医院-家庭一体化护理模式对晚期肺癌患者生活质量的影响  

Effect of hospital-family integrated nursing model on quality of life in patients with advanced lung cancer

作　　者：马俊霞 韩坤[1] 周淑萍 屠越华[2] 蔡菁雯 张少丽[1] MA Junxia;HAN Kun;ZHOU Shuping;TU Yuehua;CAI Jingwen;ZHANG Shaoli(Department of Oncology Internal Medicine,Affiliated Sixth People′s Hospital,Shanghai Jiaotong University,Shanghai 201306,China;Department of Nutriology,Affiliated Sixth People′s Hospital,Shanghai Jiaotong University,Shanghai 201306,China)

机构地区：[1]上海交通大学附属第六人民医院肿瘤内科,201306 [2]上海交通大学附属第六人民医院营养科,201306

出　　处：《重庆医学》2021年第12期2065-2069,共5页Chongqing medicine

基　　金：国家自然科学基金青年项目(81703751);上海市第六人民医院东院科学研究课题项目(DY2018020);上海市第六人民医院集团课题项目(横向2020004)。

摘　　要：目的探讨医院-家庭一体化护理模式对晚期肺癌患者生活质量的影响。方法选取2018年6月至2020年1月在该院住院治疗的103例晚期肺癌患者为研究对象,分为对照组51例和观察组52例。对照组实施常规护理干预,观察组在对照组基础上实施医院-家庭一体化护理模式护理干预。比较两组患者疼痛控制情况、卡氏生存质量(KPS)评分、干预前后患者焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、匹兹堡睡眠指数(PQSI)评分、并发症发生情况,以及患者、家属及医护人员满意率。结果观察组患者疼痛控制总有效率(84.62%)高于对照组(64.71%),差异有统计学意义(P<0.05)。干预前,两组患者KPS、SDS、SAS、PQSI评分比较,差异无统计学意义(P>0.05);干预后,两组患者KPS、SDS、SAS、PQSI评分均改善,观察组优于对照组,差异有统计学意义(P<0.05)。观察组患者并发症发生率(13.46%)低于对照组(31.37%),患者、家属、医护人员满意率均高于对照组,差异有统计学意义(P<0.05)。结论医院-家庭一体化护理模式能明显提高晚期肺癌患者的生活质量,缓解疼痛,降低并发症发生率,改善患者心理状态和睡眠质量,患者、家属和医务人员的满意率均较高。Objective To explore the impact of hospital-family integrated nursing model on the quality of life in the patients with advanced lung cancer.Methods A total of 103 patients with advanced lung cancer hospitalized in this hospital from June 2018 to January 2020 were selected as the study subjects and divided into the control group(51 cases)and observation group(52 cases).The control group implemented the routine nursing intervention,while the observation group implemented the integrated hospital-family nursing intervention on the basis of the control group.The pain control,Karnofsky Performance Status(KPS)score,Self-rating Anxiety Scale(SAS)score before and after intervention,Self-rating Depression Scale(SDS)score,(PQSI),Pittsburgh Sleep Quality Index Scale(PQSI)score,complication occurrence and satisfaction of the patients,family members and medical staff were compared between the two groups.Results The total effective rate of pain control in the observation group was higher than that in the control group,and the difference was statistically significant(84.62%vs.64.71%,P<0.05).Before intervention,the KPS,SDS,SAS and PQSI scores had no statistical difference between the two groups(P>0.05);after intervention,the KPS,SDS,SAS and PQSI scores in the two groups were improved,and the observation group was better than the control group,and the difference was statistically significant(P<0.05).The complication occurrence rate in the observation group was 13.46%,which was lower than 31.37%in the control group.The satisfaction rates of the patients,family members and medical staff in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The hospital-family integrated nursing mode can significantly improve the quality of life in the patients with advanced lung cancer,relieve pain,reduce the incidence rate of complications,improve the psychological state and sleep quality of the patients,and the satisfaction rates of the patients,family members an

关 键 词：医院-家庭一体化护理模式 晚期肺癌 生活质量 疼痛 并发症 满意率 

分 类 号：R473.73[医药卫生—护理学]