循证护理在晚期肺癌疼痛护理中的应用对患者生活质量的改善作用

Application of Evidence-Based Nursing in Pain Care of Advanced Lung Cancer to Improve the Quality of Life of Patients

目的探讨循证护理在晚期肺癌疼痛护理中的应用对患者生活质量的改善效果。方法选取2020年6月至2021年6月福建医科大学附属龙岩第一医院收治的晚期肺癌疼痛患者88例,随机数字表法分为两组,对照组44例予以常规护理,干预组44例予以循证护理。比较两组疼痛情况、生活活动能力、生活质量以及并发症发生率。结果护理后,干预组疼痛数字评分法(NRS)评分、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分以及并发症发生率均低于对照组(均P<0.05)。护理后,干预组改良Barthel指数(MBI)评分、生活质量综合评定问卷(GQOLI-74)评分高于对照组(均P<0.05)。结论循证护理在晚期肺癌疼痛护理中的应用效果较好,有利于减轻患者疼痛感,提高生活活动能力、生活质量。

Objective To explore the effect of evidence-based nursing on the quality of life of patients with advanced lung cancer.Methods A total of 88 patients with advanced lung cancer pain admitted to Longyan First Hospital Affiliated to Fujian Medical University from June 2020 to June 2021 were randomly divided into two groups,44 cases in the control group was given routine nursing,and 44 cases in the intervention group was given evidencebased nursing.Pain,activity of life,quality of life and complication rate were compared between the two groups.Results After care,the pain numeric rating scale(NRS)scores,self-assessment anxiety scale(SAS)scores,self-assessment depression scale(SDS)scores,and complication rates were lower in the intervention group than in the control group(all P<0.05).After the nursing care,the modified Barthel index(MBI)score and the generic quality of life inventory-74(GQOLI-74)score of the intervention group were higher than those of the control group(both P<0.05).Conclusions The application of evidence-based nursing in pain nursing of advanced lung cancer is good,which is conducive to reducing the pain of patients,improving the activity of life and quality of life.