多维度协同护理对肺癌合并冠心病患者康复效果的影响

Effects of multi-dimension coordination nursing on rehabilitation efficacy in patients with lung cancer complicated with coronary heart disease

目的探讨多维度协同护理对肺癌合并冠心病患者康复效果的影响。方法选取2015年2月至2017年2月间解放军第三一三医院收治的188例肺癌合并冠心病患者,采用随机抽取法分为常规组和康复组,每组94例。常规组患者采用常规护理,康复组患者在常规护理基础上采用多维度协同护理,比较两组患者的自我护理能力、护理前后的焦虑和抑郁情绪、日常生活能力及生活质量。结果护理后,康复组患者在自我护理技能、自我护理责任感、自我概念和健康知识水平四个维度得分及总分均高于常规组,两组比较,差异均有统计学意义(均P <0. 05)。护理前,两组患者焦虑和抑郁情绪评分比较,差异无统计学意义(P> 0. 05)。护理后,两组患者的焦虑和抑郁情绪评分均低于护理前,且康复组患者评分均低于常规组,差异均有统计学意义(均P <0. 05)。护理前,两组患者日常生活能力和生活质量评分比较,差异无统计学意义(P> 0. 05)。护理后,两组患者的日常生活能力和生活质量评分均高于护理前,且康复组患者评分均高于常规组,差异均有统计学意义(均P <0. 05)。结论肺癌合并冠心病患者采用多维度协同护理,可有效提高患者的自我护理能力,缓解焦虑和抑郁情绪,康复效果明显。

Objective To explore the effects of multi-dimension coordination nursing on rehabilitation efficacy in patients with lung cancer complicated with coronary heart disease Methods From February 2015 to February 2017,188 patients with lung cancer complicated with coronary heart disease treated at 313 Hospital of Chinese People's Liberation Army were selected. They were randomly divided into a routine group and a rehabilitation group with 94 patients in each group. The rehabilitation group was given multi-dimensional cooperative rehabilitation nursing on the basis of routine nursing and the routine group was given routine nursing. The self-care ability,anxiety and depression,daily life ability and quality of life scores were compared between the two groups. Results The scores of four dimensions of self-nursing skills,selfresponsibility of nursing,self-concept and level of health knowledge and the overall scores were higher in rehabilitation group than in routine group( all P<0. 05). There was no significant difference in the scores of depression and anxiety between the two groups before nursing( P>0. 05). The scores of depression and anxiety in the two groups after nursing were lower than those before nursing( all P<0. 05). Before nuring,there was no significant difference in the scores of daily life ability and quality of life( P<0. 05). After nursing,the above socres were higher in the two groups than those before nursing with the scores higher in the observation group than in the control group( all P<0. 05). Conclusion The multi-dimension coordination nursing can effectively improve the self-care ability and relieve the anxiety and depression in patients with lung cancer and coronary heart disease.