI）和抑郁自评量表（SDS）评估两组患者睡眠质量和患者抑郁状态。结果干预前，干预组和对照组PSQI评分分别为（9．26±0．55），（9．37±0．61）分，干预后，干预组和对照组PSQI评分分别为（4．85±0．66），（6．31±0．67）分，干预前两组比较差异无统计学意义（t=-1．70，P〉0．05），干预后两组比较差异有统计学意义（t=-2．41，P〈0．05）。干预前，干预组和对照组SDS评分分别为（68．95±10．03），（68．24±9．90）分，干预后，干预组和对照组SDS评分分别为（56．32±11．85），（64．12±8．67）分，干预前两组比较差异无统计学意义（t=1．70，P〉0．05），干预后两组比较差异有统计学意义（t=-2．68，P〈0．05）。结论根据马斯洛需要层次理论指导临床护士对晚期肺癌患者进行干预可明显提高患者睡眠质量，降低其抑郁程度。

Objective To study the effect and clinical significance of Maslow＇ s need hierarchy on lung cancer patients. Methods Totals of 46 cases of advanced lung cancer patients admitted in hospital from April 2010 to November 2011 were chosen and randomly divided into the intervention group and the control group. The control group received conventional nursing while the intervention group used Maslow＇ s need hierarchy to intervene. Pittsburgh sleep quality index （PSQI） and self-rating depression scale （SDS） were used to evaluate two groups＇ sleep quality and depressive state. Results PSQI was respectively （9.26± 0.55 ） and （9.37 ± 0.61 ） in the intervention and control group before intervention, and （4.85 ±0.66） and （6.31 ± 0.67 ） after. There was no statistically significant difference between two groups before intervention （ t = - 1.70, P 〉 0. 05 ）, while there was statistically significant difference between two groups after intervention （t = -2.41, P 〈 0. 05 ）. Before intervention, SDS of the intervention and control group was （ 68.95± 10.03 ） and （ 68.24 ±9.90 ）, while after intervention SDS was respectively （56.32 ± 11.85） and （64.12 ±8.67）. There was no statistically significant difference between two groups before intervention （ t = 1.70, P 〉 0. 05 ）, while there was statisticallysignificant difference between two groups after intervention （ t = - 2. 68, P 〈 0. 05 ）. Conclusions The application of Maslow＇ s need hierarchy on guiding clinical nurses to intervene with advanced lung cancer patients can significantly improve their sleep quality and reduce their depression.