人文关怀理念联合呼吸功能锻炼对肺腺癌患者的效果评价

Effect evaluation of humanistic care concept combined with respiratory function exercise on patients with lung adenocarcinoma

目的探讨人文关怀理念联合呼吸功能锻炼对肺腺癌患者的影响。方法选择温州医科大学附属第一医院2014年1月—2016年6月86例晚期肺腺癌患者为研究对象,依据随机数字表法分为对照组和观察组;对照组43例患者给予呼吸功能锻炼,观察组43例患者给予人文关怀联合呼吸功能锻炼。采用FEV1、FEV1/FVC评价2组肺功能,采用SAS与SDS评估2组情绪状态,采用36-SF量表评估2组生活质量;对比2组患者肺功能、负性情绪、生活质量、治疗依从性。结果治疗1个月后,观察组FEV1(1.66±0.22)、FEV1/FVC(67.92±10.06)均高于对照组(1.43±0.24、58.19±9.35),差异有统计学意义(均P<0.05);观察组SAS与SDS(38.75±2.68、35.47±3.04)均明显低于对照组(47.67±4.29、47.35±4.28),差异有统计学意义(均P<0.05);观察组各方面生活质量明显高于对照组(均P<0.05);观察组(90.70%)治疗依从性明显好于对照组(62.80%),差异有统计学意义(P<0.05)。结论人文关怀理念联合呼吸功能锻炼能够改善肺腺癌患者肺功能,降低其负性情绪,并提高其生活质量与治疗依从性。

Objective To investigate the effects of humanistic care concept combined with respiratory function exercise on pulmonary function, negative emotion and quality of life in patients with lung adenocarcinoma. Methods Eighty-six cases of advanced lung adenocarcinoma patients in our hospital from January 2014 to June 2016 were selected as the research object and were randomly divided into control group and observation group;the control group were given respiratory function exercise, the observation group were given humanistic care concept combined with respiratory function exercise. The lung function of the two groups was evaluated by FEV1 and FEV1/FVC. The emotional state of the two groups was evaluated by SAS and SDS. The quality of life of the two groups was evaluated by 36-SF scale. The lung function, negative emotion, quality of life and treatment compliance were compared between the two groups. Results After 1 month of treatment, the FEV1(1.66±0.22) in the observation group was significantly higher than that in the control group(1.43±0.24), the FEV1/FVC in the observation group(67.92±10.06) was significantly higher than that in the control group(58.19±9.35). The difference was significant(both P<0.05). The SAS and SDS in the observation group(38.75±2.68, 35.47±3.04) were significantly lower than those in the control group(47.67±4.29, 47.35±4.28), all P<0.05. The quality of life of the observation group was significantly higher than that of the control group. The treatment compliance of observation group(90.70%) was significantly better than the control group(62.80%), P<0.05. Conclusion Humanistic care concept combined with respiratory function exercise can improve the lung function and reduce the negative emotions of pemetrexed combined with cisplatin in patients with lung adenocarcinoma, and improve their quality of life and treatment compliance.