CAJ | 학술논문

目的探讨健康教育及综合护理干预对肺癌化疗患者生存质量的影响.方法 2010年2月至2013年2月,选取在我院住院化疗的100例肺癌患者,按照随机数字法分为干预组及对照组,每组各50例,对照组患者在化疗过程中仅给予常规抗癌药物治疗及常规基础护理,干预组在常规化疗及护理的基础上对患者进行健康教育,实施综合护理干预.于入组当时及研究结束时分别采用Zung焦虑量表(SAS)、抑郁量表评分(SDS)、生活质量核心问卷(QLQ-C30)对患者的生活质量进行评价,分析综合护理干预对肺癌化疗患者生存质量的影响.治疗前后采用配对样本t检验,组间比较采用单因素方差分析,以P＜0.05差异有统计学意义.结果两组患者入组时的年龄、性别、病程、SAS、SDS评分、QLQ-C30评分差异均无统计学意义,一般资料具有可比性(均P＞0.05).干预后对照组SAS评分及SDS评分分别为(58.8±7.6)分、(49.5±10.1)分,干预组SAS评分及SDS评分分别为(46.5±7.8)分、(37.4±9.2)分,与对照组相比明显降低,差异有统计学意义(t=5.347、6.215,P＜0.05).干预后对照组生活质量各项评分:一般情况、体力评分、情感情分、认知评分、社会角色评分、功能评分分别为(47.3±23.0)分、(54.9±26.6)分、(60.4±19.1)分、(66.2±25.8)分、(54.1±26.2)分、(49.4±21.5)分,干预组分别为(57.2±18.3)分、(63.0±25.9)分、(67.3±23.3)分、(75.4±28.2)分、(67.7±24.8)分、(58.5±22.3)分,与对照组相比明显提高,差异均有统计学意义(t=5.725、6.144、5.021、5.702、7.137、6.357,均P＜0.05).结论对肺癌患者进行健康教育及综合护理干预可减少患者的焦虑及抑郁症状,全面提高患者的生活质量.
목적 탐토건강교육급종합호리간예대폐암화료환자생존질량적영향.방법 2010년2월지2013년2월,선취재아원주원화료적100례폐암환자,안조수궤수자법분위간예조급대조조,매조각50례,대조조환자재화료과정중부급여상규항암약물치료급상규기출호리,간예조재상규화료급호리적기출상대환자진행건강교육,실시종합호리간예.우입조당시급연구결속시분별채용Zung초필량표(SAS)、억욱량표평분(SDS)、생활질량핵심문권(QLQ-C30)대환자적생활질량진행평개,분석종합호리간예대폐암화료환자생존질량적영향.치료전후채용배대양본t검험,조간비교채용단인소방차분석,이P＜0.05차이유통계학의의.결과 량조환자입조시적년령、성별、병정、SAS、SDS평분、QLQ-C30평분차이균무통계학의의,일반자료구유가비성(균P＞0.05).간예후대조조SAS평분급SDS평분분별위(58.8±7.6)분、(49.5±10.1)분,간예조SAS평분급SDS평분분별위(46.5±7.8)분、(37.4±9.2)분,여대조조상비명현강저,차이유통계학의의(t=5.347、6.215,P＜0.05).간예후대조조생활질량각항평분:일반정황、체력평분、정감정분、인지평분、사회각색평분、공능평분분별위(47.3±23.0)분、(54.9±26.6)분、(60.4±19.1)분、(66.2±25.8)분、(54.1±26.2)분、(49.4±21.5)분,간예조분별위(57.2±18.3)분、(63.0±25.9)분、(67.3±23.3)분、(75.4±28.2)분、(67.7±24.8)분、(58.5±22.3)분,여대조조상비명현제고,차이균유통계학의의(t=5.725、6.144、5.021、5.702、7.137、6.357,균P＜0.05).결론 대폐암환자진행건강교육급종합호리간예가감소환자적초필급억욱증상,전면제고환자적생활질량.
Objective To explore the effect of health education and comprehensive nursing intervention on quality of patients with lung cancer.Methods One hundred lung cancer patients who were treated with chemotherapy from February 2010 to February 2013 in our hospital were selected and assigned to the intervention group (n=50) and the control group (n=50).The participants in the control group received conventional anti-cancer drug and routine primary care,however those of the intervention group additionally obtained health education and comprehensive nursing intervention.The Zung Anxiety Scale (SAS),Depression Rating Scale (SDS) and the core quality of life questionnaire (QLQ-C30) were used to evaluate the quality of life of the patients.Paired samples t test and ANOVA were used for data analysis.Results Differences of age,gender,disease duration,SAS,SDS score and EORTC QLQ-C30 score were not statistically significant between the two groups (all P＞0.05).After the intervention,SAS and SDS scores of the control subjects were 58.8±7.6 and 49.5±10.1 respectively,and SAS and SDS scores of the intervention group were 46.5±7.8 and 37.4±9.2 respectively (t velues were 5.347 and 6.215,respectively; both P＜0.05).Quality of life scores in the intervention group were as followed:general condition 57.2± 18.3,physical fitness 63.0±25.9,mutual affection 67.3±23.3,cognitive score 75.4±28.2,social role 67.7±24.8 and function scores 58.5±22.3.Quality of life scores in the control group were as followed:general condition 47.3±23.0,physical fitness 54.9±26.6,mutual affection 60.4±19.1,cognitive score 66.2±25.8,social role 54.1±26.2 and function scores 49.4±21.5 (t values were 5.725,6.144,5.021,5.702,7.137 and 6.357,respectively; all P＜ 0.05).Conclusion Health education and comprehensive nursing intervention for lung cancer patients may reduce their anxiety and depression symptoms and improve the quality of life.