综合护理干预对老年早期非小细胞肺癌术后患者预后的影响

Effect of comprehensive nursing intervention on prognosis of elderly patients with early stage non-small cell lung cancer after operation

目的探讨综合护理干预对老年早期非小细胞肺癌术后患者预后的影响。方法选择2016年5月~2018年5月在我院接受手术治疗的老年早期NSCLC患者64例为研究对象,采取随机数字表法分为对照组和干预组,每组各32例。对照组采取传统的护理方法,干预组在常规护理基础上给予综合护理干预。观察两组生存质量、患者不适感受,检测内容为血清白蛋白(ALB)、总胆固醇(TCH)、甘油三酯(TG)和淋巴细胞总数(TLC)4项营养指标。结果护理前,两组躯体功能、情绪功能、认知功能及角色功能等生存质量及ALB、TCH、TG、TLC水平比较差异无统计学意义(P> 0.05),护理后,两组睡眠时间短或质量差患者比例相似,差异无统计学意义(P> 0.05),两组躯体功能、情绪功能、认知功能、角色功能评分及ALB、TCH、TG、TLC水平均明显升高(P <0.05),且干预组较对照组改善更明显,干预组情绪低落、胸部不适、全身乏力患者比例明显低于对照组,ALB、TCH、TG、TLC水平明显高于对照组,差异均有统计学意义(P <0.05)。结论综合护理干预可明显提高老年早期非小细胞肺癌术后患者生存质量,降低术后不适感,改善术后营养状态。

Objective To explore the effect of comprehensive nursing intervention on the prognosis of elderly patients with early postoperative non-small cell lung eaneer（NSCLC） after operation. Methods Sixty-four elderly patients with early NSCLC who underwent surgery in our hospital fi＇om May 2016 to May 2018 were selected as the study subjects. They were divided into control group and intervention group by random number table method, each group had 32 eases. The control group was given the traditional nursing method, while the intervention group was given comprehensive nursing intervention on the basis of routine nursing. The quality of life and discomfort of the two groups were observed. Serum albumin（ALB）, total eholesterol（TCH）, triglyeeride（TG） and total lymphocyte eount（TLe） of two groups were measured. Results There was no significant difference in the quality of life（physical function, emotional function, cognitive function and role function）, and level of ALB, TCH, TG and TLC between the two groups before nursing（P 〉 0.05）. After nursing, the proportion of patients with short sleep time or poor quality of two groups was similar, but there was no significant differenee（P 〉 0.05）, the scores of physical function, emotional function, cognitive function and role function and levels of ALB, TCH, TG and TLC were significantly higher in the two groups（P 〈 0.05）. And the intervention group improved more significantly than the control group. The proportion of patients with depression, chest discomfort and general fatigue in the intervention group was significantly lower than that in the control group, and the levels of ALB, TCH, TG and TLC were significantly higher than those in the control group（P 〈 0.05）. Conclusion Comprehensive nursing intervention can significantly improve the quality of life, reduce postoperative discomfort and improve postoperative nutritional status of elderly patients with early non-small cell lung cancer.