循证护理对中晚期肺癌化疗患者心理状态及生活质量的影响  

Effect of evidence-based nursing on psychological status and quality of life in patients with advanced lung cancer receiving chemotherapy

作　　者：李丹[1] 包郁[2] 

机构地区：[1]四川省达州市中心医院呼吸内科,达州635000 [2]四川省肿瘤医院呼吸科,成都610041

出　　处：《中国肿瘤临床与康复》2018年第2期245-248,共4页Chinese Journal of Clinical Oncology and Rehabilitation

基　　金：四川省卫生厅面上项目(110261)

摘　　要：目的探讨循证护理对中晚期肺癌化疗患者心理状态及生活质量的影响。方法选取2015年4月至2017年4月间在四川省达州市中心医院化疗的164例中晚期非小细胞肺癌患者,采用随机数表法分为观察组(84例)和对照组(80例),观察组患者在常规护理基础上给予循证护理干预,对照组患者给予常规护理,比较两组患者治疗前后的焦虑自评量表(SAS)、抑郁自评量表(SDS)、生活质量及护理工作满意度评分。结果治疗前两组患者焦虑和抑郁自评量表评分比较,差异均无统计学意义(均P>0.05),治疗干预后两组患者的焦虑和抑郁自评量表评分显著改善,且观察组改善程度显著优于对照组,差异均有统计学意义(均P<0.05)。治疗前两组患者生活质量比较,差异无统计学意义(P>0.05)。治疗后两组患者生活质量均明显提升,且观察组提升程度显著优于对照组,差异均有统计学意义(均P<0.05)。观察组患者护理总满意率显著高于对照组患者,差异有统计学意义(P<0.05)。结论对中晚期肺癌化疗患者采取循证护理可有效缓解患者不良心理状态,改善患者化疗生活质量,并有助于提高患者护理满意度,值得临床推广。Objective To investigate the influence of evidence-based nursing on the psychological status and quality of life in patients with advanced lung cancer chemotherapy. Methods From April 2015 to April 2017,164 patients with advanced non-small cell lung cancer（ NSCLC） treated with chemotherapy at Dazhou Central Hospital were selected and were randomly divided into an observation group（ 84 patients）and a control group（ 80 patients）. The observation group received evidence-based nursing intervention based on the conventional nursing and the control group was given conventional nursing. Self rating anxiety scale（ SDS）,self-rating depression scale（ SAS）,quality of life and satisfaction with nursing were compared between the two groups before and after the treatment. Results Before nursing,there was no difference in anxiety and depression scores between the two groups（ all P〈0. 05）. After nursing,SDS and SAS scores improved significantly with the observation group significantly better than control group（ all P〈0. 05）. There was no significant difference in quality of life between the two groups before treatment（ P〈0. 05）. After the treatment,the quality of life was significantly improved in the two groups with the improvement significantly better in the observation group than in the control group（ P〈0. 05）. The total satisfaction rate was significantly higher in the observation group than in the control group（ P〈0. 05）. Conclusion Evidence-based nursing can effectively improve the psychological status,improve the quality of life and satisfaction with nursing in patients with advanced lung cancer on chemotherapy,which is worthy of clinical promotion.

关 键 词：循证护理 中晚期肺肿瘤 化疗 心理状态 生活质量 

分 类 号：R734.2[医药卫生—肿瘤]