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心理干预联合健康教育护理方法对肺癌化疗患者的影响。

Effect of Nursing Method of Psychological Intervention Combined with Health Education on Lung Cancer Patients Undergoing Chemotherapy.

机构信息

Internal Medicine-Oncology,Wuhan Fourth Hospital, Puai Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430034, Hubei Province, China.

出版信息

J Healthc Eng. 2022 Feb 16;2022:2438612. doi: 10.1155/2022/2438612. eCollection 2022.

Abstract

At present, lung cancer has become clinically the malignant tumor with the highest incidence and mortality rate in China. Smoking, environmental pollution, infection, etc., are closely related to lung cancer. To investigate the effect of the nursing method of psychological intervention combined with health education on lung cancer patients undergoing chemotherapy, 70 lung cancer patients who received chemotherapy in our hospital from June 2017 to June 2020 were selected and randomly divided into a routine intervention group ( = 35) and a combined intervention group ( = 35). Patients in the two groups had the same chemotherapy method and medication. The routine intervention group received the routine nursing intervention, while on this basis, the combined intervention group received psychological intervention combined with health education. After 6-week nursing, self-rating anxiety scale (SAS) score, self-rating depression scale (SDS) score, cancer pain score before and after nursing, improvement of respiratory function before and after nursing, sleep quality score, quality of life score, and nursing satisfaction were analyzed. Through nursing intervention, the quality of life indexes such as physiological, physical, social, emotional, and other indexes in the combined intervention group were significantly better than those in the routine intervention group, with statistical differences ( < 0.01). The nursing satisfaction in the combined intervention group was significantly better than that in the routine intervention group, with statistical significance (  = 8.9342, < 0.05). The psychological intervention combined with health education for lung cancer patients undergoing chemotherapy can effectively alleviate anxiety and depression, increase confidence in treatment, reduce pain and significantly improve sleep quality, respiratory function, quality of life, and nursing satisfaction.

摘要

目前,肺癌已成为临床上发病率和死亡率最高的恶性肿瘤。吸烟、环境污染、感染等与肺癌密切相关。为了探讨心理干预联合健康教育护理方法对接受化疗的肺癌患者的影响,选取 2017 年 6 月至 2020 年 6 月在我院接受化疗的 70 例肺癌患者,并将其随机分为常规干预组( = 35)和联合干预组( = 35)。两组患者均采用相同的化疗方法和药物。常规干预组接受常规护理干预,在此基础上,联合干预组接受心理干预联合健康教育。经过 6 周的护理,分析两组患者的焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、护理前后的癌痛评分、护理前后的呼吸功能改善情况、睡眠质量评分、生活质量评分和护理满意度。通过护理干预,联合干预组的生理、身体、社会、情感等生活质量指标明显优于常规干预组,差异有统计学意义( < 0.01)。联合干预组的护理满意度明显优于常规干预组,差异有统计学意义(  = 8.9342, < 0.05)。心理干预联合健康教育对接受化疗的肺癌患者可有效缓解焦虑和抑郁,增强治疗信心,减轻疼痛,显著改善睡眠质量、呼吸功能、生活质量和护理满意度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81b0/8866018/a37820cd8313/JHE2022-2438612.001.jpg

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