Department of Radiotherapy, Nanjing Jinling Hospital, Nanjing University School of Medicine, Nanjing, 210002 Jiangsu Province, China.
Department of Cadre Ward, Nanjing Jinling Hospital, Nanjing University School of Medicine, Nanjing, 210002 Jiangsu Province, China.
Comput Math Methods Med. 2022 Aug 24;2022:2601852. doi: 10.1155/2022/2601852. eCollection 2022.
To ask lots of questions about finding the truth about the influence of the case management model combined with continuous nursing care on following the law behavior and negative feelings of love, hate, fear, etc. in old patients with lung scale-like cell cancer.
One hundred and forty-three elderly patients with squamous cell carcinoma of the lung were selected for this prospective study, 10 cases were shed due to epidemic and transfer, and finally 68 cases were in the control group and 65 cases in the observation group. The differences in anxiety and depression scores, quality of life, and compliance behavior between the two groups were observed and compared.
After nursing, the self-rating anxiety scale (SAS) and self-rating depression scale (SDS) of the observation group were lower than those of the control group, while the social support score was significantly higher than that of the control group. The scores of psychological behavior, exercise status, drug taking, and balanced diet of the two groups were significantly improved, and the observation group was significantly improved. The scores of medical compliance behavior in the observation group were significantly higher than those in the control group, and the mental vitality score, social interaction score, emotional restriction score, and mental status of the patients in the observation group were significantly higher than those in the control group, and the above statistics showed that the difference was statistically significant ( < 0.05).
The use of a case management model combined with extended care significantly improved the compliance behavior and anxiety and depression of elderly patients with squamous cell carcinoma of the lung and improved the quality of life and social support.
调查采用个案管理模式联合延续性护理对肺鳞癌老年患者遵医行为及爱、恨、惧等负面情绪的影响。
前瞻性研究选择 143 例肺鳞癌老年患者，脱落 10 例因疫情转院，最终对照组 68 例，观察组 65 例。观察并比较两组焦虑抑郁评分、生活质量及遵医行为的差异。
护理后观察组患者的自评焦虑量表（SAS）和自评抑郁量表（SDS）评分均低于对照组，而社会支持评分明显高于对照组。两组心理行为、运动状况、服药、均衡饮食等评分均明显提高，且观察组改善更明显。观察组患者的遵医行为评分明显高于对照组，观察组患者的精神活力评分、社会交往评分、情绪限制评分、心理状态评分明显高于对照组，以上统计学差异均有意义（<0.05）。
采用个案管理模式联合延续性护理可显著提高肺鳞癌老年患者的遵医行为，改善焦虑抑郁情绪，提高生活质量和社会支持。
