疼痛护理干预对晚期肺癌患者生活质量与舒适度的改善作用

Pain nursing intervention ameliorate the quality of life and comfort of patients with advanced lung cancer

目的分析对晚期肺癌患者采取疼痛护理干预对生活质量和舒适度的改善作用。方法选择2019年5月—2020年5月本院收治的晚期肺癌患者80例作为研究对象,通过随机数表法分为对照组和实验组两组,每组各40例。对照组采取常规护理,实验组采取疼痛护理干预,通过视觉模拟评分(VAS)量表评价两组患者护理前后疼痛程度;通过焦虑自评量表(SAS)和抑郁自评量表(SDS)评价护理前后心理状态;通过生活质量综合评定问卷(GQOLI-74)评价护理前后生活质量;通过自制量表调查护理满意度。结果护理后对比,实验组VAS评分相较对照组明显更低,差异有统计学意义(P<0.05)。实验组治疗后SAS、SDS评分相较对照组明显更低,差异有统计学意义(P<0.05)。实验组心理功能、躯体功能、物质生活、社会功能各维度评分相较对照组更高(P<0.05)。实验组护理总满意率相较对照组明显更高(P<0.05)。结论疼痛护理干预应用于晚期肺癌患者中,可明显减少焦虑、抑郁等情绪,有效缓解躯体疼痛,提高患者舒适度,改善生活质量,患者满意度较高,值得推广。

Objective To analyze the improve effect of pain nursing intervention on the quality of life and comfort in patients with advanced lung cancer.Methods 80 cases of patients with advanced lung cancer those treated in our hospitalfrom May 2019 to May 2020 were enrolled as study subjects.They were randomly divided into control group and experimental group according to random number table method,40 cases in each group.The control group taken routine care,while the experimental group taken pain nursing intervention,and the visual analogue scale(VAS)scale was used to evaluate the pain degree of patients before and after nursing intervention;self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were used to evaluate mental state before and after nursing;comprehensive quality of life assessment questionnaire(GQOLI-74)was used to evaluate quality of life before and after nursing;self-made scale was used to evaluate satisfaction on care.Results After nursing,the VAS score of the experimental group was significantly lower than that of the control group,and there was a statistical difference between the two groups(P<0.05).After treatment,the scores of SAS and SDS in the experimental group were significantly lower than those in the control group,and there was a statistical difference between the two groups(P<0.05).The scores of psychological function,physical function,material life,and social function of the experimental group were higher than those of the control group(P<0.05).The total nursing satisfaction rate of the experimental group was significantly higher than that of the control group(P<0.05).Conclusions Pain nursing intervention applied to patients with advanced lung cancer could significantly reduce anxiety,depression and other emotions,effectively relieve physical pain,improve patient comfort,improve quality of life,and the patientspresent high satisfaction rate.It is worthy of promotion.