规范管理在非小细胞肺癌合并慢性阻塞性肺疾病患者中的应用效果分析

Analysis of the Application Effect of Standardized Management in Patients with Non-small Cell Lung Cancer Combined with Chronic Obstructive Pulmonary Disease

目的:分析规范管理在非小细胞肺癌(NSCLC)合并慢性阻塞性肺疾病(COPD)患者中的应用效果。方法:选取2021年1月—2022年6月佛山市第一人民医院收治的NSCLC合并COPD患者60例为研究对象,按照随机数字表法分为对照组与观察组,各30例。对照组实施常规护理,观察组在对照组基础上开展规范管理。比较两组住院情况、肺功能、负性情绪、生活质量。结果:观察组机械通气时间、住院时间短于对照组,差异有统计学意义(P<0.001);护理后,两组第1秒用力呼气容积、用力肺活量水平升高,观察组高于对照组,差异有统计学意义(P<0.05);护理后,两组焦虑自评量表、抑郁自评量表评分降低,观察组低于对照组,差异有统计学意义(P<0.05);护理后,两组欧洲癌症研究及治疗组织生活质量核心量表评分降低,观察组低于对照组,差异有统计学意义(P<0.05)。结论:规范管理可缩短NSCLC合并COPD患者恢复时间,改善其肺功能,缓解其负性情绪,提高其生活质量。

Objective:To analyze the application effect of standardized management in patients with non-small cell lung cancer(NSCLC)combined with chronic obstructive pulmonary disease(COPD).Methods:Sixty patients with NSCLC combined with COPD admitted to Foshan First People's Hospital from January 2021 to June 2022 were selected as the study subjects,and were divided into the control group and the observation group according to the method of randomized numerical table,each with thirty cases.The control group implemented routine care,and the observation group carried out standardized management on the basis of the control group.Compare the hospitalization,pulmonary function,negative emotion,and quality of life of the two groups.Results:Mechanical ventilation time and hospitalization time of the observation group were shorter than that of the control group,and the difference was statistically significant(P<0.001);after nursing,the levels of exertional expiratory volume in the first second and exertional lung capacity of the two groups were elevated,and the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05);after nursing care,the Self-rating Anxiety Scale and Self-rating Depression Scale scores of the two groups decreased,and the observation group was lower than the control group,and the difference was statistically significant(P<0.05);after nursing care,the European Organization for Research and Treatment of Cancer Quality of Life Core Scale scores of the two groups decreased,and the observation group was lower than the control group,and the difference was statistically significant(P<0.05).Conclusion:Standardized management can shorten the recovery time of patients with NSCLC combined with COPD,improve their lung function,alleviate their negative emotions,and improve their quality of life.