全人照护模式在老年肺癌患者康复护理中的应用

Application of four integrated nursing model in rehabilitation nursing of elderly patients with lung cancer

目的：探讨全人照护模式在老年肺癌患者康复护理中的应用效果。方法将84例老年肺癌患者随机分为对照组和干预组各42例，对照组采用常规的整体护理模式康复护理，干预组在常规此基础上实施全人照护模式，采用生命质量测评量表（ FACT）、抑郁自评量表（ SDS）、焦虑自评量表（ SAS）评价两组护理效果。结果干预前两组患者FACT各分量表评分及SDS、SAS评分比较差异均无统计学意义（P＞0．05）；干预后干预组FACT各分量表评分分别为（69．99±1．45），（69．87±2．54），（70．24±1．36），（69．25±2．02），（68．24±1．41）分，均高于对照组与干预前，差异均有统计学意义（P＜0．05）；对照组干预前后FACT各分量表评分比较差异无统计学意义（P＞0．05）；干预后干预组患者SDS、SAS评分分别为（33．893±4．257），（29．754±3．896）分，均低于对照组（39．450±5．058），（34．639±5．785）分，差异均有统计学意义（t值分别为-1．023，1．903；P＜0．05）。结论全人照护模式对提高肺癌患者的整体生存质量具有积极意义，值得临床推广。

Objective To explore the application effect of four integrated nursing model in rehabilitation nursing of elderly patients with lung cancer .Methods Eighty-four elderly patients with lung cancer were chosen and were randomly divided into the control group and the intervention group , each with 42 cases.The control group received the routine holistic nursing mode , and the intervention group received the four integrated nursing model on the basis of the control group .The nursing effect was evaluated by the FACT , self-rating depression scale （ SDS ） and self -rating anxiety scale （ SAS ） in two groups .Results No differences were found in the scores of FACT , SDS, SAS between two group before the intervention （P〉0.05）. The scores of every scales of FACT were respectively （69.99 ±1.45）, （69.87 ±2.54）, （70.24 ±1.36）, （69.25 ±2.02）, （68.24 ±1.41） in the intervention group after the intervention , and were higher than those of the control group and those before the intervention （P〈0.05）.No differences were found in the scores of every scales of FACT in the control group before and after the intervention （P〉0.05）.The scores of SDS and SAS were respectively （33.893 ±4.257）, （29.754 ±3.896） in the intervention group after the intervention , and were lower than （39.450 ±5.058）, （34.639 ±5.785） in the control group, and the differences were statistically significant （t=-1.023,1.903, respectively;P〈0.05）.Conclusions The four integrated nursing model has a positive significance on the improvement of the overall quality of life in patients with lung cancer , and is worthy of the clinical promotion .