术前综合心理护理对肺癌患者术后生存质量的影响

Influence of Preoperative Comprehensive Psychological Nursing on the Postoperative Quality of Life in Patients with Lung Cancer

目的探讨术前综合心理护理对肺癌患者术后生存质量的影响。方法将80例肺癌手术患者随机分为对照组和试验组,对照组采用常规护理,试验组在对照组基础上采用术前综合心理护理。观察两组患者入院时和术前2 h的血压、心率,护理前后的SAS、 SDS、 WHOQOL-100评分,以及住院期间的护理满意度。结果入院时,两组的收缩压、舒张压、心率比较无统计学差异(P>0.05);术前2 h,试验组的收缩压、舒张压、心率均低于对照组(P <0.05)。护理后,试验组的SAS、 SDS评分均低于对照组,WHOQOL-100评分高于对照组(P <0.05)。试验组的护理满意度明显高于对照组(P <0.05)。结论术前综合心理护理能有效降低肺癌患者的血压和心率,减轻其焦虑和抑郁情绪,提高患者术后生存质量及护理满意度。

Objective To explore the influence of preoperative comprehensive psychological nursing on the postoperative quality of life in patients with lung cancer.Methods 80 patients with lung cancer surgery were randomly divided into control group and experimental group.The control group was given routine nursing,while the experimental group was given preoperative comprehensive psychological nursing on the basis of the control group.The blood pressure and heart rate at admission and 2 hours before operation,the SAS,SDS and WHOQOL-100 scores before and after nursing,and the nursing satisfaction degree during hospitalization of the two groups were observed.Results At admission,no statistical difference was found in the systolic pressure,diastolic pressure and heart rate between the two groups(P>0.05).2 hours before operation,the systolic pressure,diastolic pressure and heart rate of the experimental group were lower than those of the control group(P<0.05).After nursing,the SAS and SDS scores of the experimental group were lower than those of the control group,and the WHOQOL-100 score was higher than that of the control group(P<0.05).The nursing satisfaction degree of the experimental group was significantly higher than that of the control group(P<0.05).Conclusions Preoperative comprehensive psychological nursing can effectively reduce blood pressure and heart rate of patients with lung cancer,relieve the anxiety and depression,improve the postoperative quality of life and nursing satisfaction degree.