尊严护理联合阻力呼吸训练在肺癌化疗患者中的应用效果

Application effect of dignity nursing combined with resistance breathing training in lung cancer patients with chemotherapy

目的观察尊严护理联合阻力呼吸训练应用在肺癌(LC)化疗患者中的效果。方法前瞻性选取2018年1月至2020年3月青岛市市立医院接受化疗的85例LC患者,根据门诊单双号分为A组43例及B组42例,两组均接受阻力呼吸训练,在此基础上,A组联合常规护理,B组在A组基础上联合尊严护理;于干预前、干预4周,比较两组呼吸功能[用力肺活量(FVC)、第1秒用力呼气容积(FEV1)]、心理状态[医院焦虑抑郁量表(HAD)];记录不良事件发生情况。结果干预4周,两组FVC、FEV1水平均较干预前升高(P<0.05),但两组FVC、FEV1水平比较,差异无统计学意义(P>0.05);干预4周,两组HAD评分均较干预前下降,且B组低于A组(P<0.05);两组不良事件发生率比较,差异无统计学意义(P>0.05)。结论尊严护理联合阻力呼吸训练应用于LC化疗患者中,更利于缓解患者焦虑、抑郁等不良情绪,呼吸功能改善,应用价值高。

Objective To observe the effect of dignity nursing combined with resistance breathing training in lung cancer(LC)patients with chemotherapy.Methods A total of 85 LC patients who received chemotherapy in Qingdao Municipal Hospital from January 2018 to March 2020 were prospectively selected,according to the add or even number of outpatient,divided them into group A 43 cases and group B 42 cases,both groups were received resistance breathing training,on this basis,group A was combined with routine nursing,group B was combined with with dignity nursing on the basis of group A;before and four weeks of intervention,the respiratory function(forced vital capacity[FVC],forced expiratory volume in one second[FEV1]),mental state(Hospital Anxiety and Depression Scale[HAD])were compared between the two groups;the incidence of adverse events in the two groups was recorded.Results After four weeks of intervention,the levels of FVC and FEV1 in both groups were increased than those before intervention(P<0.05),but compared FVC and FEV1 levels of both groups,there were no statistical significant difference(P>0.05);after four weeks of intervention,the HAD scores of both groups were decreased than those before intervention,and group B was lower than group A(P<0.05);the incidence of adverse events of both groups were compared,there was no statistical significant difference(P>0.05).Conclusion Dignity nursing combined with resistance breathing training in LC chemotherapy patients is more conducive to alleviate anxiety,depression and other adverse emotions,improve their respiratory function,and has high application value.