摘要
目的评价心理痛苦管理对中晚期肺癌患者的干预效果。方法将297例中晚期肺癌患者按随机数字法分为干预组(150例)和对照组(147例)。对照组按常规进行护理,护理措施包括基础护理、健康教育、一般性心理指导等;干预组在此基础上,以"NCCN心理痛苦治疗临床指引"为指导,对患者实施心理痛苦管理。比较干预前后两组患者心理痛苦、生活质量、行为功能状态。结果干预后,干预组的显著心理痛苦检出率、心理痛苦水平显著低于对照组(均P<0.01),生活质量(除经济困难)、行为功能状态评分优于对照组(P<0.05,P<0.01)。结论中晚期肺癌患者心理痛苦程度严重,心理痛苦管理能改善患者的心理痛苦、提高患者的生活质量和行为功能状态。
Objective To investigate the effect of mental distress management on middle-and late-stage lung cancer patients.Methods A total of 297middle-and late-stage lung cancer patients were enrolled and divided into an intervention group（150cases）and a control group（147cases）using a random number table.The contral group was given conventional treatment and care,including primary nursing,health education and general psychological guidance.However,the intervention group was additionally provided with mental distress management,according to the clinical guideline for mental distress management formulated by National Comprehensive Cancer Network.The mental distress,quality of life and behaviour functions of the two groups were assessed before and after the intervention.Results After the intervention,percentage of distressed patients and distress thermometer score of the intervention group was lower than the control group,while the quality of life（except for economic difficulty）and behavior function status of the intervention group was significantly better than the control group（P〈0.05,P〈0.01）.Conclusion Middle-and latestage lung cancer patients suffer serious degree of psychological distress.Mental distress management can relieve their psychological pain and promote their quality of life and behavior function.
出处
《护理学杂志（综合版）》
CSCD
2015年第5期77-80,共4页
Journal of Nursing Science
基金
重庆市卫生局医学科研计划项目(2013-2-165)
关键词
肺癌
心理痛苦
心理痛苦温度计
护理干预
lung cancers
mental distress
distress thermometer
nursing intervention
