摘要
目的观察情志护理对肺癌化疗患者抑郁状态的影响,为临床应用提供基础。方法选取在本院呼吸科住院的肺癌化疗患者127例,随机分为情志护理干预组(64例)和常规护理组(63例)。常规护理组给予肺癌常规护理治疗,情志护理干预组在常规护理基础上给予情志护理。比较两组患者抑郁(VAS、HAMD)评分情况。结果两组患者生存率在1、3、6个月两两比较无统计学差异(P>0.05),说明情志护理干预不能延长患者生存期。两组患者治疗前VAS、HAMD评分比较差异无统计意义(P>0.05),说明两组患者治疗前数据具有可比性。治疗后,两组患者VAS、HAMD评分与治疗前相比数值上均有改变,但常规护理组治疗前后评分比较无统计学差异(P>0.05),情志护理干预组治疗前后评分比较有显著差别(P<0.05)。治疗后两组评分比较无统计学差异(P>0.05),但从数值上看,情志护理干预组优于常规护理组。结论情志护理干预虽然不能延长肺癌晚期患者生存期,但能明显改善患者VAS、HAMD评分,提高肺癌晚期患者生存质量,有很好的临床应用价值。
Objective To observe the effect of emotional nursing on the VAS and HAMD of patients with advanced lung cancer. Methods 127 patients were randomized into the emotional nursing group and routine nursing group. The emotional nurs- ing group started to receive psychological nursing after conventional treatment, while the control group received routine nursing care during the same period. The VAS and HAMD were compared before and after treatment. Results There was no significant difference in VAS and HAMD before treatment （P 〉 0.05 ）. After treatment, the VAS and HAMD scores were significantly changed, but the score change of the routine nursing group was of no statistical significance after treatment （ P〉0.05 ）. There was statistically significant change in the scores of the emotional nursing group after treatment（ P〈0.05 ）. The difference in scores was statistically insignificant between the two groups after treatment （ P〉0.05 ）, but the emotional nursing group was better than the routine nursing group in the numerical value. Conclusion Although emotional nursing intervention can＇t prolong the survival of patients with lung cancer, it can improve the quality of life, VAS and HAMD in patients. It is worthy of popularization in clinical application.
出处
《解放军预防医学杂志》
CAS
2017年第6期678-680,共3页
Journal of Preventive Medicine of Chinese People's Liberation Army
关键词
情志护理
肺癌
抑郁
VAS
HAMD
emotional nursing
advanced lung cancer
depression
VAS
HAMD
