人文关怀干预对重症监护室肺癌术后患者负性情绪、疼痛程度、睡眠质量和生活质量的影响

Influence of humanistic care intervention on negative emotion,pain degree,sleep quality and quality of life of patients with lung cancer in intensive care unit after operation

目的探讨人文关怀干预对重症监护室肺癌术后患者负性情绪、疼痛程度、睡眠质量和生活质量的影响。方法选取92例肺癌患者,均接受手术治疗,采用随机数字表法分为观察组和对照组,每组46例,对照组患者给予常规护理,观察组患者在常规护理的基础上给予人文关怀干预。比较两组患者疼痛程度[视觉模拟评分法(VAS)]、负性情绪[焦虑自评量表(SAS)和抑郁自评量表(SDS)]、睡眠质量[匹兹堡睡眠质量指数(PSQI)]、生活质量[世界卫生组织生存质量测定量表简表(WHOQOL-BREF)]和术后并发症发生情况。结果术后第1、2、3天,观察组患者的VAS评分均明显低于对照组,差异均有统计学意义(P﹤0.01)。干预后,两组患者SDS、SAS、PSQI评分均低于本组干预前,且观察组患者SDS、SAS、PSQI评分均低于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者WHOQOL-BREF量表各维度评分均高于本组干预前,且观察组患者WHOQOL-BREF量表各维度评分均高于对照组,差异均有统计学意义(P﹤0.05)。观察组患者的术后并发症总发生率为15.22%,低于对照组患者的36.96%,差异有统计学意义(P﹤0.05)。结论人文关怀可减轻患者的疼痛程度,有效缓解患者术后焦虑和抑郁等负性情绪,提高睡眠质量和生活质量,增强患者抗肿瘤治疗的信心,有效降低了术后并发症发生率,有利于术后康复。

Objective To explore the influence of humanistic care intervention on negative emotion,pain degree,sleep quality and quality of life of patients with lung cancer in intensive care unit after operation.Method A total of 92 patients with lung cancer were selected and all received surgical treatment,they were randomly divided into observation group and control group with 46 patients in each group.The patients in the control group were given routine nursing,and the patients in the observation group were given humanistic care intervention on the basis of routine nursing.The pain degree[visual analogue scale(VAS)],negative emotion[self-rating depression scale(SDS),self-rating anxiety scale(SAS)],sleep quality[Pittsburgh sleep quality index(PSQI)],quality of life[World Health Organization quality of life assessment instrument brief version(WHOQOL-BREF)]and postoperative complications were compared between the two groups.Result On the 1st,2nd and 3rd day after operation,the VAS score of patients in the observation group were significantly lower than those in the control group(P<0.01).After intervention,the SDS,SAS and PSQI scores in the two groups were lower than those before intervention,and the SDS,SAS and PSQI scores in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).After intervention,the scores of each dimension of the WHOQOL-BREF scale in the two groups were higher than those before intervention,and the scores of each dimension of the WHOQOL-BREF scale in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).The total incidence of postoperative complications in the observation group was 15.22%,lower than 36.96%in the control group,and the difference was statistically significant(P<0.05).Conclusion Humanistic care can alleviate the pain degree of patients,effectively alleviate the negative emotions such as anxiety and depression after surgery,improve the quality of sleep and life,enhance the confidence of patients in anti-tumor treatment,effectively reduce the incidence of postoperative complications,and is conducive to postoperative rehabilitation.