舒适护理在老年晚期肺癌患者中的临床应用
Clinical application of comfort nursing in elderly patients with advanced lung cancer.
作者信息
Ye Yeqiu, Ge Juxiang
机构信息
Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Soochow University Suzhou, Jiangsu Province, China.
Respiratory Endoscopic Center, The First Affiliated Hospital of Soochow University Suzhou, Jiangsu Province, China.
出版信息
Am J Transl Res. 2021 Aug 15;13(8):9750-9756. eCollection 2021.
OBJECTIVE
To explore the clinical effect of comfort nursing in elderly patients with advanced lung cancer (ALC).
METHODS
Eighty-six elderly patients with ALC treated in our hospital were selected as clinical subjects for this prospective study. The patients were randomly divided into the control group (n=43, received routine nursing) and the observation group (n=43, received additional comfort nursing based on routine nursing) according to a digital table method. The scores of pressure ulcer scale (Braden), Morse fall scale (MFS), numerical rating scale (NRS) for pain, activity of daily living (ADL) scale, incidence of complications and nursing satisfaction were compared between the two groups.
RESULTS
The scores of Braden and ADL scale of the two groups were significantly improved (all P<0.05) under different nursing methods. The improvement of patients in the observation group was better than that in the control group after nursing, and the difference was statistically significant (all P<0.01). Compared with those before nursing, the scores of MFS and NRS in the two groups were decreased, and the improvements in the observation group were more obvious (P<0.05). The incidence of complications in the control group (83.72%) was significantly higher (P<0.05) than that in the observation group (65.12%). The nursing satisfaction of patients in the control group (76.74%) was significant lower (P<0.05) than that in the observation group (93.02%).
CONCLUSION
Comfort nursing has a positive clinical effect in elderly patients with ALC. It can improve the patients' quality of life and reduce the incidence of pain and complications, which has high patient satisfaction and obvious clinical effects.
目的
探讨舒适护理在老年晚期肺癌（ALC）患者中的临床效果。
方法
选取我院收治的86例老年ALC患者作为本前瞻性研究的临床对象。根据数字表法将患者随机分为对照组（n = 43，接受常规护理）和观察组（n = 43，在常规护理基础上接受额外的舒适护理）。比较两组患者的压疮量表（Braden）评分、莫尔斯跌倒量表（MFS）评分、疼痛数字评定量表（NRS）评分、日常生活活动能力（ADL）量表评分、并发症发生率及护理满意度。
结果
不同护理方法下两组患者的Braden量表评分和ADL量表评分均显著提高（均P < 0.05）。护理后观察组患者的改善情况优于对照组，差异有统计学意义（均P < 0.01）。与护理前相比，两组患者的MFS评分和NRS评分均降低，且观察组的改善更明显（P < 0.05）。对照组的并发症发生率（83.72%）显著高于观察组（65.12%）（P < 0.05）。对照组患者的护理满意度（76.74%）显著低于观察组（93.02%）（P < 0.05）。
结论
舒适护理对老年ALC患者具有积极的临床效果。它可以提高患者的生活质量，降低疼痛和并发症的发生率，患者满意度高，临床效果明显。
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