Wu Yujie, Yao Jing, Zhao Jieyan, Wang Liyuan
Department of Infection Control, The Seventh People's Hospital of Jinan Jinan 251409, Shandong, China.
Supply Room, The Seventh People's Hospital of Jinan Jinan 251409, Shandong, China.
Am J Transl Res. 2021 Oct 15;13(10):11958-11965. eCollection 2021.
To analyze the risk factors of moderate and severe depression and to study the effect of high quality nursing on alleviating negative emotions and improving quality of life of patients with advanced lung cancer.
A total of 100 patients with advanced lung cancer were collected from our hospital. According to the SDS score before the nursing, the patients with SDS score ≤62 and >52 were enrolled in the mild depression group, and those with SDS score >62 were enrolled in the moderate, severe depression group. The risk factors that make mild depression develop into moderate/severe depression were studied. The patients were randomly divided into a control group (n = 50) and an observation group (n = 50). The patients in both groups were given routine nursing, and those in the observation group received high quality nursing on the basis of routine nursing. The QOL-C30 was used to evaluate the changes in quality of life. The SDS (Self-Rating Depression Scale) and SAS (Self-rating Anxiety Scale) were used for assessing the degree of anxiety and depression. The incidence of complications and the nursing satisfaction of patients were observed.
The multi-factor Logistic regression results showed that gender (OR: 3.398, 95% CI: 1.020-11.324), course of disease (OR: 0.676, 95% CI: 0.562~0.814), educational level (OR: 2.073, 95% CI: 1.165-3.688), and family income (OR: 1.676, 95% CI: 9.020) were the influence factors of moderate and severe depression. The QOL-30 score in the observation group was higher than those in the control group after nursing, and the changes in the observation group were significantly greater than those in the control group (P<0.05). After nursing, the observation group had much lower SAS and SDS scores and significantly greater changes than the control group (P<0.5). The total incidence of complications in the control group was statistically greatly higher than that in the observation group (P<0.05). The nursing satisfaction in the control group was statistically much lower than that in the observation group (P<0.5).
Gender, course of disease, educational level, and family income are independent influencing factors of moderate and severe depression. High quality nursing can effectively improve the anxiety and depression, and quality of life of patients, which is worthy of being popularized clinically.
分析中重度抑郁的危险因素，探讨优质护理对缓解晚期肺癌患者负性情绪及提高生活质量的作用。
选取我院100例晚期肺癌患者，根据护理前SDS评分，SDS评分≤62分且>52分者纳入轻度抑郁组，SDS评分>62分者纳入中重度抑郁组，研究轻度抑郁发展为中重度抑郁的危险因素。将患者随机分为对照组（n = 50）和观察组（n = 50）。两组患者均给予常规护理，观察组在常规护理基础上给予优质护理。采用QOL-C30评估生活质量变化。采用SDS（自评抑郁量表）和SAS（自评焦虑量表）评估焦虑和抑郁程度。观察并发症发生率及患者护理满意度。
多因素Logistic回归结果显示，性别（OR：3.398，95%CI：1.020 - 11.324）、病程（OR：0.676，95%CI：0.562~0.814）、文化程度（OR：2.073，95%CI：1.165 - 3.688）和家庭收入（OR：1.676，95%CI：9.020）是中重度抑郁的影响因素。护理后观察组QOL-30评分高于对照组，且观察组变化幅度明显大于对照组（P<0.05）。护理后，观察组SAS和SDS评分远低于对照组，且变化幅度明显大于对照组（P<0.5）。对照组并发症总发生率在统计学上显著高于观察组（P<0.05）。对照组护理满意度在统计学上远低于观察组（P<0.5）。
性别、病程、文化程度和家庭收入是中重度抑郁的独立影响因素。优质护理可有效改善患者焦虑、抑郁情绪及生活质量，值得临床推广。
