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循证护理对肺癌患者介入治疗术后康复的促进作用 被引量:15

Promoting effect of evidence-based nursing on the rehabilitation in patients with lung cancer under-going interventional therapy
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摘要 目的探讨循证护理对肺癌患者介入治疗术后康复的促进作用。方法选取2015年6月至2017年6月间在广元市中心医院接受介入术治疗的60例肺癌患者作为研究对象,根据入院先后顺序依次纳入观察组和对照组,每组30例,观察组患者在常规护理基础上加用循证护理,对照组患者采用常规护理。对两组患者护理前后的焦虑自评量表(SAS)、抑郁自评量表(SDS)、术后生活质量及并发症发生情况进行综合评价并比较。结果观察组患者护理后的SAS评分和SDS评分得到显著改善,显著低于对照组患者,差异有统计学意义(P<0.05),观察组患者护理后生活质量评分均显著优于对照组患者,差异均有统计学意义(均P<0.05)。且观察组护理后有2例患者出现并发症,占6.7%,显著低于对照组的26.7%,差异有统计学意义(P<0.05)。结论循证护理在肺癌患者介入治疗术后康复中的应用,能够缓解患者负性情绪,提升患者的生活质量,减少并发症,值得推广应用。 Objective To explore the promoting effect of evidence-based nursing on the rehabilitation in patients with lung cancer undergoing interventional therapy. Methods Sixty patients with lung cancer who undergoing interventional therapy at Guangyuan Central Hospital from June 2015 to June 2017 were selected as the study subjects. They were divided into an observation group and a control group according to the admission sequence with 30 patients in each group. The observation group was given evidencebased nursing besides routine nursing and the control group was given routine nursing. the Self-rating anxiety scale(SAS) and Self-rating depression scale(SDS) score before and after nursing,postoperative quality of life and the complications were comprehensive evaluated and compared in the two groups. Results SAS and SDS scores were improved significantly in the observation group after the nursing care,and the scores were significantly lower in the observation group than in the control group(P〈0. 05). Quality of life scores were significantly better in the observation group than in the control group(all P〈0. 05). After nursing,complications occurred in 2 patients(6. 7%) in the observation group,which was significantly lower than26. 7% of the control group(P〈0. 05). Conclusion Evidence-based nursing can alleviate the negative emotions,improve the quality of life and reduce complications for rehabilitation in patients with lung cancer,which deserves promotion.
作者 田雪芹 张琴 向静 杨晓华 TIAN Xue-qin;ZHANG Qin;XIANG Jing;YANG Xiao-hual(Department of Respiratory Medicine, Central Hospital of Guangyuan City, Guang'yuan 628000, China;Department of Respiratory Medicine, Affiliated Hospital of Chengdu Medieal College, Chengdu 610000, China)
出处 《中国肿瘤临床与康复》 2018年第5期628-631,共4页 Chinese Journal of Clinical Oncology and Rehabilitation
基金 四川省科技支撑计划项目(2015026)
关键词 循证护理 肺肿瘤 介入治疗 术后康复 生活质量 并发症 Evidence-based nursing Lung neoplasms Interventional therapy Postopera-tive rehabilitation Quality of life Complications
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