安宁疗护联合中医护理技术在晚期肺癌疼痛患者中的应用效果  

Application effect of palliative care combined with traditional Chinese medicine nursing technology in patients with advanced lung cancer pain

作　　者：朱佳迎 虞智杰 王红玉 王菲 ZHU Jiaying;YU Zhijie;WANG Hongyu;WANG Fei(Department of Interventional Oncology,Dahua Hospital of Xuhui District,Shanghai200237,China;Department of Palliative Care,Kangjian Community Health Service Center of Xuhui District,Shanghai200233,China;Wound Center,Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai201400,China;Outpatient Nursing,Tianlin Street Community Service Center of Xuhui District,Shanghai200030,China)

机构地区：[1]上海市徐汇区大华医院介入肿瘤科,上海200237 [2]上海市徐汇区康健街道社区卫生服务中心安宁疗护科,上海200233 [3]上海交通大学医学院附属新华医院伤口中心,上海201400 [4]上海市徐汇区田林街道社区卫生服务中心社区门诊护理,上海200030

出　　处：《中国当代医药》2025年第6期154-158,共5页China Modern Medicine

基　　金：上海市徐汇区医学重点学科建设(高原)项目(SH XHZDXK202317)。

摘　　要：目的探讨安宁疗护联合中医护理技术在晚期肺癌疼痛患者中的应用效果。方法选取2019年10月至2021年10月上海市徐汇区大华医院收治的60例晚期肺癌疼痛患者作为研究对象,按照随机数字表法分为对照组和研究组,每组各30例。对照组患者接受安宁疗护,研究组患者接受安宁疗护联合中医护理技术,比较分析两组患者干预前后的生命质量测定量表(QOL-C30)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、疼痛[视觉模拟评分法(VAS)]评分。结果护理前,两组患者的QOL-C30、SAS、SDS、VAS评分比较,差异无统计学意义(P>0.05)。护理后,两组患者的QOL-C30评分中功能领域评分均高于本组护理前,症状领域评分与单项量表评分均低于本组护理前,且研究组的总体健康状况领域评分高于本组护理前,差异有统计学意义(P<0.05);对照组护理前后QOL-C30评分中总体健康状况领域评分组内比较,差异无统计学意义(P>0.05)。两组患者的SAS、SDS、VAS评分均低于本组护理前,差异有统计学意义(P<0.05)。研究组的QOL-C30评分中功能领域与总体健康状况领域评分均高于对照组,症状领域评分与单项量表评分均低于对照组,差异有统计学意义(P<0.05);护理后,研究组的SAS、SDS、VAS评分均低于对照组,差异有统计学意义(P<0.05)。结论在晚期肺癌疼痛患者护理中采取安宁疗护联合中医护理技术能够一定程度提高患者生存质量,值得在更多临床应用中得到有效推广。Objective To explore the application effect of palliative care combined with traditional Chinese medicine nursing technology in patients with advanced lung cancer pain.Methods A total of 60 patients with advanced lung cancer pain admitted to Dahua Hospital of Xuhui District,Shanghai from October 2019 to October 2021 were selected as the research objects.According to the random number table method,they were divided into control group and study group,with 30 cases in each group.Patients in the control group received palliative care,while patients in the study group received palliative care combined with traditional Chinese medicine nursing technology.The quality of life questionnaire-core 30(QOL-C30),self-rating anxiety scale(SAS),self-rating depression scale(SDS)and pain(visual analogue scale[VAS])scores of the two groups before and after intervention were compared and analyzed.Results Before nursing,there were no statistically significant differences in QOL-C30,SAS,SDS and VAS scores between the two groups(P>0.05).After nursing,the functional domain scores of QOL-C30 of the two groups were higher than those before nursing,the symptom domain scores and single scale scores were lower than those before nursing,and the overall health status domain score of the study group was higher than that before nursing,and the differences were statistically significant(P<0.05).There was no statistically significant difference in the score of overall health status domain in the of QOL-C30 before and after nursing of the control group(P>0.05).The SAS,SDS and VAS scores of the two groups were lower than those before nursing,and the differences were statistically significant(P<0.05).The QOL-C30 scores of the study group were higher than those of the control group in the functional domain and the overall health status domain,and the symptom domain score and single scale score were lower than those of the control group,and the differences were statistically significant(P<0.05).After nursing,the SAS,SDS and VAS scores of the study grou

关 键 词：安宁疗护 中医护理 肺癌晚期 疼痛 心理 生存质量 

分 类 号：R473.73[医药卫生—护理学]