激励性护理联合共情护理对肺癌化疗患者应用效果研究

Effect of Incentive Nursing Combined with Empathic Nursing on Patients with Lung Cancer Chemotherapy

目的:探讨激励性护理联合共情护理对肺癌化疗患者自我感受负担、护理依从性及生活质量的影响。方法:150例肺癌化疗患者依据随机数字表格法分为观察组与对照组,各75例,对照组采取常规护理,观察组在对照组基础上行激励性护理联合共情护理。应用焦虑自评量表(SAS)、抑郁自评量表(SDS)、自我感受负担量表(SPBS)、生活质量量表(EORTC-QLQ-C30)和患者护理依从性评价两组干预后效果。结果:观察组干预后SAS、SDS、SPBS量表中情感负担、照护负担评分及总分均显著低于对照组(P < 0.05);观察组患者护理总依从率85.33%,显著高于对照组的69.33% (P < 0.05);观察组干预后EORTC-QLQ-C30量表中总体健康、功能(躯体、角色、情绪、认知、社会)评分均显著高于对照组,症状(疲劳、疼痛、恶心呕吐)评分显著低于对照组,差异有统计学意义(P < 0.05)。结论:激励性护理联合共情护理能明显减轻肺癌化疗患者自我感受负担及不良情绪,提高其护理依从性及生活质量,值得推广。

Objective: To explore the effect of encouraging nursing combined with empathy nursing on self-perceived burden, nursing compliance and quality of life of patients with lung cancer undergoing chemotherapy. Methods: 150 patients with lung cancer undergoing chemother-apy were randomly divided into the observation group and the control group by the random number table method, 75 cases in each group. The control group was given routine nursing, while the observation group was given encouraging nursing combined with empathy nursing on the basis of the control group. Scores of the Self-rating Anxiety Scale (SAS), Self-rating Depression Scale (SDS), Self-perceived Burden Scale (SPBS) and quality of life EORTC-QLQ-C30 were compared between groups before and after intervention. Nursing compliance of patients was evaluated. Results: Scores of emotional burden and burden of caregivers in SAS, SDS and SPBS and the total score of the ob-servation group were significantly lower than those of the control group (P < 0.05). The total compliance rate of the observation group was significantly higher than that of the control group (85.33% vs 69.33%) (P < 0.05). After the intervention, scores of overall health and function (physical, role, emotional, cognitive, social) in EORTC-QLQ-C30 of observation group were significantly higher than those of control group, while scores of symptoms (fatigue, pain, nausea and vomiting) were significantly lower than those of the control group (P < 0.05). Conclusion: Incentive nursing combined with empathy nursing can significantly reduce the self-perceived burden and bad emotions of lung cancer patients undergoing chemotherapy, improve their nursing compliance and quality of life, which is worthy of promotion.