预见性针对干预联合支气管动脉栓塞术对肺癌大咯血患者生活质量的影响  

Effect of targeted with predictive intervention combined with bronchial artery embolization on the quality of life of patients with lung cancer and massive hemoptysis

作　　者：汤玉玲 王爽 赵志玲 张新娜 王宝玉 TANG Yuling;WANG Shuang;ZHAO Zhiling;ZHANG Xinna;WANG Baoyu(Department of Central Surgery,Zhengzhou Central Hospital Affiliated to Zhengzhou University,Zhengzhou 450000,He’nan,China;Department of Intensive Care Medicine,Zhengzhou Central Hospital Affiliated to Zhengzhou University,Zhengzhou 450000,He’nan,China;Department of Respiratory Medicine,Zhengzhou Central Hospital Affiliated to Zhengzhou University,Zhengzhou 450000,He’nan,China)

机构地区：[1]郑州大学附属郑州中心医院中心手术部,郑州4500000 [2]郑州大学附属郑州中心医院重症医学科,郑州4500000 [3]郑州大学附属郑州中心医院呼吸内科,郑州4500000

出　　处：《癌症进展》2023年第24期2764-2767,共4页Oncology Progress

基　　金：河南省医学科技攻关计划项目(2018020788)。

摘　　要：目的探讨预见性针对干预联合支气管动脉栓塞术对肺癌大咯血患者生活质量的影响。方法将300例肺癌大咯血患者根据干预方式的不同分为对照组(n=150)和观察组(n=150)。两组患者均采用支气管动脉栓塞术治疗,对照组患者采取常规干预,观察组患者在对照组的基础上采取预见性针对干预。比较两组患者的生活质量、干预满意度、心理状态以及并发症发生情况。结果干预后,两组患者抑郁自评量表(SDS)、焦虑自评量表(SAS)评分均较干预前降低,且观察组患者SDS、SAS评分均低于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者躯体功能、情绪功能、社会功能、认知功能、角色功能评分均较干预前升高,且观察组患者躯体功能、情绪功能、社会功能、认知功能、角色功能评分均高于对照组,差异均有统计学意义(P﹤0.05)。观察组患者并发症总发生率明显低于对照组,干预满意度明显高于对照组,差异均有统计学意义(P﹤0.01)。结论预见性针对干预联合支气管动脉栓塞术可缓解肺癌大咯血患者不良心理状态,降低并发症发生率,提高患者生活质量及满意度。Objective To investigate the effect of targeted with predictive intervention combined with bronchial artery embolization on the quality of life of patients with lung cancer and massive hemoptysis.Method A total of 300 patients with lung cancer and massive hemoptysis were divided into control group(n=150)and observation group(n=150)according to different intervention methods.Patients in both groups were treated with bronchial artery embolization.Patients in the control group received conventional intervention,while patients in the observation group received targeted with predictive intervention based on the control group.The quality of life,intervention satisfaction,psychological state,and occurrence of complications were compared between the two groups.Result After the intervention,the scores of the self-rating depression scale(SDS)and the self-rating anxiety scale(SAS)of the two groups were lower than those before the intervention,and the scores in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the intervention,the scores of physical function,emotional function,social function,cognitive function,and role function of the two groups were higher than those before the intervention,and the above scores in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was significantly lower than that in the control group,and the intervention satisfaction was significantly higher than that in the control group,and the differences were statistically significant(P<0.01).Conclusion Targeted with predictive intervention combined with bronchial artery embolization could alleviate the negative psychological state of patients with lung cancer and massive hemoptysis,reduce the incidence of complications,and improve patients’quality of life and satisfaction.

关 键 词：肺癌 大咯血 支气管动脉栓塞术 预见性针对干预 生活质量 

分 类 号：R734.2[医药卫生—肿瘤]