循证护理干预可提高肺癌放化疗患者的治疗依从性、生活质量和自我效能感。
Evidence-based nursing intervention can improve the treatment compliance, quality of life and self-efficacy of patients with lung cancer undergoing radiotherapy and chemotherapy.
作者信息
Zhang Tianjie, Lu Jierong, Fan Yanmei, Wang Li
机构信息
Department of Oncology, Tangshan Central Hospital Tangshan 063000, Hebei Province, China.
Outpatient Department of Cancer Hospital Affiliated to Guangxi Medical University Nanning 530021, Guangxi Province, China.
出版信息
Am J Transl Res. 2022 Jan 15;14(1):396-405. eCollection 2022.
OBJECTIVE
To investigate the improvement effect of evidence-based nursing intervention on treatment compliance, quality of life and self-efficacy of patients with lung carcinoma (LC) undergoing radiotherapy and chemotherapy.
METHODS
From May 2018 to August 2019, 183 patients with LC who received radiotherapy and chemotherapy in our hospital were selected and divided into two groups in accordance with different nursing methods. Among them, 85 patients who received routine nursing intervention were included in the control group (CG), and 98 patients who received evidence-based nursing intervention were included in the research group (RG). The improvement of pulmonary function indexes [(FVC), forced expiratory volume in one second (FEV), ratio of forced expiratory volume in one second to forced vital capacity (FEV/FVC)] was observed before and after nursing. The pain degree was evaluated by the visual analogue scale (VAS). The treatment compliance between groups was compared. The psychological emotions of the patients were evaluated by a self-rating anxiety scale (SAS) and a self-rating depression scale (SDS). The General Self-efficacy Scale (GSES) was applied to assess the self-efficacy and the Quality of Life (SF-36) scale was applied to evaluate the quality of life. The incidence of secondary infection was observed in the two groups. The nursing satisfaction was evaluated by a nursing satisfaction questionnaire made by our hospital.
RESULTS
After nursing, the improvement of FEV, FVC and FEV/FVC levels in the RG were obviously better than that in the CG; The scores of VAS, SAS and SDS and total incidence of secondary infection in the RG were obviously lower than those in the CG; The treatment compliance, GSES and SF-36 scores, and nursing satisfaction scores of patients in the RG were obviously higher than that in the CG.
CONCLUSION
Evidence-based nursing intervention can improve treatment compliance, lung function, self-efficacy and quality of life for patients with LC undergoing radiotherapy and chemotherapy.
目的
探讨循证护理干预对肺癌（LC）放疗化疗患者治疗依从性、生活质量及自我效能的改善作用。
方法
选取2018年5月至2019年8月在我院接受放疗化疗的183例LC患者，根据护理方法不同分为两组。其中，85例接受常规护理干预的患者纳入对照组（CG），98例接受循证护理干预的患者纳入研究组（RG）。观察护理前后肺功能指标[用力肺活量（FVC）、一秒用力呼气容积（FEV）、一秒用力呼气容积与用力肺活量比值（FEV/FVC）]的改善情况。采用视觉模拟评分法（VAS）评估疼痛程度。比较两组间的治疗依从性。采用自评焦虑量表（SAS）和自评抑郁量表（SDS）评估患者的心理情绪。应用一般自我效能量表（GSES）评估自我效能，应用生活质量量表（SF-36）评估生活质量。观察两组继发感染的发生率。采用我院自制的护理满意度调查问卷评估护理满意度。
结果
护理后，研究组FEV、FVC及FEV/FVC水平的改善明显优于对照组；研究组VAS、SAS及SDS评分和继发感染总发生率明显低于对照组；研究组患者的治疗依从性、GSES及SF-36评分和护理满意度评分明显高于对照组。
结论
循证护理干预可提高LC放疗化疗患者的治疗依从性、肺功能、自我效能及生活质量。
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