延续性护理对肺癌术后出院患者生活质量及治疗依从性的影响

Effect of continuous nursing on quality of life and treatment compliance of discharged patients with lung cancer after operation

目的探讨延续性护理对肺癌术后出院患者生活质量及治疗依从性的影响。方法将该院2018年1月至2019年1月收治的82例肺癌手术患者分为干预组和对照组,每组各41例。对照组给予肺癌术后常规护理及出院指导,干预组在对照组的基础上实施延续性护理措施。对比两组患者出院2个月后的生活质量、生活自理能力、治疗依从性及并发症发生情况。结果干预后,干预组患者术后生活质量(生理维度、情感维度、功能维度、社会/家庭维度、肺癌特异模块)、术后自我护理能力(康复知识水平、自我责任感、自我护理概念、自我护理技能)及术后治疗依从性(用药情况、运动情况、呼吸训练情况、定期复诊情况)都明显高于对照组(P<0.05);干预组患者术后并发症发生率为18.23%,明显低于对照组的35.84%(P<0.05)。结论延续性护理有利于改善肺癌术后出院患者的生活质量、术后自我护理能力及治疗依从性,可以有效降低肺癌术后并发症的发生,值得临床应用。

Objective To explore the effect of continuous nursing on the quality of life and treatment compliance of discharged patients with lung cancer after operation.Methods Eighty-two patients with lung cancer treated in our hospital from June 2017 to June 2018 were randomly divided into intervention group and control group,41 cases in each group.The control group was given routine nursing,and the intervention group was given continuing nursing measures on this basis.Two months after discharge,the quality of life,self-care ability,treatment compliance and complications were compared between the two groups.Results After intervention,the quality of life(physiological dimension,emotional dimension,functional dimension,social/family dimension,lung cancer specific module),self-care ability(rehabilitation knowledge level,self-responsibility,self-care concept,self-care skills)and post-operative treatment compliance(medication,exercise,respiratory training,regular follow-up)of the intervention group were clear.The incidence of postoperative complications in intervention group was significantly lower than that in control group(P<0.05).Conclusion Continuous nursing can improve the quality of life,self-care ability and treatment compliance of discharged patients after lung cancer surgery,can effectively reduce the incidence of complications after lung cancer surgery,and is worthy of clinical application.