综合护理干预对肺癌化疗患者生活质量及心理状况的影响

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目的 探究综合护理干预对肺癌化疗患者生活质量及心理状况的影响.方法 择取2018年1月~2021年1月规划为样本收集时段,并以该时段内本院收治的157例需经化疗的肺癌患者作为样本对象.基于红蓝球随机抽取规则,分为对照组和观察组.对照组(79例)予以常规护理干预,而观察组(78例)则实施综合护理干预.分析比对两组对象干预后疼痛评分、癌症生存质量核心量表评分、焦虑自评量表(SAS)、抑郁自评量表(SDS)评分以及对象就护理质量的满意度.结果 干预后,观察组疼痛评分1.25±0.88分,显著低于对照组的4.63±1.05分;各项生存质量评分22.51±1.75、23.16±2.11、23.28±1.24、22.55±2.73分及总分92.33±3.24分,均明显高于对照组的17.62±1.98、17.29±2.01、17.34±1.76、18.87±2.39、78.67±3.05分,各项比对结果差异显著(t/P值:21.846/<0.001;-16.389/<0.001;-17.849/<0.001;-24.418/<0.001;-8.990/<0.001;-27.204/<0.001);观察组SAS 34.26±4.13、SDS 37.81±4.05两项评分均明显低于对照组的50.15±4.89、53.22±4.68分,两项比对结果差异显著(t/P值:21.983/<0.001;22.050/<0.001);且该组护理满意度(96.15%)显著高于对照组(79.75%),比对结果差异显著(x2/P值:9.932/0.002).结论 应用综合护理能够有效提高肺癌化疗患者的生活质量,并且能够拥有更健康心理状况,提高护理满意度,值得在临床中推广.“,”Objective To explore the effect of comprehensive nursing intervention on the quality of life and psychological status of lung cancer patients undergoing chemotherapy. Methods The period from January 2018 to January 2021 was selected as the sample collection period, and the 157 lung cancer patients who required chemotherapy in our hospital during this period were selected as the sample objects. Based on the rules of random selection of red and blue balls, they are divided into two groups: control and observation. The control group (79 cases) received routine nursing intervention, while the observation group (78 cases) received comprehensive nursing intervention. Analyze and compare the pain scores, the cancer quality of life core scale scores, self-rating anxiety scale (SAS), self-rating depression scale (SDS) scores, and the subjects\'\' satisfaction with the quality of care after the intervention between the two groups. Results After the intervention, the pain score of the observation group 1.25±0.88 was significantly lower than that of the control group 4.63±1.05; the quality of life scores 22.51±1.75; 23.16±2.11; 23.28±1.24; 22.55±2.73 and the total score 92.33±3.24 were significantly higher than the control group 17.62±1.98; 17.29±2.01; 17.34±1.76; 18.87±2.39; 78.67±3.05, and the comparison results were significantly different (t/P value: 21.846/<0.001; -16.389/<0.001; -17.849/<0.001; -24.418/<0.001; -8.990/<0.001; -27.204/<0.001); observation group SAS 34.26±4.13, SDS 37.81±4.05 two scores both were significantly lower than the control group 50.15±4.89; 53.22±4.68, and the results of the two comparisons were significantly different (t/P value: 21.983/<0.001; 22.050/<0.001); and the nursing satisfaction of this group (96.15%) significantly higher than the control group (79.75%), the comparison results are significantly different (x2/P value: 9.932/0.002). Conclusion The application of comprehensive care can effectively improve the quality of life of lung cancer patients undergoing chemotherapy, and can have a healthier mental state, and improve nursing satisfaction. It is worthy of clinical promotion.
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