摘要
目的:分析循证理念下的针对性护理干预对鼻咽癌患者心理状态及睡眠质量的影响。方法:选取2020年3月至2022年3月联勤保障部队第九〇九医院收治的鼻咽癌患者104例作为研究对象,按照随机数字表法分为观察组(n=49)和对照组(n=55)。对照组给予常规护理干预,观察组给予循证理念下的针对性护理干预。采用汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表17项(HAMD17)、匹兹堡睡眠质量指数(PSQI)比较2组患者干预前后焦虑、抑郁的改善情况以及睡眠质量的变化,采用欧洲癌症研究与治疗组织的癌症患者生命质量核心问卷(EORTC QLQ-C30)比较2组患者的睡眠质量。结果:护理干预后,观察组HAMA、HAMD、PSQI评分均显著低于对照组,QLQ-C30各评分指标均显著高于对照组,差异均有统计学意义(均P<0.05)。结论:循证理念下的针对性护理干预可有效改善鼻咽癌患者心理状态,提升其睡眠质量,值得进一步在临床推广。
Objective:To analyze the effects of targeted nursing intervention based on evidence-based concept on the psychological state and sleep quality of patients with nasopharyngeal carcinoma.Methods:A total of 104 nasopharyngeal carcinoma patients admitted to the 909th Hospital of the Joint Logistics Support Force from March 2020 to March 2022 were selected as the research objects,and were divided into observation group(n=49)and control group(n=55)according to the random number table method.The control group received routine nursing intervention,and the observation group received targeted nursing intervention based on the evidence-based concept.The Hamilton Anxiely Scale(HAMA),Hamilton Depression Scale 17(HAMD17)and Pittsburgh Sleep Quality Index(PSQI)were used to compare the improvement of anxiety and depression and the change of sleep quality before and after the intervention.The sleep quality of patients in the two groups was compared with the core questionnaire of Quality of Life of Cancer Patients of the European Organization for Research and Treatment of Cancer(EORTC QLQ-C30).Results:After nursing intervention,HAMA,HAMD and PSQI scores in the observation group were significantly lower than those of the control group,and QLQ-C30 scores were significantly higher than those of the control group,the differences between the 2 groups were statistically significant(P s<0.05).Conclusion:Targeted nursing intervention based on evidence-based concept can effectively improve the psychological state of nasopharyngeal carcinoma patients and improve their sleep quality,which is worthy of further clinical promotion.
作者
郑玉玲
黄雯莹
周淑冷
ZHENG Yuling;HUANG Wenying;ZHOU Shuleng(th Hospital of Joint Logistic Support Force,Zhangzhou 363000,China)
出处
《世界睡眠医学杂志》
2023年第8期1924-1927,共4页
World Journal of Sleep Medicine
关键词
循证理念
针对性
鼻咽癌
心理状态
睡眠质量
Evidence-based concept
Pertinence
Nasopharyngeal carcinoma
Mental state
Sleep quality
