摘要
目的探讨系统化护理干预对非小细胞肺癌患者放疗后负性情绪和睡眠质量的影响。方法选取2014年8月—2015年12月在哈尔滨医科大学附属第一医院进行放疗的非小细胞肺癌患者116例,采用随机数字表法分为对照组和观察组,每组58例。对照组患者给予常规护理干预,观察组患者在常规护理干预基础上给予系统化护理干预。比较两组患者临床疗效、干预前后焦虑自评量表(SAS)评分和抑郁自评量表(SDS)评分、干预后匹兹堡睡眠质量指数测量表(PSQI)评分及毒副作用发生情况。结果观察组患者临床疗效优于对照组(P<0.05)。干预前两组患者SAS评分、SDS评分比较,差异无统计学意义(P>0.05);干预后观察组患者SAS评分、SDS评分低于对照组(P<0.01)。干预后观察组患者入睡时间评分、睡眠障碍评分、睡眠效率评分、睡眠时间评分、睡眠质量评分、安眠药物评分、白天活动评分及总分低于对照组(P<0.01)。观察组患者毒副作用发生率低于对照组(P<0.05)。结论系统化护理干预可有效提高非小细胞肺癌患者放疗临床疗效,改善患者放疗后负性情绪及睡眠质量,有利于减少毒副作用的发生。
Objective To investigate the impact of systematic nursing care on negative emotion and sleeping quality in postoperative non-small cell lung cancer patients treated by radiotherapy. Methods A total of 116 non-small cell lung cancer patients undergoing radiotherapy were selected in the First Affiliated Hospital of Harbin Medical University from August 2014 to December 2015,and they were divided into control group and observation group according to random number table,each of 58 cases. Patients in control group received routine nursing care,while patients in observation group received systematic nursing care based on routine nursing care. Clinical effect,SAS score and SDS score before and after intervention,PSQI score after intervention,incidence of toxic and side effects were compared between the two groups. Results Clinical effect in observation group was statistically significantly better than that in control group（ P〈0.05）. No statistically significant differences of SAS score or SDS score was found between the two groups before intervention（ P〉0.05）, while SAS score and SDS score in observation group were statistically significantly lower than those in control group after intervention（ P〈 0. 01）. After intervention,falling sleep time score,sleep disorder score,sleep efficiency score,sleeping time score,sleeping quality score,sleeping pills score,daytime activity score and total score in observation group were statistically significantly lower than those in control group（ P 〈0. 01）. Incidence of toxic and side effects in observation group was statistically significantly lower than that in control group（ P〈0.05）. Conclusion Systematic nursing care can effectively improve the clinical effect and sleeping quality,relieve the negative emotion,reduce the risk of toxic and side effects in postoperative non-small cell lung cancer patients treated by radiotherapy.
出处
《实用心脑肺血管病杂志》
2017年第12期117-120,共4页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
基金
黑龙江省卫生厅科研项目(2010-098):不同种族ADAM33基因多态性与COPD易感性的关系研究
关键词
癌
非小细胞肺
抗肿瘤联合化疗方案
病人医疗护理
情绪障碍
睡眠
Carcinoma, non- small- cell Lung cancer
Antineoplastic combined chemotherapy protocols
Patient care
Mood disorders
Sleep
