晚期肺癌化疗患者实施延续性护理模式的方法与护理效果分析

Analysis of the Methods and Nursing Effect of Implementing Continuous Nursing Mode for Patients with Advanced Lung Cancer Chemotherapy

目的研究晚期肺癌化疗患者实施延续性护理模式的方法与效果。方法方便选择2020年1—12月于该院接受化疗的80例晚期肺癌患者为研究对象,其中观察组对照组各40例,对照组采用常规护理,观察组在常规护理基础上采用延续性护理,并对两组最终的护理结果实施对比分析。结果护理后,观察组在生理状况(70.51±8.03)分、情感状况(76.34±7.56)分、功能状况(76.57±6.37)分及生活质量(79.44±5.31)分方面得分均高于对照组的(56.78±7.24)分、(55.13±7.22)分、(58.45±5.87)分及(59.33±5.05)分,差异有统计学意义(t=8.031、12.832、13.229、17.356,P<0.05);观察组的SAS(31.55±2.07)分、SDS(26.15±2.55)分均低于对照组的(40.31±2.34)分、(40.27±3.01)分,差异有统计学意义(t=17.734、22.637,P<0.05);观察组的睡眠质量(1.22±0.25)分、睡眠时间(1.09±0.31)分、入睡时间(1.08±0.25)分、日间功能障碍(1.02±0.34)分、睡眠效率(0.69±0.42)分及睡眠质量总分(5.37±1.03)分方面均明显低于对照组的(1.53±0.61)分、(1.34±0.42)分、(1.66±0.31)分、(1.49±0.55)分、(1.37±0.34)分及(8.49±1.18)分,差异有统计学意义(t=2.974、3.029、9.211、4.597、7.959、12.598,P<0.05)。结论对晚期肺癌化疗患者积极实施延续性护理,不但能改善其生活质量,提高患者的睡眠质量,而且对患者的焦虑、抑郁等不良情绪也有较好的改善作用,对于患者的疾病康复具有积极作用,建议临床对此护理方案进行积极推广。

Objective To study the method and effect of continuation nursing mode for patients with advanced lung cancer chemotherapy.Methods 80 patients with advanced lung cancer who received chemotherapy in the hospital from January to December 2020 were conveniently selected as the research objects.Among them,the observation group had 40 cases in the control group,the control group used routine care,and the observation group with continuity on the basis of routine care nursing and comparative analysis of the final nursing results of the two groups.Results After nursing,the observation group’s scores in terms of physiological status(70.51±8.03)points,emotional status(76.34±7.56)points,functional status(76.57±6.37)points and quality of life(79.44±5.31)points were higher than those of the control group(56.78±7.24)points,(55.13±7.22)points,(58.45±5.87)points and(59.33±5.05)points,the difference was statistically significant(t=8.031,12.832,13.229,17.356,P<0.05).The scores of SAS(31.55±2.07)points and SDS(26.15±2.55)points were lower than those of the control group(40.31±2.34)points and(40.27±3.01)points,the difference was statistically significant(t=17.734,22.637,P<0.05);the observation group's sleep quality(1.22±0.25)points,sleep time(1.09±0.31)points,time to fall asleep(1.08±0.25)points,daytime dysfunction(1.02±0.34)points,sleep efficiency(0.69±0.42)points and the total score of sleep quality(5.37±1.03)points was significantly lower than that of the control group(1.53±0.61)points,(1.34±0.42)points,(1.66±0.31)points,(1.49±0.55)points,(1.37±0.34)points and(8.49±1.18)points,the difference was statistically significant(t=2.974,3.029,9.211,4.597,7.959,12.598,P<0.05).Conclusion Actively implementing continuation care for advanced lung cancer patients undergoing chemotherapy can not only improve their quality of life and improve their sleep quality,but also have a better effect on patients’anxiety,depression and other unhealthy emotions,which is positive for patients’recovery from disease.It is recommended that clinicians actively promote this nursing program.