家属参与式干预在肺癌合并呼吸衰竭患者中的应用效果  

Application effect of family member participatory intervention in patients with lung cancer complicated with respiratory failure

作　　者：周西[1] 杨杰[1] 付萌[1] 朱敏[1] ZHOU Xi;YANG Jie;FU Meng;ZHU Min(Ward 2,Department of Respiratory and Critical Care Medicine,He’nan Provincial People’s Hospital,Zhengzhou 450003,He’nan,China)

机构地区：[1]河南省人民医院呼吸与危重症医学科二病区,郑州450003

出　　处：《癌症进展》2025年第8期885-888,共4页Oncology Progress

基　　金：河南省医学科技攻关计划(联合共建)项目(LHGJ20190606)。

摘　　要：目的目的探讨家属参与式干预在肺癌合并呼吸衰竭患者中的应用效果。方法方法采用随机数表法将80例肺癌合并呼吸衰竭患者分为观察组(41例)和对照组(39例),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家属参与式干预。比较两组患者的心理状况[抑郁自评量表(SDS)、焦虑自评量表(SAS)]、生活质量[欧洲癌症研究与治疗组织生命质量测定量表(EORTC QLQ-C30)]、依从性及干预满意度。结果结果干预后,两组患者SDS、SAS评分均低于本组干预前,EORTC QLQ-C30各维度评分均高于本组干预前,观察组患者SDS、SAS评分均低于对照组,EORTCQLQ-C30各维度评分均高于对照组,差异均有统计学意义(P﹤0.05)。观察组患者的总依从率、总满意度均高于对照组,差异均有统计学意义(P﹤0.05)。结论结论家属参与式干预可改善肺癌合并呼吸衰竭患者的心理状况,提高依从性、干预满意度及生活质量。Objective To explore the application effect of family member participatory intervention in patients with lung cancer complicated with respiratory failure.Method A total of 80 patients with lung cancer complicated with respi-ratory failure were divided into the observation group(41 cases)and the control group(39 cases)by random number table method.The control group received conventional intervention,while the observation group received family member par-ticipatory intervention on the basis of the control group.The psychological status[self-rating depression scale(SDS),self-rating anxiety scale(SAS)],quality of life[European Organization for Research and Treatment of Cancer quality of life questionnaire core 30(EORTC QLQ-C30)],compliance and intervention satisfaction of the two groups were compared.Result After intervention,the scores of SDS and SAS in both groups were lower than those before intervention,and the scores of each dimension of EORTC QLQ-C30 were higher than those before intervention,the scores of SDS and SAS in the observation group were lower than those in the control group,and the scores of each dimension of EORTC QLQ-C30 were higher than those in the control group,the differences were statistically significant(P<0.05).The total compliance rate and total satisfaction rate of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Family member participatory intervention can improve the psycho-logical status of patients with lung cancer complicated with respiratory failure,enhance compliance,intervention satisfaction and quality of life.

关 键 词：肺癌 呼吸衰竭 家属参与式干预 心理状况 依从性 生活质量 

分 类 号：R734.2[医药卫生—肿瘤]