连续性护理对晚期肺癌化疗患者生活质量和负性情绪的影响

Effect of continuous nursing on quality of life and negative emotions in patients with advanced lung cancer undergoing chemotherapy

目的探讨连续性护理对晚期肺癌化疗患者生活质量和负性情绪的影响。方法采用随机数字表法将160例晚期肺癌化疗患者分为常规组(常规护理)和连续性干预组(连续性护理),每组80例。比较两组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)、肺癌患者生存质量测定量表(FACT-L)评分及化疗依从性。结果干预前,两组患者SAS、SDS、FACT-L各维度评分比较,差异均无统计学意义(P﹥0.05);干预后,两组患者SAS、SDS、FACT-L各维度评分均低于本组干预前(P﹤0.05),且连续性干预组患者SAS、SDS、FACT-L各维度评分均明显低于常规组(P﹤0.01)。连续性干预组患者化疗依从性明显优于常规组,差异有统计学意义(P﹤0.01)。结论连续性护理干预有助于提高晚期肺癌患者化疗依从性、生活质量,减少患者焦虑抑郁不良情绪。

Objective To investigate the effect of continuous nursing on quality of life and negative emotions in patients with advanced lung cancer undergoing chemotherapy.Method A total of 160 patients with advanced lung cancer undergoing chemotherapy were randomly divided into conventional group(conventional nursing)and continuous intervention group(continuous nursing)with 80 cases in each group.The scores of the self-rating anxiety scale(SAS),self-rating depression scale(SDS),functional assessment of cancer therapy scale-lung cancer(FACT-L),and chemotherapy compliance were compared between the two groups.Result Before the intervention,there was no significant difference in the scores of SAS,SDS,and each dimension of FACT-L between the two groups(P>0.05);after the intervention,the scores of SAS,SDS,and each dimension of FACT-L in the two groups were lower than those before the intervention(P<0.05),and the scores of SAS,SDS,and each dimension of FACT-L in the continuous intervention group were significantly lower than those in the conventional group(P<0.01).The chemotherapy compliance of patients in the continuous intervention group was significantly better than that in the conventional group,and the difference was statistically significant(P<0.01).Conclusion Continuous nursing intervention does help improve chemotherapy compliance and quality of life in patients with advanced lung cancer and reduce their anxiety and depression.