中西医结合护理对食管癌患者心理状态、生活质量及睡眠质量的影响

Effect of Integrated Chinese and Western Medicine Nursing on Psychological State,Life Quality and Sleep Quality of Patients with Esophageal Cancer

目的:观察中西医结合护理对食管癌患者心理状态、生活质量及睡眠质量的影响。方法:选取120例食管癌患者,按随机数字表法分为对照组与观察组各60例。对照组实施常规护理,观察组实施中西医结合护理。比较2组护理前后焦虑自评量表(SAS)、抑郁自评量表(SDS)、世界卫生组织生活质量测定简表(WHOQOL-BREF)及匹兹堡睡眠质量指数(PSQI)评分。结果:护理后,2组SAS、SDS评分均较护理前降低(P<0.05),观察组SAS、SDS评分均低于对照组(P<0.05)。护理后,2组生理、心理、社会、环境、独立、精神世界/宗教/个人信仰评分均较护理前升高(P<0.05),观察组上述WHOQOLBREF各项细则评分均高于对照组(P<0.05)。护理后,2组睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物、日间功能障碍、PSQI总分均较护理前降低(P<0.05),观察组上述PSQI各项细则评分及总分均低于对照组(P<0.05)。结论:在食管癌患者护理中,采用中西医结合护理可提升其生活质量,减轻负性心理状态,改善睡眠质量。

Objective:To observe the effect of integrated Chinese and western medicine nursing on psychological state,life quality and sleep quality of patients with esophageal cancer.Methods:A total of 120 cases of patients with esophageal cancer were selected and divided into the control group and the observation group according to the random number table method,60 cases in each group.The control group was given routine nursing,and the observation group was given integrated Chinese and western medicine nursing.The scores of Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS),the World Health Organization’s Quality of Life Scale-Brief Version(WHOQOL-BREF),and Pittsburgh Sleep Quality Index(PSQI)before and after nursing were compared between the two groups.Results:After nursing,the scores of SAS and SDS in the two groups were decreased when compared with those before nursing(P<0.05);the two scores in the observation group were lower than those in the control group(P<0.05).After nursing,the scores of physiology,psychology,society,environment,independence,and spiritual word/religious/personal belief in the two groups were increased when compared with those before nursing(P<0.05);the above each score of WHOQOL-BREF in the observation group was higher than that in the control group(P<0.05).After nursing,the scores of sleep quality,sleep latency,sleep duration,habitual sleep efficiency,sleep disturbances,sleeping medication,daytime dysfunction,as well as the total score of PSQI in the two groups were decreased when compared with those before nursing(P<0.05);the above each score of PSQI as well as the total score in the observation group was lower than that in the control group(P<0.05).Conclusion:In nursing of patients with esophageal cancer,integrated Chinese and western medicine nursing can promote their quality of life,relieve negative psychological state,and improve sleep quality.