摘要
目的探讨对老年肺癌患者实施安宁疗法联合希望理论干预的临床效果及对患者负性情绪、癌因性疲乏的影响。方法选取2019年12月—2020年12月于衡阳市中医医院进行治疗的80例肺癌晚期老年人群作为研究对象,将患者随机分为对照组和观察组,各40例,对照组实施常规护理模式,观察组实施安宁疗护护理前后联合希望理论干预。观察两组患者的护理有效率,对比其汉密尔顿抑郁量表(Hamilton depression scale,HAMD)、汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA)的评分变化情况,采用Piper癌性疲乏量表评估患者的癌因性疲乏症状改善情况,并统计其护理1个月后的总生存期(overall survival,OS)终点事件率。结果观察组护理总有效率为90.00%,高于对照组62.50%,其护理后的HAMD、HAMA、Piper评分均优于对照组,且观察组经实施护理1个月后其OS率(2.50%)低于对照组(20.00%),差异均有统计学意义(P<0.05)。结论安宁疗护联合希望理论干预可有效控制患者病情迅速恶化,有效改善患者抑郁、焦虑等负性情绪,在改善癌因性疲乏症状的同时可一定程度上提高其生存率,此护理干预措施具有较高价值,可进一步推广应用。
Objective To study the clinical effect of tranquilization therapy combined with hope theory intervention on elderly patients with lung cancer and its influence on negative emotion and cancer-related fatigue.Methods From December 2019 to December 2020,a total of 80 elderly patients with advanced lung cancer who were treated in Hengyang Hospital of Traditional Chinese Medicine were randomly divided into two groups,the control group and the observation group,with 40 patients in each group.The control group implemented routine nursing mode,the observation group implemented tranquilization therapy and nursing combined with hope theory intervention,observed the nursing effectiveness of the two groups,and compared their Hamilton depression scale(HAMD)changes in the score of the Hamilton anxiety scale(HAMA)before and after nursing care,the Piper cancer fatigue scale was used to assess the improvement of cancer related fatigue symptoms in patients,and the overall survival(OS)end point event rate after 1 month of nursing care was calculated.Results The total effective rate of nursing in the observation group was 90.00%higher than that in the control group 62.50%.The scores of HAMD,HAMA and Piper after nursing were better than those in the control group.The OS rate of the observation group was 2.50%lower than that of the control group 20.00%after one month of nursing.The above data were statistically significant(P<0.05).Conclusion Tranquility therapy and nursing combined with hope theory intervention can effectively control the rapid deterioration of patients'condition,effectively improve patients'negative emotions such as depression and anxiety,and improve the survival rate of patients with cancer-related fatigue at the same time.This nursing intervention has high value and can be further popularized and applied.
作者
何超华
梁志敏
HE Chaohua;LIANG Zhimin(Department of Oncology,Hengyang Hospital of Traditional Chinese Medicine,Hengyang Hu'nan 421001,China;Department of Hospital Infectious Diseases,Hengyang Hospital of Traditional Chinese Medicine,Hengyang Hu'nan 421001,China)
出处
《中国卫生标准管理》
2023年第8期173-176,共4页
China Health Standard Management
基金
湖南省中医药科研计划课题(201555)
衡阳市科学技术局指导性项目(S2018N9D31034356)。
关键词
安宁疗护
希望理论干预
肺癌晚期
负性情绪
癌因性疲乏
影响研究
palliative care
hope theory intervention
advanced lung cancer
negative emotions
cancer-induced fatigue
impact study
