一体化护理模式联合心理护理干预在晚期肺癌失眠患者中的应用效果分析

Application Effect Analysis of Integrated Nursing Model Combined with Psychological Nursing Intervention in Insomnia Patients with Advanced Lung Cancer

目的:分析一体化护理模式联合心理护理干预在晚期肺癌失眠患者中的应用效果。方法:选取2019年1月至2021年12月中国人民解放军联勤保障部队第九〇九医院收治的晚期肺癌伴失眠患者120例作为研究对象,按照随机数字表法分为观察组和对照组,每组60例。对照组给予常规护理干预,观察组给予“医院-家庭”一体化护理模式联合心理干预。比较2组患者干预前后的夜间平均睡眠时长和入睡潜伏期,采用匹兹堡睡眠指数量表(Pittsburgh Sleep Quality Index,PSQI)比较2组患者干预前后睡眠改善情况,同时比较2组患者的护理满意度。结果:干预后,2组睡眠时长均有所增加,入睡潜伏期均缩短,PSQI评分有所降低,且观察组睡眠时长显著高于对照组,入睡潜伏期减显著低于对照组,PSQI评分显著低于对照组,观察组护理满意度高于对照组,2组比较差异有统计学意义(P<0.05)。结论:“医院-家庭”一体化护理模式联合心理干预能有效改善晚期肺癌失眠患者的睡眠质量,增加夜间睡眠时长、减短入睡潜伏期、提高睡眠质量,提高患者的护理满意度,具有临床推广价值。

Objective:To analyze the application effect of integrated nursing model combined with psychological nursing intervention in insomnia patients with advanced lung cancer.Methods:A total of 120 patients with advanced lung cancer with insomnia admitted to the 909th Hospital of the Joint Logistic Support Force of the Chinese People′s Liberation Army from January 2019 to December 2021 were selected as the research objects.According to the random number table method,they were divided into the observation group and the control group,with 60 cases in each group.The control group was given routine nursing intervention,while the observation group was given“hospital-family”integrated nursing model combined with psychological intervention.The average night sleep duration and sleep latency were compared between the 2 groups before and after the intervention.The Pittsburgh Sleep Quality Index(PSQI)was used to compare the sleep improvement of the 2 groups before and after the intervention,and the nursing satisfaction of the 2 groups was also compared.Results:After the intervention,the total sleep time was increased,the sleep latency were decreased,PSQI score was lower than before intervention,and the PSQI score in observation group was significantly lower than the control group,the total sleep time was longer than the control group,the sleep lantency was shorter than the control group,the difference between the 2 groups was statistically significant(P s<0.05).Conclusion:The“hospital-family”integrated nursing model combined with psychological intervention can effectively improve the sleep quality of insomnia patients with advanced lung cancer,increase the sleep duration at night,reduce the latency of falling asleep,improve the sleep quality,and improve the nursing satisfaction of patients,which has clinical promotion value.