基于循证理念的集束化干预在肺癌合并肺炎患者中的应用效果  

Application effect of cluster intervention based on evidence-based concept in patients with lung cancer complicated with pneumonia

作　　者：李艳艳 白玉玲[1] 冯巧梅 刘莹莹 白莉莉 LI Yanyan;BAI Yuling;FENG Qiaomei;LIU Yingying;BAI Lili(Respiratory Intensive Care Unit,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,He’nan,China)

机构地区：[1]郑州大学第一附属医院呼吸重症监护病区,郑州450052

出　　处：《癌症进展》2025年第8期989-992,共4页Oncology Progress

摘　　要：目的目的探讨基于循证理念的集束化干预在肺癌合并肺炎患者中的应用效果。方法方法根据干预方法的不同将140例肺癌合并肺炎患者分为对照组(n=69)和观察组(n=71),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基于循证理念的集束化干预。比较两组患者的临床症状及体征改善时间、心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、自我效能[中文版癌症自我管理效能感量表(C-SUPPH)]、生活质量[健康调查简表(SF-36)]、并发症发生情况及满意度。结果结果观察组患者肺部啰音消失时间、感染控制窗出现时间、肺部炎症吸收时间均明显短于对照组,差异均有统计学意义(P﹤0.01)。干预后,两组患者SAS、SDS评分均低于本组干预前,C-SUPPH、SF-36评分均高于本组干预前,观察组患者SAS、SDS评分均低于对照组,C-SUPPH、SF-36评分均高于对照组,差异均有统计学意义(P﹤0.05)。观察组患者的并发症总发生率低于对照组,总满意度高于对照组,差异均有统计学意义(P﹤0.05)。结论结论基于循证理念的集束化干预可改善肺癌合并肺炎患者的心理状况,提高自我效能、生活质量及满意度,降低并发症发生率,促进疾病康复。Objective To explore the application effect of cluster intervention based on evidence-based concept in pa-tients with lung cancer complicated with pneumonia.Method According to different intervention methods,140 patients with lung cancer complicated with pneumonia were divided into control group(n=69)and observation group(n=71).Pa-tients in the control group received routine intervention,and patients in the observation group received cluster interven-tion based on evidence-based concept on the basis of the control group.The improvement time of clinical symptoms and signs,psychological status[self-rating anxiety scale(SAS),self-rating depression scale(SDS)],self-efficacy[Chinese-version strategies used by people to promote health(C-SUPPH)],quality of life[the MOS 36-item short form health sur-vey(SF-36)],complications and satisfaction were compared between the two groups.Result The disappearance time of pulmonary rales,the appearance time of infection control window,and the absorption time of pulmonary inflammation in observation group were significantly shorter than those in control group,the differences were statistically significant(P<0.01).After intervention,the SAS and SDS scores in both groups were lower than those before intervention,the C-SUPPH and SF-36 scores were higher than those before intervention,the SAS and SDS scores in observation group were lower than those in control group,and the C-SUPPH and SF-36 scores were higher than those in control group,the differences were statistically significant(P<0.05).The total incidence of complications in observation group was lower than that in control group,and the total satisfaction rate was higher than that in control group,the differences were statistically signifi-cant(P<0.05).Conclusion Cluster intervention based on evidence-based concept can improve the psychological status of patients with lung cancer complicated with pneumonia,improve self-efficacy,quality of life and satisfaction,reduce the incidence of complications,and promote disease recovery.

关 键 词：肺癌 肺炎 循证理念 集束化干预 心理状况 自我效能 生活质量 并发症 

分 类 号：R734.2[医药卫生—肿瘤]