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目的探讨放松训练联合心理护理对肺癌患者负性情绪和不良反应的影响。方法选取2014年2月至2015年1月间湖北医学院附属东风医院收治的80例肺癌化疗患者,采用随机数表法分为观察组和对照组,每组40例。观察组患者用常规护理、加强心理护理和放松训练,对照组患者采用常规护理,比较两组患者的负性情绪、不良反应和化疗效果。结果两组患者化疗前负性情绪的差异无统计学意义(P>0.05)。观察组患者化疗后的焦虑(SAS)和抑郁(SDS)的评分及发生率均低于对照组,差异均有统计学意义(均P<0.05)。观察组患者的客观缓解率(ORR)为15.0%,高于对照组的5.0%,胃肠道反应轻于对照组,差异均有统计学意义(均P<0.05)。结论放松训练联合心理护理能明显缓解肺癌患者的负性情绪,减轻胃肠道反应,提高治疗效果。
Objective To explore the effect of relaxation training combined with psychological nursing on negative emotions and adverse reactions in patients with lung cancer. Methods Eighty patients with lung cancer who underwent chemotherapy in Dongfeng Hospital Affiliated to Hubei Medical College from February 2014 to January 2015 were divided into observation group and control group with 40 cases in each group. Patients in the observation group were treated with routine nursing, psychological nursing and relaxation training. Patients in the control group were treated with routine nursing care. The negative emotions, adverse reactions and chemotherapeutic effects were compared between the two groups. Results There was no significant difference in negative emotions between the two groups before chemotherapy (P> 0.05). The score and the incidence of anxiety (SAS) and depression (SDS) in the observation group after chemotherapy were lower than those in the control group, with significant differences (all P <0.05). The objective response rate (ORR) of the observation group was 15.0%, which was higher than that of the control group (5.0%). The gastrointestinal reaction was lighter than the control group (all P <0.05). Conclusion Relaxation training combined with psychological care can significantly alleviate the negative emotions of patients with lung cancer, reduce gastrointestinal reactions and improve the therapeutic effect.