摘要
目的对肺癌患者采用健康教育路径进行教育指导,研究该方法对预防及减少发生医院感染的影响,及对其生活质量的效果评价。方法调查2010年1月-2013年1月85例肺癌患者临床资料,将其随机分为两组,对照组42例采用常规治疗,试验组43例在常规治疗基础上进行健康教育,比较两组肺癌患者的并发症发生、生活质量和医院感染影响。结果试验组、对照组患者治疗后医院感染率分别为13.9%、42.8%,对照组医院感染率高于试验组,差异有统计学意义(P<0.05);检出病原菌中革兰阴性菌18株占75.0%,革兰阳性菌4株占16.7%,真菌2株占8.3%;并发症发生率对照组为54.7%,试验组为13.9%;试验组并发症发生率低于对照组(P<0.05);两组患者生活质量评分均有提高,其中试验组整体生活质量评分为(80.3±9.4)分、对照组为(56.2±9.1)分,试验组高于对照组(P<0.05);患者的焦虑、抑郁情绪评分也较对照组低(P<0.05)。结论对肺癌患者采用健康教育路径治疗,并能够有效降低医院感染和并发症的发生,有效提高患者的生活质量,对临床治疗有很重要的意义。
OBJECTIVE To conduct the health education path for the lung caner patients,study the impact of this method on prevention or reduction of incidence of nosocomial infections,and evaluate the effect on the quality of life.METHODS The clinical data of 85lung cancer patients who were treated in the hospital from Jan 2010to Jan2013were investigated,then the patients were randomly divided into two groups,the control group with 42cases was treated with convention therapy,the experimental group with 43cases was given the health education on the basis of the conventional therapy,and the incidence of complications,quality of life,and incidence of nosocomial infections were observed and compared between the two groups.RESULTS After the treatment,the incidence of nosocomial infections was 13.9%in the experimental group,42.8%in the control group,the incidence of nosocomial infections was significantly higher in the control group than in the experimental group,and the difference was significant（P〈0.05）.Among the isolated pathogens,there were 18（75.0%）strains of gram-negative bacteria,4（16.7%）strains of gram-negative bacteria,and 4（16.7%）strains of fungi.The incidence of complications was13.9%in the experimental group,lower than 54.7%in the control group（P〈0.05）.The score of the quality of life of both groups was improved,the overall score of quality of life was（80.3±9.4）points in the experimental group,higher than（56.2±9.1）points in the control group（P〈0.05）.The anxiety and depression score of the experimental group was also lower than that of the control group（P〈0.05）.CONCLUSIONIt is of great significance to conduct the health education path for the lung cancer patients so as to effectively reduce the incidence of nosocomial infections and complications and improve the quality of life of the patients.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2014年第14期3503-3505,共3页
Chinese Journal of Nosocomiology
基金
河南省杰出人才创新基金资助项目(0621002500)
关键词
健康教育路径
肺癌
医院感染
生活质量
Health education path
Lung cancer
Nosocomial infection
Quality of life
