120例肺癌患者合并癌性疼痛的心理状况干预

Psychological Status and Nursing Intervention of 120 Patients with Lung Cancer Complicated with Cancer Pain

目的:研究护理干预措施对肺癌合并癌性疼痛患者的心理状况及预后的影响。方法:选取2015年6月至2016年6月接诊的120例肺癌合并癌性疼痛患者展开研究。按照随机数表法随机分为研究组和对照组。对照组应用常规护理措施对患者进行护理,研究组在常规护理基础上给予患者心理护理干预。护理干预前后,分析两组患者的焦虑自评量表(SAS)、抑郁自评量表(SDS)及视觉模糊评分法(VAS)评分,并对患者生活质量状况(社会功能、躯体功能、情绪功能、角色功能及认知功能评分)进行分析。同时,对两组患者满意度进行调查分析。结果:干预后,两组患者的SAS、SDS及VAS评分均显著降低,且研究组明显低于对照组,两组比较有统计学意义(t=-3.423,-3.043,-3.026;P<0.05)。研究组患者的社会功能、躯体功能、情绪功能、角色功能及认知功能评分均明显高于对照组,两组比较有统计学意义(t=10.531,8.248,5.560,7.791;P<0.05)。研究组患者对护理工作的满意度(96.67%)明显高于对照组(78.33%),两组比较有统计学意义(χ~2=7.619,P=0.0059)。结论:护理干预可显著改善肺癌合并癌性疼痛患者的心理状况,提高患者满意度,值得广泛推广应用。

Objective：To study the effects of nursing intervention on the psychological status and prognosis of lung cancer patients with cancer pain.Methods：To study the 120 cases of lung cancer patients with cancer pain from June2015 to June 2016.They were randomly divided into study group and control group.The patients in the control group were nursed by routine nursing measures,while patients in the study group were given psychological nursing intervention based on routine nursing.Try to analyze SAS,SDS and VAS scores of the two groups and the quality of life in patients（social function,physical function,emotional function,role function,cognitive function score）before and after the nursing intervention.Meanwhile,try to investigate and analyze the degree of satisfaction of patients in two groups.Results：After nursing,the SAS,SDS and VAS scores of the two groups were significantly lower,and the scores of the study group were significantly lower than those of the control group（t=-3.423,-3.043,-3.026;P0.05）.The social function,physical function,emotional function,role function：cognitive function scores of patients in the study group were significantly higher than those in the control group（t=10.531,8.248,5.560,7.791;P0.05）.The degree of satisfaction with nursing work of the patients in the study group（96.67%）was significantly higher than that of patients in the control group（78.33%）（χ~2=7.619,P0.05）.Conclusion：Nursing intervention can significantly improve the psychological status of patients with lung cancer combined with cancer pain and improve the satisfaction of patients,which deserves widespread application.