摘要
目的探讨专项精细化管理模式对肺癌化疗患者心理状态、睡眠质量及生活质量的影响。方法依据临床管理模式的不同将98例肺癌化疗患者分为精细化管理组(n=45)和常规管理组(n=53),精细化管理组患者予以专项精细化管理模式,常规管理组患者予以常规管理模式。采用焦虑自评量表(SAS)、抑郁自评量表(SDS)评价干预前后两组患者的心理状态,采用匹兹堡睡眠质量指数量表(PSQI)和欧洲癌症研究与治疗组织研制的生活质量核心量表(EORTC QLQ-C30)评价干预前后两组患者的睡眠质量及生活质量。结果干预后,精细化管理组患者的SAS和SDS评分均低于常规管理组,差异均有统计学意义(P<0.05)。干预后,精细化管理组患者的睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物及日间功能评分均低于常规管理组,差异均有统计学意义(P<0.05)。干预后,精细化管理组患者的躯体功能、角色功能、情绪功能、认知功能、社会功能及总体健康状况评分均高于常规管理组,差异均有统计学意义(P<0.05)。结论专项精细化管理能够改善肺癌化疗患者的心理状态,提高其睡眠质量及生活质量。
Objective To explore the effect of special refined management on psychological state,sleep quality and quality of life of patients with lung cancer undergoing chemotherapy.Method 98 patients with lung cancer undergoing chemotherapy were divided into refined management group(n=45)and routine management group(n=53).The patients in the refined management group were given the special refined management mode,while the patients in the routine management group were given the routine management mode.Self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were used to evaluate the psychological status of the two groups before and after intervention.Pittsburgh sleep quality index(PSQI)and European Organization for Research and Treatment of Cancer quality of life questionnaire-core30(EORTC QLQ-C30)were used to evaluate the sleep quality and life quality of the two groups before and after intervention.Result After intervention,the scores of SAS and SDS in the refined management group were significantly lower than those in the routine management group(P<0.05).After intervention,the scores of sleep quality,falling asleep time,sleep time,sleep efficiency,sleep disorder,hypnotic drugs and daytime function in the refined management group were lower than those in the routine management group(P<0.05).After intervention,the scores of physical function,role function,emotional function,cognitive function,social function and general health status in the refined management group were significantly higher than those in the routine management group(P<0.05).Conclusion The special refined management can improve the psychological state,sleep quality and quality of life of lung cancer patients undergoing chemotherapy.
作者
朱要红
郑晓璐
任伟云
ZHU Yaohong;ZHENG Xiaolu;REN Weiyun(Department of Respiratory and Critical Care Medicine,Pingmei Shenma Medical Group General Hospital,Pingdingshan 467000,He’nan,China)
出处
《癌症进展》
2020年第13期1396-1400,共5页
Oncology Progress
关键词
专项精细化管理
肺癌
化疗
心理状态
睡眠质量
生活质量
special refined management
lung cancer
chemotherapy
psychological state
sleep quality
quality of life
