辨证护理对肺癌患者化疗后抑郁的干预作用研究

Study on the Intervention Effect of Syndrome Differentiation Nursing Scheme on Depression Induced by Chemotherapy in Patients with Lung Cancer

目的探讨综合性中医护理方案联合细节护理对肺癌患者术后化疗产生抑郁情绪的干预作用。方法将2017年6月—2018年12月收治的78例肺癌术后化疗患者随机分为对照组与观察组,每组39例。对照组给予常规护理干预,观察组给予综合性中医护理方案联合细节护理干预,应用ZUNG自评抑郁量表(SDS)评估干预前后患者抑郁情绪状况;应用中文版SF-36生活量表评价干预前后患者生活质量情况。结果与对照组比较,观察组SDS评分显著较低(P<0.01),SF-36评分明显较高(P<0.05)。结论综合性中医护理方案联合细节护理可有效改善肺癌患者术后化疗产生的抑郁不良情绪,提高生活质量。

Objective To explore the intervention effect of comprehensive TCM nursing scheme combined with detailed nursing on depression in patients with lung cancer after chemotherapy.Methods 78 patients with lung cancer undergoing chemotherapy after operation from June 2017 to December 2018 were randomly divided into control group and study group,with 39 cases in each.The control group received routine nursing intervention,and the study group received comprehensive TCM nursing program combined with detailed nursing intervention.ZUNG Self-rating Depression Scale(SDS)was used to evaluate the depressive mood of patients before and after intervention.The Chinese version of SF-36 Life Scale was used to evaluate the quality of life of patients before and after intervention.Results Compared with the control group,the SDS score of the study group was significantly lower(P<0.01),and the SF-36 score was significantly higher(P<0.05).Conclusion Comprehensive TCM nursing program combined with detailed nursing can effectively improve the depression and quality of life of patients with lung cancer after chemotherapy.