Department of Oncology, The Fourth Hospital of Hebei Medical University, Shijiazhuang 050011, Hebei, China.
Department of Cancer Center, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430000, Hubei, China.
J Healthc Eng. 2022 Mar 10;2022:4357915. doi: 10.1155/2022/4357915. eCollection 2022.
The aim of this study is to explore the effect of conventional nursing combined with bedtime oculomotor training on sleep quality and body immune of advanced lung cancer patients.
By means of a retrospective study, 120 advanced lung cancer patients admitted to our hospital from January 2019 to January 2020 were selected as the research subject and divided into the intervention group (PSQI (Pittsburgh Sleep Quality Index) score≥10 points, = 60) and the control group (PSQI score<10 points, = 60). Conventional nursing was performed to the control group, and an eye movement exercise before sleep was added additionally in the intervention group, 30 min each time, once a day, and 5 times a week for 3 months, so as to compare their sleep quality, body immunity indexes, negative emotion scores, adverse reaction rate (ARR), quality of life, and satisfaction with nursing.
After nursing, the intervention group obtained a significantly lower PSQI score (5.54 ± 1.23 VS 7.98 ± 1.65, < 0.05), better body immunity indexes ( < 0.001), lower negative emotion scores ( < 0.05), lower ARR ( < 0.05), better quality of life ( < 0.001), and higher satisfaction with nursing ( < 0.05) than the control group.
Combining conventional nursing with the eye movement exercise before sleep can alleviate negative emotions, improve the sleep quality, promote body immunity, and reduce the ARR, which is more satisfying to patients and should be applied and promoted in practice.
本研究旨在探讨常规护理联合睡前眼动训练对晚期肺癌患者睡眠质量和机体免疫的影响。
采用回顾性研究方法，选取 2019 年 1 月至 2020 年 1 月我院收治的 120 例晚期肺癌患者作为研究对象，并将其分为干预组（PSQI（匹兹堡睡眠质量指数）评分≥10 分，n=60）和对照组（PSQI 评分<10 分，n=60）。对照组给予常规护理，干预组在对照组的基础上于睡前增加眼动训练，每次 30min，每天 1 次，每周 5 次，连续 3 个月，比较两组患者的睡眠质量、机体免疫指标、负性情绪评分、不良反应发生率（ARR）、生活质量及护理满意度。
护理后，干预组 PSQI 评分（5.54±1.23比 7.98±1.65， < 0.05）更低，机体免疫指标[白细胞介素-2（IL-2）、白细胞介素-4（IL-4）、自然杀伤细胞（NK）]更优（ < 0.001），负性情绪评分[焦虑自评量表（SAS）、抑郁自评量表（SDS）]更低（ < 0.05），ARR 更低（ < 0.05），生活质量[生活质量综合评定问卷（GQOLI-74）]更优（ < 0.001），护理满意度更高（ < 0.05），均优于对照组。
常规护理联合睡前眼动训练能缓解负性情绪，改善睡眠质量，促进机体免疫，降低 ARR，患者满意度更高，值得临床推广应用。
