中医护理干预对肺癌患者化疗期间不良情绪及生活质量的影响

目的分析中医护理干预对肺癌患者化疗期间不良情绪及生活质量的影响。方法选取该院于2018年3月至2019年3月收治的46例肺癌化疗患者为研究对象,根据护理方案不同分为对照组与观察组,每组23例。对照组患者化疗期间采取常规护理方案,观察组患者化疗期间在常规护理方案基础上联合中医护理干预。采用焦虑自评量表(SAS)、抑郁自评量表(SDS)评估两组患者干预前后焦虑、抑郁不良情绪。采用匹兹堡睡眠质量指数(PSQI)评估两组患者干预前后睡眠质量。采用癌症患者生活质量测定量表(EORTCQLQC30)评定两组患者干预前后生活质量。结果干预前两组SAS、SDS评分比较,差异均无统计学意义(P>0.05);干预后观察组评分低于对照组,差异均有统计学意义(P<0.05)。干预前两组各项PSQI评分比较,差异均无统计学意义(P>0.05);干预后观察组各项PSQI评分低于对照组,差异均有统计学意义(P<0.05)。干预前两组各项EORTC-QLQC30评分比较,差异均无统计学意义(P>0.05),干预后观察组各项EORTC-QLQC30评分高于对照组,差异均有统计学意义(P<0.05)。结论肺癌患者化疗期间采用中医护理干预,可有效缓解抑郁、焦虑等不良情绪,提高患者睡眠质量,同时改善生活质量,值得临床推广。

Evaluation of the influence of nursing intervention of traditional Chinese medicine on the adverse psychological emotion and quality of life of lung cancer patients during chemotherapy

Objective To evaluate the effect of traditional Chinese medicine(TCM)nursing intervention on the adverse psychological emotion and quality of life of lung cancer patients during chemotherapy.Methods A total of 46 patients with lung cancer received chemotherapy in Shaanxi Cancer Hospital from March 2018 to March 2019 were divided into control group and observation group according to different nursing schemes,23 patients in each group.Patients in the control group received routine nursing schemes during chemotherapy,while patients in the observation group received routine nursing schemes combined TCM nursing intervention during chemotherapy.Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)were used to evaluate the anxiety and depression of the two groups before and after intervention.Pittsburgh Sleep Quality Index(PSQI)score was used to evaluate the sleep quality of the two groups before and after intervention.The quality of life of cancer patients before and after intervention was assessed by EORTC-QLQC30.Results There were no differences on SAS and SDS scores between the two groups before intervention(P>0.05),after intervention,the scores of the observation group were lower than those of the control group(P<0.05).There was no difference on every factor of PSQI scores between the two groups before intervention(P>0.05),after intervention,every factor of PSQI scores of the observation group were lower than those of the control group(P<0.05).There was no difference on the scores of each factor of EORTC-QLQC30 between the two groups before intervention(P>0.05),after intervention,the scores of each factor of EORTCQLQC30 in the observation group were higher than those in the control group(P<0.05).Conclusion TCM nursing intervention could effectively relieve depression,anxiety and other adverse psychological emotions,improve the quality of sleep,and improve the quality of life of patients with lung cancer during chemotherapy,which is worthy of clinical promotion.