护理干预对肺癌化疗患者睡眠质量和生活质量的影响  

Study of Nursing Interventions for Sleep Quality and Quality of Life in Lung Cancer Patients Undergoing Chemotherapy

作　　者：陈虹[1] 吴远美 唐新平 郑良成 

机构地区：[1]解放军第303医院护理部,南宁530000 [2]解放军第422医院神经内科,广东湛江524005

出　　处：《解放军护理杂志》2008年第17期14-16,共3页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的了解护理干预对肺癌化疗患者睡眠质量和生活质量的影响。方法应用匹兹堡睡眠质量指数(PSQI)和生活质量核心量表EORTC QLQ-C30对97名肺癌化疗患者在护理干预前后进行调查和分析,并与国内常模比较。结果(1)肺癌化疗患者睡眠状况明显差于正常人群,多数患者存在不同程度的睡眠障碍,PSQI>7分者占41.11%;护理干预后患者睡眠质量得到改善,PSQI>7分者占17.52%,主要在睡眠质量、入睡时间、睡眠效率等方面改善明显。(2)护理干预后,患者的总体健康状况和功能子量表评分明显升高,症状子量表(疲劳、恶心呕吐)及特异性项目(食欲、便秘项目)评分则明显降低(P<0.05)。结论心理治疗、健康教育、社会支持应用等护理活动可提高肺癌化疗患者的睡眠质量和生活质量。Objective To study the effects of nursing interventions on sleep quality and quality of life in lung cancer patients undergoing chemotherapy. Methods The Pittsburgh Sleep Quality Index（PSQI） and EORTC QLQ-C30 were used to investigate sleep quality and quality of life in lung cancer patients undergoing chemotherapy before and after nursing interventions. And results were analyzed and compared with Chinese norms. Results The sleep quality of lung cancer patients with chemotherapy was worse than that of normal populations. Most patients had sleep disorders to different extent and 41.11% of them had the scores of PSQI more than 7. After nursing interventions applied to patients, the overall sleep quality of patients significantly improved with only 17.52% having scores of PSQI more than 7. The scores of function scale of patients were higher, while the scores of symptoms scale （fatigue, nausea and vomiting） and specific items （appetite and constipation） greatly reduced（ P 〈0. 05）. Conclusion Applications of psychotherapy, health education, social support can improve the sleep quality and quality of life in lung cancer patients undergoing chemotherapy.

关 键 词：肺癌 化疗 生活质量 睡眠质量 护理 

分 类 号：R197.323[医药卫生—卫生事业管理] R734.2[医药卫生—公共卫生与预防医学]