综合护理干预在肺癌晚期患者疼痛及睡眠质量的应用价值

Application value of comprehensive nursing intervention on pain and sleep quality in patients with advanced lung cancer

目的探讨综合护理干预对肺癌晚期患者疼痛程度、睡眠质量及生活质量(QOL)的应用价值。方法选择2020年1月至2022年1月期间南方医科大学第七附属医院收治的98例肺癌晚期患者,随机对照试验分为两组,对照组49例,男29例,女20例,年龄39~79(57.02±7.46)岁,给予常规护理干预;观察组49例,男30例,女19例,年龄40~78(56.87±7.38)岁,给予综合护理干预。两组均干预4周后,比较患者干预前后疼痛程度、睡眠质量及生活质量(QOL)。统计学方法采用t检验。结果观察组与对照组干预4周后,视觉模拟量表(VAS)评分均低于干预前[(1.27±0.45)分比(4.61±1.52)分、(2.49±0.98)分比(4.57±1.48)分],而观察组VAS评分明显的低于对照组[(1.27±0.45)分比(2.49±0.98)分],差异均有统计学意义(t=8.373、4.743、8.359,均P<0.05);匹兹堡睡眠质量指数(PSQI)评分均低于干预前[(5.19±1.37)分比(7.39±0.61)分、(6.53±1.31)分比(7.42±0.59)分],而观察组PSQI评分明显的低于对照组[(5.19±1.37)分比(6.53±1.31)分],差异均有统计学意义(t=7.935、3.966、4.625,均P<0.05);QOL评分均高于干预前[(8.69±1.31)分比(6.59±1.32)分、(7.42±1.29)分比(6.61±1.28)分],而观察组QOL评分明显高于对照组[(8.69±1.31)分比(7.42±1.29)分],差异均有统计学意义(t=5.631、3.966、3.056,均P<0.05)。结论对肺癌晚期患者实施综合护理干预可以有效减轻患者疼痛程度、提高睡眠质量,对改善肺癌晚期患者生活质量发挥积极作用。

Objective To investigate the application value of comprehensive nursing intervention on pain degree,sleep quality,and quality of life(QOL)in patients with advanced lung cancer.Methods A total of 98 patients with advanced lung cancer admitted to Seventh Hospital from January 2020 to January 2022 were selected for the randomized controlled trial,and were randomly divided into a control group and an observation group,with 49 cases in each group.There were 29 males and 20 females in the control group;they were 39-79(57.02±7.46)years old.There were 30 males and 19 females in the observation group;they were 40-78(56.87±7.38)years old.The control group were given routine nursing intervention,and the observation group comprehensive nursing intervention,for 4 weeks.The pain degrees,sleep quality,and quality of life(QOL)were compared between the two groups.t test was applied.Results After 4 weeks'intervention,the scores of Visual Analogue Scale(VAS)in the observation group and the control group were significantly lower than those before the intervention[(1.27±0.45)vs.(4.61±1.52)and(2.49±0.98)vs.(4.57±1.48)],and the score in the observation group was lower than that in the control group[(1.27±0.45)vs.(2.49±0.98)],with statistical differences(t=8.373,4.743,and 8.359,all P<0.05).After 4 weeks'intervention,the scores of Pittsburgh Sleep Quality Index(PSQI)in the observation group and the control group were significantly lower than those before the intervention[(5.19±1.37)vs.(7.39±0.61)and(6.53±1.31)vs.(7.42±0.59)],and the score in the observation group was lower than that in the control group[(5.19±1.37)vs.(6.53±1.31)],with statistical differences(t=7.935,3.966,and 4.625;all P<0.05).After 4 weeks'intervention,the QOL scores of the observation group and the control group were significantly higher than those before intervention[(8.69±1.31)vs.(6.59±1.32)and(7.42±1.29)vs.(6.61±1.28)],and the score of the observation group was significantly higher[(8.69±1.31)vs.(7.42±1.29)],than that of the control group(t=5.6307,3.9664,and 3.0557;all P<0.05).Conclusion Comprehensive nursing intervention for patients with advanced lung cancer can effectively reduce their pain degre,and significantly improve their sleep quality and quality of life.