晚期肺腺癌患者65例循证护理干预对患者心理及疼痛状况的影响分析  

Analysis of effect of 65 cases of evidence-based nursing intervention on psychology and pain of patients with advanced lung adenocarcinoma

作　　者：俞淑慧 钱彩华[1] 姚萍丽[1] 王斌[1] 陆华东[1] 

机构地区：[1]浙江省湖州市中心医院呼吸与危重症学科,浙江湖州313000

出　　处：《中国现代医生》2017年第22期152-155,共4页China Modern Doctor

基　　金：浙江省医药卫生平台项目学科带头人项目资助(2015DTA016)

摘　　要：目的 探讨循证护理干预对晚期肺腺癌患者心理及疼痛状况的影响。方法选取2015年8月~2016年7月在我院接受治疗的晚期肺腺癌患者130例,采用随机数字表法将所有入选患者分为两组,观察组65例,给予循证护理干预,对照组65例,给予常规护理干预,观察两组患者护理后生活质量、VAS、SDS、SAS及生活活动能力改善情况,同时比较两组患者护理后并发症发生率及患者对护理工作的满意度评价。结果护理后,观察组患者的生理、心理、社会、日常及总分都显著高于对照组,差异有统计学意义(P<0.05);护理后,两组患者的VAS、SAS及SDS评分均有所下降,观察组[(3.12±1.02)分、(30.45±5.78)分和(32.02±6.12)分]低于对照组[(4.23±1.10)分、(36.12±8.12分)和(39.12±7.45)分],差异显著(P<0.05);护理后,两组患者的生活活动能力均有所提高,观察组[(84.12±5.12)分]高于对照组[(77.12±6.89)分],两组比较差异显著(P<0.05);观察组总发生率为9.23%,低于对照组27.69%,两组比较差异显著(P<0.05);观察组患者护理后的总满意率为93.85%,高于对照组78.46%,两组比较差异显著(P<0.05)。结论对晚期肺腺癌患者采用循证护理干预,能够有效缓解患者的疼痛,改善患者的生活质量和心理状态,效果显著。Objective To investigate the effect of evidence-based nursing intervention on psychology and pain of pa- tients with advanced lung＇ adenocarcinoma. Methods A total of 130 patients with advanced lung adenocarcinoma who were treated in our hospital from August 2015 to July 2016 were enrolled and divided into two groups by random num- ber table. 65 patients in the observation group were given evidence-based nursing intervention. 65 patients in the con- trol group were treated with routine nursing intervention. The quality of life, VAS, SDS, SAS and the improvement of life activity ability of the two groups after nursing were observed. Meanwhile, the incidence of complications and evalu- ation of patient＇s satisfaction with nursing work between the two groups were compared. Results After nursing, the physiological score, psychological score, social score, daily score and total score of the observation group were signifi- cantly higher than those of the control group. The differences were statistically significant（P〈0.05）. The scores of VAS, SAS and SDS were decreased in the two groups after nursing.The VAS, SAS and SDS scores in the observation group [（3.12±1.02）points, （30.45±5.78）points and（32.02±6.12）points] were lower than those in the control group[（4.23±1.10） points, （36.12±8.12）points,（39.12±7.45）points], and the differences were significant（P〈0.05）. After nursing, the living ac- tivity abilities of the two groups were improved. The living activity ability [（84.12±5.12）points] in the observation group was higher than that in the control group[（77.12±6.89） points], and the differece were significant between the two groups（P〈0.05）. The total incidence rate of adverse reaction was 9.23% in the observation group, which was lower than that of 27.69% in the control group, and the difference between the two groups was significant（P〈0.05）. The total satisfaction rate of the observation group was 93.85% in the observation group, which was higher than t

关 键 词：晚期肺腺癌 循证护理 心理 疼痛 

分 类 号：R473.73[医药卫生—护理学]