NCCN心理痛苦干预对中晚期肺癌患者行为功能状态和生活质量的影响  

Effect of NCCN psychological pain intervention on behavioral function and quality of life of patients with advanced lung cancer

作　　者：黑晓欢[1] 卢丹[1] 陈玥[1] 白玮[1] 

机构地区：[1]首都医科大学附属北京同仁医院,北京100730

出　　处：《国际精神病学杂志》2016年第3期555-558,562,共5页Journal Of International Psychiatry

摘　　要：目的探讨研究美国国立综合癌症网络（National Comprehensive Cancer Network,NCCN）心理痛苦干预对中晚期肺癌患者行为功能状态和生活质量的影响。方法选取我院2012年3月~2015年11月收治确诊的154例中晚期肺癌病患,对纳入研究的全体患者采取随机数字表法将其平均分成观察组与对照组,每组各77例。其中对照组实施常规性护理,观察组则在此护理基础上施以NCCN心理痛苦干预,观察比较两组患者的护理前后的行为功能状态量表（KPS）评分,心理痛苦温度计（DT）评分与心理痛苦相关因素调查表（PL）评分、生命质量测定量表（QLQ-C30）评分。结果两组患者实施护理干预前上述量表评分组间比较差异无统计学意义（P〉0.05）;实施护理干预后上每组患者的上述量表评分均较干预前明显好转,且差异有统计学意义（P〈0.05）;观察组干预后KPS评分、PL评分及DT的痛苦检出率均明显较对照组为优（P〈0.05）。两组患者护理干预后QLQ-C30评分中,只有经济困难维度评分组间比较差异无统计学意义（P〉0.05）,剩余各项评分观察组较对照组均显著为优（P〈0.05）。结论 NCCN心理痛苦干预可更有效的缓解中晚期肺癌的痛苦,改善其生活质量与行为功能状态。Objective To explore the effect of NCCN psychological pain intervention on behavioral function and quality of life of patients with advanced lung cancer. Method 154 patients with advanced lung cancer were recruited in our hospital from March 2012 to November 2015. Accordance to the random number table method,all the patients in the study were divided into the control group and the observation group,each group containing 77 cases. The control group were treated with routine nursing care. On the basis of the control group’s nursing intervention,the observation group were administered with NCCN psychological pain intervention,then comparing the scores of KPS,DT,PL and QLQ-C30 between the two groups Results There was no significant differences of KPS,DT,PL,QLQ-C30 scores between the two groups before intervention（P〉0.05）.After intervention,the scores of the scales above in the two groups were both better than that before intervention. Meanwhile the scores of KP,PL and DT in the observation group were better than that in the control group,all the differences above were statistically significant（P〈0.05）. In the comparison of the scale QLQ-C30,only the scores of the dimension of economic difficulty between the two groups had no significant difference（P〉0.05）,the scores of others dimensions of QLQ-C30 between the two groups were significant（P〈0.05）. Conclusion NCCN psychological pain intervention can be more effective to relieve the pain of patients with advanced lung cancer and improve their quality of life as well.

关 键 词：NCCN 心理痛苦干预 肺癌 行为功能 生活质量 

分 类 号：R749[医药卫生—神经病学与精神病学]