医护一体化综合干预对肺癌化疗患者睡眠质量的影响  

Effects of comprehensive nurse-doctor collaboration intervention on sleep quality of lung cancer patients with chemotherapy

作　　者：钱敏[1] 鞠佳[1] 何芳[1] 肖诗杨 何娟[1] 王东[1] 曾登芬[2] 程晓斌[3] 周林[4] 毕玉田[3] 

机构地区：[1]第三军医大学大坪医院野战外科研究所肿瘤中心,重庆400042 [2]第三军医大学大坪医院护理部 [3]第三军医大学大坪医院医教部 [4]第三军医大学大坪医院

出　　处：《中华现代护理杂志》2015年第34期4133-4136,共4页Chinese Journal of Modern Nursing

基　　金：第三军医大学大坪医院野战外科研究所课题（2013YJBRKX04）

摘　　要：目的探讨医护一体化综合干预措施对肺癌化疗患者睡眠质量的影响。方法将2012年10月--2013年12月收治的94例伴有睡眠障碍的晚期肺癌化疗患者随机分为观察组和对照组，每组47例。对照组接受传统的常规护理，观察组在常规护理的基础上实施医护一体化综合干预措施，包括：心理疗法、松弛治疗、限制睡眠治疗和调整治疗等措施，干预4周后，根据患者睡眠质量效果进行评价。结果观察组有30例能够安睡，对照组则有17例能够安睡，观察组与对照组有效率分别为63．8％和37．8％，差异有统计学意义（χ2=7．191，P=0．007）。结论医护一体化综合措施可改善肺癌化疗患者的不良作息习惯和睡眠行为，从而提高肺癌化疗患者的睡眠质量。Objective To explore the influences of the comprehensive nurse-doctor collaboration intervention on sleep quality of the lung cancer patients receiving chemotherapy. Methods A total of 94 lung cancer patients receiving chemotherapy were selected from October 2012 to December 2013 and equally randomized into the observation group and control group, with 47 patients in each group. The patients of control group were treated with routine nursing for lung cancer. The patients of observation group adopted the ＂nurse- doctor collaboration＂ management model including psychotherapy, relaxation therapy, sleep restriction therapy, adjust treatment on the basis of routine nursing. After four weeks intervention, the effects were evaluated according to the sleep quality of patients. Results A total of 30 patients could sleep well in the observation group whereas its number was 17 in the control group. The observation group and control group effectiveness were 63.8% and 37.8% respectively. The effect of sleep quality in observation group was significantly better than the control group （χ2 = 7. 191, P = 0. 007 ）. Conclusions The comprehensive nurse-doctor collaboration measures can obviously correct the bad sleep habits and sleep behavior in lung cancer patients with chemotherapy, and improve the quality of sleep in those patients.

关 键 词：肺肿瘤 化学疗法 睡眠质量 医护一体化综合干预 

分 类 号：R473.73[医药卫生—护理学]