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目的探讨肺癌术后患者实施健康教育的临床意义,分析其对患者心理状况及生存质量的影响。方法将我院于2012年1月至2015年5月期间收治的114例行肺癌手术的患者随机分成研究组和对照组,对照组采用常规干预措施,研究组在对照组基础上进行健康教育。使用汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评估患者干预前后的心理状况,同时使用欧洲癌症生存质量问卷比较两组的生存质量。结果实施干预前,两组患者的HAMA、HAMD、生活质量评分无明显差异(P>0.05),通过干预后,研究组的HAMA、HAMD评分明显低于对照组(P<0.01),认知功能、躯体功能、情绪功能、角色功能及整体功能评分均显著优于对照组(P<0.01)。结论健康教育可以有效缓解肺癌术后患者的负面情绪,改善生存质量。
Objective To investigate the clinical significance of implementing health education in patients with lung cancer after operation and analyze their effects on the psychological status and quality of life of patients. Methods A total of 114 patients undergoing lung cancer surgery from January 2012 to May 2015 in our hospital were randomly divided into study group and control group. The control group received routine intervention, and the study group received health education based on the control group. The Hamilton’s anxiety scale (HAMA) and Hamilton Depression Rating Scale (HAMD) were used to assess the psychological status before and after the intervention. The quality of life was compared between the two groups using the European Cancer Survival Questionnaire. Results Before intervention, there was no significant difference in HAMA, HAMD and quality of life between the two groups (P> 0.05). After intervention, the scores of HAMA and HAMD in the study group were significantly lower than those in the control group (P <0.01) , Body function, emotion function, role function and overall function score were significantly better than the control group (P <0.01). Conclusion Health education can effectively alleviate the negative emotions of postoperative patients with lung cancer and improve the quality of life.