Yuan Wei, Chai Linlin, Wang Jing, Liu Cuifang, Jiang Zhibin, Deng Mo, Wang Hui
Altern Ther Health Med. 2024 Dec;30(12):274-279.
The incidence of tuberculosis (TB) complicated by lung cancer has been increasing yearly worldwide. The overlapping effects of these two diseases leads to difficulties in clinical treatment and care. Single-care modalities fail to meet the clinical-care requirements of these complex diseases for both psychological and physical treatment.
The study intended to evaluate the clinical efficacy of integrated nursing plus a psychological intervention for patients with TB complicated by lung cancer.
The research team conducted a randomized controlled study.
The study took place at the Affiliated Hospital of Hebei University in Baoding, Hebei, China.
Participants were 60 patients with pulmonary TB complicated by lung cancer who received treatment at the hospital between January 2022 and December 2022.
The research team randomly assigned participants to one of two groups, each with 30 participants: (1) the control group, who received integrated nursing and (2) the intervention group who received integrated nursing plus a psychological intervention.
The research team evaluated: (1) short-term clinical efficacy; (2) quality of life, using the Medical Outcomes Study's (MOS') 36-item Short-form Health Survey (SF-36); (3) levels of anxiety and depression, using the Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS), respectively; and (4) nursing satisfaction.
No significant differences existed between the groups in demographic or clinical characteristics at baseline (P > .05). Compared to the control group, the intervention group's; (1) short-term clinical efficacy was significantly higher (P = .035); (2) scores on the SF-36 were significantly higher (all P < .001; (3) scores on the SAS and SDS were significantly lower (both P < .001); and (4) nursing satisfaction was significantly higher (P = .000).
Integrated nursing plus psychological intervention can improve the quality of life of patients with TB complicated by lung cancer, alleviate their negative emotions, and enhance nursing satisfaction, thereby promoting patients' recoveries.
在全球范围内，肺结核（TB）合并肺癌的发病率逐年上升。这两种疾病的重叠影响给临床治疗和护理带来了困难。单一的护理模式无法满足这些复杂疾病在心理和身体治疗方面的临床护理需求。
本研究旨在评估综合护理加心理干预对肺结核合并肺癌患者的临床疗效。
研究团队进行了一项随机对照研究。
该研究在中国河北省保定市河北大学附属医院进行。
参与者为2022年1月至2022年12月期间在该医院接受治疗的60例肺结核合并肺癌患者。
研究团队将参与者随机分为两组，每组30人：（1）对照组，接受综合护理；（2）干预组，接受综合护理加心理干预。
研究团队评估了：（1）短期临床疗效；（2）生活质量，采用医学结局研究（MOS）的36项简短健康调查（SF-36）；（3）焦虑和抑郁水平，分别采用自评焦虑量表（SAS）和自评抑郁量表（SDS）；（4）护理满意度。
两组在基线时的人口统计学或临床特征方面无显著差异（P>.05）。与对照组相比，干预组的：（1）短期临床疗效显著更高（P=.035）；（2）SF-36评分显著更高（所有P<.001）；（3）SAS和SDS评分显著更低（均P<.001）；（4）护理满意度显著更高（P=.000）。
综合护理加心理干预可提高肺结核合并肺癌患者的生活质量，缓解其负面情绪，提高护理满意度，从而促进患者康复。
