延续性护理干预模式在非小细胞肺癌中的应用效果及对患者呼吸功能的影响

Application effect of continuous nursing intervention model on non-small cell lung cancer and its influence on respiratory function of patients

目的探讨延续性护理干预模式在非小细胞肺癌患者中的应用效果。方法选取延安大学咸阳医院2020年6月至2021年6月收治的100例非小细胞肺癌患者作为研究对象,依照住院号奇偶性将其分为对照组与观察组,每组50例。对照组实施常规护理,观察组在常规护理基础上增加延续性护理干预模式。比较两组的癌因性疲乏、自我管理能力、生活质量评分以及呼吸功能指标。结果护理后,观察组的认知疲乏、情感疲乏、躯体疲乏评分低于对照组,差异具有统计学意义(P<0.05)。护理后,观察组的自我管理能力、简明生活质量量表(SF-36)评分高于对照组,差异具有统计学意义(P<0.05)。护理后,观察组的肺一氧化碳扩散量(DLCO)、第1秒用力呼气量与用力肺活量之比(FEV_(1)/FVC)高于对照组,残余容积与总肺容积之比(RV/TLC)低于对照组,差异具有统计学意义(P<0.05)。结论延续性护理干预模式能够减轻非小细胞肺癌患者的癌因性疲乏程度,提升生活质量与自我管理能力,进而促进呼吸功能恢复。

Objective To explore the application effect of continuous nursing intervention model in patients with non-small cell lung cancer.Methods A total of 100 patients with non-small cell lung cancer admitted in Xianyang Hospital of Yan'an University from June 2020 to June 2021 were selected as the research objects,and the patients were divided into control group and observation group according to the parity of hospitalization numbers,with 50 cases in each group.The control group was given routine nursing,and the observation group was given continuous nursing intervention model on the basis of routine nursing.The cancer-related fatigue,self-management ability,quality of life scores and respiratory function indexes were compared between the two groups.Results After nursing,the scores of cognitive fatigue,emotional fatigue and physical fatigue in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After nursing,the scores of self-management ability and the MOS 36-Item Short-Form Health Survey(SF-36)in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After nursing,the pulmonary diffusion capacity for carbon monoxide(DLCO)and the ratio of forced expiratory volume in one second to forced vital capacity(FEV_(1)/FVC)in the observation group were higher than those in the control group,the ratio of residual volume to total lung capacity(RV/TLC)was lower than that of the control group,and the differences were statistically significant(P<0.05).Conclusion The continuous nursing intervention model can reduce the degree of cancer-related fatigue in patients with non-small cell lung cancer,improve the quality of life and self-management ability,and promote the recovery of respiratory function.