摘要
目的探讨中医情志护理联合引导式教育锻炼对肺癌患者术后康复效果的影响。方法选取2012年1月-2013年12月在河北省唐山市工人医院行手术治疗的肺癌患者136例，按照随机数字表法分为观察组和对照组，各68例。对照组给予常规的术后护理，观察组给予中医情志护理联合引导式教育锻炼，比较两组患者术后3个月的肺功能指标、6min步行试验、柏格（Borg）度量表自评等级、欧洲癌症研究与治疗组织的的生活质量核心量表（EORTC-QLQ-C30）评分。结果术后3个月观察组患者肺活量为（2．95±0．57）L，6min步行试验的距离为（486．2±46．8）m，EORTC．QLQ-C30整体生活质量评分为（67．07±14．82）分，均高于对照组，两组比较差异有统计学意义（t值分别为3．027，3．101，2．215；P〈0．05）；观察组患者Borg度量表的自评为（3．15±0．82）级，对照组为（4．04±1．33）级，差异有统计学意义（t=4．697，P〈0．05）。结论中医情志护理联合引导式教育锻炼有助于肺癌患者术后呼吸及运动功能的康复，改善其心理状态，提高整体生活质量，值得临床推广。
Objective To investigate the effects of Traditional Chinese Medicine emotional nursing combined with guided education training on patients with lung cancer after operation. Methods A total of 136 patients with lung cancer after operation from January 2012 to December 2013 were selected and randomly divided into observation group and control group. A total of 68 cases in the control group were given conventional postoperative nursing care while 68 cases in the observation group were given Traditional Chinese Medicine emotional nursing combined with guided education training. Lung function index, walking test in 6 minutes, self- rating of Borg scale, the scores of the Chinese version of EORTC-QLQ-C30 scales were compared between two groups in 6 months after operation. Results Three months after operation, the lung function was （2. 95 ± 0. 57 ） L, walking test in 6 mins was （486.2 ±46.8） m, overall score of EORTC-QLQ-C30 was （67.07 ± 14.82） in the observation group, higher than those of the control group （ t =3. 027, 3. 101,2. 215 ;P 〈 0, 05 ） ; the self rating degree of Borg scale in the observation group was （3.15 ±0.82） compared with （4.04 ± 1.33） in the control group （t = 4. 697, P 〈 0.05 ）. Conclusions Traditional Chinese Medicine emotional nursing combined with guided educational training contribute to the postoperative respiratory and motor function rehabilitation of patients with lung cancer. It can improve their mental state and the overall quality of life, and be worthy of clinical application.
出处
《中华现代护理杂志》
2015年第33期4029-4032,共4页
Chinese Journal of Modern Nursing
关键词
肺肿瘤
中医护理
康复
引导式教育
Lung cancer
Traditional Chinese Medicine nursing
Rehabilitation
Guided education
