延续性护理对晚期肺癌患者生活质量及睡眠障碍的影响(1)
[摘要]目的 探讨延续性护理干预对晚期肺癌患者生活质量及睡眠障碍的影响。方法 选择2017年4月～2018年4月我院收治的106例晚期肺癌患者作为研究对象，采用随机数字表法将其分成研究组和参照组，每组各53例。参照组给予常规护理干预，研究组在参照组的基础上给予延续性护理干预。比较两组干预前后的生活质量评分情况，并观察患者睡眠障碍的改善情况。结果 干预前，两组的躯体功能、社会功能、认知功能、情绪功能各个维度的生活质量评分比较，差异无统计学意义(P>0.05)。干预后，两组的各个维度的生活质量评分均有所提高(P<0.05)，研究组干预后各个维度生活质量评分均高于参照组，差异有统计学意义(P<0.05)。干预前，两组的匹兹堡睡眠质量指数量表(PSQI)入睡时间、睡眠时间、睡眠质量、睡眠效率、睡眠障碍、催眠药物、日间功能障碍评分比较，差異均无统计学意义(P>0.05)。干预后研究组PSQI量表各项评分均低于参照组，差异有统计学意义(P<0.05)。结论 晚期肺癌患者在常规护理的基础上加以延续性护理干预，可有效改善患者的睡眠障碍，提高患者生活质量，可在临床推广应用。
[关键词]晚期肺癌；延续性护理干预；生活质量：睡眠障碍
[中图分类号] R473.73 [文献标识码] A [文章编号] 1674-4721(2019)4(b)-0224-04
[Abstract] Objective To explore the effect of continuous nursing intervention on quality of life and sleep disorder in patients with advanced lung cancer. Methods 106 patients with advanced lung cancer admitted to our hospital from April 2017 to April 2018 were selected as study subjects. They were divided into study group and reference group according to random number table method， 53 cases in each group. The reference group was given routine nursing intervention， and the patients in the study group were received with continuous nursing intervention on the basis of the reference group. The quality of life scores before and after intervention were compared between the two groups， and the improvement of sleep disorder was observed. Results Before intervention， there was no significant difference in the scores of quality of life between the two groups in physical function， emotional function， social function and cognitive function (P>0.05). After intervention， the scores of quality of life in each dimension of the two groups were improved (P<0.05)， and the scores of each dimension in the study group were higher than those in the control group (P<0.05). Before intervention， there was no significant difference in sleep quality， sleep time， sleep efficiency， sleep disorder， hypnotic drugs and daytime dysfunction score in Pittsburgh sleep quality index (PSQI) scale between the two groups (P>0.05). After intervention， the scores of PSQI scale in the study group were significantly lower than those in the control group (P<0.05). Conclusion Continuous nursing intervention on the basis of routine nursing in patients with advanced lung cancer can effectively improve sleep disorders and improve the quality of life of patients， and can be further popularized and applied in clinical practice.
[Key words] Advanced lung cancer； Continuous nursing intervention； Quality of life； Sleep disorder, http://www.100md.com(阳华)
[关键词]晚期肺癌；延续性护理干预；生活质量：睡眠障碍
[中图分类号] R473.73 [文献标识码] A [文章编号] 1674-4721(2019)4(b)-0224-04
[Abstract] Objective To explore the effect of continuous nursing intervention on quality of life and sleep disorder in patients with advanced lung cancer. Methods 106 patients with advanced lung cancer admitted to our hospital from April 2017 to April 2018 were selected as study subjects. They were divided into study group and reference group according to random number table method， 53 cases in each group. The reference group was given routine nursing intervention， and the patients in the study group were received with continuous nursing intervention on the basis of the reference group. The quality of life scores before and after intervention were compared between the two groups， and the improvement of sleep disorder was observed. Results Before intervention， there was no significant difference in the scores of quality of life between the two groups in physical function， emotional function， social function and cognitive function (P>0.05). After intervention， the scores of quality of life in each dimension of the two groups were improved (P<0.05)， and the scores of each dimension in the study group were higher than those in the control group (P<0.05). Before intervention， there was no significant difference in sleep quality， sleep time， sleep efficiency， sleep disorder， hypnotic drugs and daytime dysfunction score in Pittsburgh sleep quality index (PSQI) scale between the two groups (P>0.05). After intervention， the scores of PSQI scale in the study group were significantly lower than those in the control group (P<0.05). Conclusion Continuous nursing intervention on the basis of routine nursing in patients with advanced lung cancer can effectively improve sleep disorders and improve the quality of life of patients， and can be further popularized and applied in clinical practice.
[Key words] Advanced lung cancer； Continuous nursing intervention； Quality of life； Sleep disorder, http://www.100md.com(阳华)