循证护理在肺癌患者介入治疗术后康复中的应用

Application of evidence-based nursing in the rehabilitation of lung cancer patients after interventional therapy

目的探讨循证护理在肺癌患者介入治疗术后康复中的应用效果。方法选择2013年1月至2015年1月间收治的行介入治疗的肺癌患者110例,采用随机数字法分为研究组和对照组,每组各55例。研究组患者在常规护理的基础上采取循证护理措施,对照组患者仅采取常规护理措施,对两组患者的应用效果进行比较。结果研究组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)分值显著低于对照组和护理干预前,诺丁汉健康量表(NHP)各项指标高于对照组和护理干预前(均P<0.05);研究组患者并发症发生率为3.6%,显著低于对照组的18.2%(P<0.05)。结论循证护理在肺癌患者介入治疗术后的康复中具有显著的应用效果,可有效地提高患者的生活质量,改善不良心理状态,降低并发症,值得临床应用。

Objective To investigate the efficacy of evidence-based nursing in the rehabilitation of lung cancer patients after interventional therapy. Methods From January 2013 to January 2015wenchang Tongji Hospital , 110 cases of interventional treatment of lung cancer patients were enrolled in the study. They was randomly divided into the study group and the control group, 55 cases in each group. The study group accepted evidence-based nursing measures based on routine nursing. The control group only accepted routine nursing. The efficacy of the both groups was compared. Results The self-rating depression scale （SDS） and self-rating anxiety scale （SAS） in the study group were significantly lower than those in the con- trol group and before nursing intervention, and Nottingham Health Profile （NHP） indexes were higher than those of the control group and before nursing intervention （ P 〈 0.05 ） ; The incidence of complications in the study group was 3.6%, significantly lower than 18.2% of the control group （P 〈0. 05）. Conclusions Evidence-based nursing in the rehabilitation of patients with lung cancer after interventional therapy has bet- ter efficacy. It can effectively improve the quality of life and the mental state of the unhealthy and reduce the probability of complications. So it is suitable for clinical application and promotion.