延续护理对肺癌患者心理及生活质量的影响

Effect of Continuous Nursing on the Psychology and Quality of Life of Patients With Lung Cancer

目的探讨延续护理对肺癌患者心理状况、自我效能及生活质量的影响。方法80例肺癌患者,随机分为对照组和研究组,每组40例。对照组采用常规护理,研究组在对照组的基础上采用基于微信平台的延续性护理。比较两组患者3个月后的心理状况,自我效能及生活质量。结果两组患者汉密顿抑郁量表(Hamilton depression scale,HAMD)和汉密顿焦虑量表(Hamilton anxiety scale,HAMA)评分均显著下降,组间比较,研究组干预后HAMD和HAMA评分均显著低于对照组(t=6.92,8.39,P<0.05)。两组患者自我效能评分均显著升高,组间比较,研究组自我效能评分显著高于对照组(t=6.01,P<0.05)。两组患者各项生活质量评分均显著升高,组间比较,研究组各项生活质量评分显著高于对照组(t=9.62,5.07,4.98,5.41,6.70,P<0.05)。结论基于微信平台的新型延续性护理能够有效减轻肺癌患者的焦虑、抑郁等负性情绪,提高患者的自我效能及生活质量,值得临床借鉴。

Objective To explore the effect of continuous nursing on the psychological status,self-efficacy and quality of life of patients with lung cancer.Methods 80 patients with lung cancer were randomly divided into control group and study group,40 cases in each group.Control group received routine nursing,while study group received continuous nursing based on Wechat platform.The psychological status,self-efficacy and quality of life of the two groups after 3 months were compared.Results The scores of HAMD and HAMA in study group were significantly lower than those in control group(P<0.05).The scores of NURSES in study group were significantly higher than that in control group(P<0.05).The scores of SF-36 in study group were significantly higher than those in control group(P<0.05).Conclusion The new continuous nursing can effectively reduce the negative emotions such as anxiety and depression of lung cancer patients,and improve the self-efficacy and quality of life of patients,which is worthy of clinical reference.