中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2013年
3期
37-40
,共4页
非小细胞肺癌%化疗%生活质量%焦虑
非小細胞肺癌%化療%生活質量%焦慮
비소세포폐암%화료%생활질량%초필
Non-small cell lung cancer%Chemotherapy%Quality of life%Anxiety
目的 通过分析比较非小细胞肺癌患者化疗前后的生活质量及焦虑情绪的变化,探讨化疗对于肺癌患者生活质量及焦虑情绪的影响.方法 采用EORTC QLQ-C30及Zung焦虑自评量表(SAS)对64例非小细胞肺癌患者于化疗前、化疗2周期后、化疗4周期后进行临床疗效评估.结果 化疗前生活质量方面疲乏、呼吸困难项目得分较高,伴焦虑情绪的患者占58％,平均SAS得分为(49.7±5.8)分；焦虑症状与失眠有相关性；化疗2周期后,患者呼吸困难得分较前下降,食欲丧失、失眠得分升高,与化疗前比较有显著差异；化疗4周期后患者角色、躯体、情绪、社会功能得分明显下降,恶心呕吐、便秘、食欲不振及经济困难条目得分明显上升,与化疗前2周期相比有显著差异；焦虑症状与疲乏、便秘及失眠相关.结论 非小细胞肺癌在化疗过程中,部分患者躯体症状得到缓解,但焦虑情绪明显增加,生命质量有所下降,因此护理人员应当及时准确评价患者生活质量及情绪改变并针对性地加强护理措施,提高患者生活质量.
目的 通過分析比較非小細胞肺癌患者化療前後的生活質量及焦慮情緒的變化,探討化療對于肺癌患者生活質量及焦慮情緒的影響.方法 採用EORTC QLQ-C30及Zung焦慮自評量錶(SAS)對64例非小細胞肺癌患者于化療前、化療2週期後、化療4週期後進行臨床療效評估.結果 化療前生活質量方麵疲乏、呼吸睏難項目得分較高,伴焦慮情緒的患者佔58％,平均SAS得分為(49.7±5.8)分；焦慮癥狀與失眠有相關性；化療2週期後,患者呼吸睏難得分較前下降,食欲喪失、失眠得分升高,與化療前比較有顯著差異；化療4週期後患者角色、軀體、情緒、社會功能得分明顯下降,噁心嘔吐、便祕、食欲不振及經濟睏難條目得分明顯上升,與化療前2週期相比有顯著差異；焦慮癥狀與疲乏、便祕及失眠相關.結論 非小細胞肺癌在化療過程中,部分患者軀體癥狀得到緩解,但焦慮情緒明顯增加,生命質量有所下降,因此護理人員應噹及時準確評價患者生活質量及情緒改變併針對性地加彊護理措施,提高患者生活質量.
목적 통과분석비교비소세포폐암환자화료전후적생활질량급초필정서적변화,탐토화료대우폐암환자생활질량급초필정서적영향.방법 채용EORTC QLQ-C30급Zung초필자평량표(SAS)대64례비소세포폐암환자우화료전、화료2주기후、화료4주기후진행림상료효평고.결과 화료전생활질량방면피핍、호흡곤난항목득분교고,반초필정서적환자점58％,평균SAS득분위(49.7±5.8)분；초필증상여실면유상관성；화료2주기후,환자호흡곤난득분교전하강,식욕상실、실면득분승고,여화료전비교유현저차이；화료4주기후환자각색、구체、정서、사회공능득분명현하강,악심구토、편비、식욕불진급경제곤난조목득분명현상승,여화료전2주기상비유현저차이；초필증상여피핍、편비급실면상관.결론 비소세포폐암재화료과정중,부분환자구체증상득도완해,단초필정서명현증가,생명질량유소하강,인차호리인원응당급시준학평개환자생활질량급정서개변병침대성지가강호리조시,제고환자생활질량.
Objective This study aims to observe the changes in quality of life as well as the anxiety among non-small cell lung cancer patients before and after chemotherapy,and to explore the effect of chemotherapy on quality of life and anxiety.Methods EORTC QLQ-C30,and SAS were used to investigate clinical treatment effect before chemotherapy,one week after two courses of chemotherapy,and one week after four courses of chemotherapy.Results Before chemotherapy,fatigue and dyspnoea scores were high,the rate of anxiety was 58％,while the SAS score was (49.7±5.8).Anxiety was found to be positively correlated with insomnia.After two courses of chemotherapy,dyspnoea scores decreased,while insomnia and appetite loss scores increased.The difference was statistically significant.After four courses of chemotherapy,the physical,role,emotional,and social function scores decreased,while the nausea and vomiting,appetite loss,constipation,and financial impact scores increased.The difference was statistically significant,anxiety was signifcantly positively correlated with fatigue,insomnia and constipation.Conclusions A number of patients have experienced symptom relief,but during chemotherapy,the patients had significant anxiety.Thus,quality of life decreased.The quality of life and emotions of non-small cell lung cancer patients should be evaluated,and positive psychological intervention should be given to improve quality of life.
