全程护理干预对肺癌化疗患者生活质量的影响  

The Effect of the Whole Course Nursing Intervention on the Life Quality of Patients with Lung Cancer

作　　者：杨飞霞[1] 郝丽琼[1] 

机构地区：[1]四川省肿瘤医院,成都610041

出　　处：《肿瘤预防与治疗》2014年第6期276-279,共4页Journal of Cancer Control And Treatment

摘　　要：目的:探讨全程护理干预对肺癌化疗患者生活质量的影响。方法:将76例接受含铂双药联合化疗方案的肺癌患者随机分为对照组(n=38)和观察组(n=38)。对照组采用化疗常规护理,观察组采用常规护理及全程护理干预。两组患者在治疗前和治疗后采用欧洲癌症化疗患者生活质量量表进行问卷调查。评估全程护理干预对肺癌化疗患者生活质量的影响。结果:两组患者化疗后功能子量表和总体生活质量评分较化疗前均降低。但观察组较对照组降幅小,两组评分变化比较具有统计学意义(P<0.05)。两组患者化疗后症状子量表及反映症状和经济状况的特异性项目评分较化疗前均有升高,除呼吸困难、便秘症状和经济状况外,其他项目评分观察组升高值小于对照组,两组评分变化比较差异有统计学意义(P<0.05)。结论:对肺癌化疗患者实施全程护理干预,能有效改善化疗后生活质量,减轻化疗相关症状,值得临床推广。Objective： To explore the effect of the whole course nursing intervention on the life quality of patients with lung cancer who were treated with chemotherapy. Methods：Seventy-six lung cancer patients who received chemother-apy during hospitalization from March 2010 to March 2011 were randomly divided into two groups：control group （n=38） and observer group （n=38）. Common chemotherapy nursing was conducted in the control group , while the whole course nursing intervention was carried out in observer group besides the common chemotherapy nursing . QLQ-30 of EORTC was applied to assess the effect of the whole course nursing intervention on the life quality of patients before and after treatment. Results：The scores of the overall life quality and functional scales declined after chemotherapy in both groups, while they declined less obviously in observer group than those in control group （P〈0. 05）. The scores of symptom scales and specif-ic items which reflected the status of symptom and financial situation increased after chemotherapy in both groups. Among which , scores of fatigue, nausea, vomiting , pain , sleep disorder, loss of appetite , and diarrhea increased less obviouse-ly in observer group than those in control group （P〈0. 05）. Conclusion： The whole course nursing intervention on lung cancer patients can improve their life quality after chemotherapy, as well as alleviate the side effects related to chemothera-py and it is worthy of clinical application.

关 键 词：肺癌 化疗 生活质量 全程护理 

分 类 号：R473.73[医药卫生—护理学]