摘要
目的研究渐进式肌肉放松训练配合认知行为护理对肺癌化疗患者的干预效果及对其睡眠质量和生活质量的影响。方法单纯随机选取2020年3月—2022年9月南平市人民医院收治的280例肺癌化疗患者为研究对象,根据随机数表法分为两组,每组140例。对照组患者予以常规化疗护理,观察组患者予以渐进式肌肉放松训练配合认知行为护理。对比两组患者护理前后的心境状态、遵医嘱行为、癌因疲乏评分、睡眠质量及生活质量。结果护理4周后,观察组心境状态评分(36.89±4.73)分低于对照组的(41.31±5.25)分,差异有统计学意义(t=7.401,P<0.05);观察组遵医嘱行为总依从率高于对照组,差异有统计学意义(P<0.05);观察组癌因疲乏量表各维度评分及总分均低于对照组,差异有统计学意义(P均<0.05);观察组睡眠质量评分为(6.27±1.54)分低于对照组的(8.15±1.94)分,生活质量评分(87.38±5.43)分高于对照组的(82.63±5.25)分,差异有统计学意义(t=8.981、7.441,P均<0.05)。结论渐进式肌肉放松训练配合认知行为护理用于肺癌化疗患者,可改善其心境状态,提高其遵医嘱行为,降低癌因性疲乏,促进睡眠质量及生活质量的提升。
Objective To study the effect of progressive muscle relaxation training combined with cognitive behavioral nursing on the sleep quality and quality of life of lung cancer patients undergoing chemotherapy.Methods A total of 280 patients with lung cancer treated with chemotherapy from March 2020 to September 2022 from Nanping People's Hospital were simplely randomly selected as the study objects.Random number table method was used for grouping,with 140 patients in each group.The control group received conventional chemotherapy nursing,and the observation group received progressive muscle relaxation training combined with cognitive behavioral nursing.The mood state,compliance behavior,cancer fatigue score,sleep quality and quality of life before and after nursing were compared between the two groups.Results After 4 weeks of nursing,the score of mood state in the observation group(36.89±4.73)points was lower than that in the control group(41.31±5.25)points,and the difference was statistically significant(t=7.401,P<0.05).The total compliance rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The scores and total scores of the cancer fatigue scale in the observation group were lower than those in the control group,and the differences were statistically significant(both P<0.05).The sleep quality score(6.27±1.54)points in the observation group was lower than that in the control group(8.15±1.94)points,and the life quality score(87.38±5.43)points was higher than that in the control group(82.63±5.25)points,and the differences were statistically significant(t=8.981,7.441,both P<0.05).Conclusion Progressive muscle relaxation training combined with cognitive behavioral nursing in patients with lung cancer chemotherapy can improve their mood state,improve their compliance behavior,reduce cancer-related fatigue,and promote the improvement of sleep quality and quality of life.
作者
何爱枝
柳琴
杨春梦
HE Aizhi;LIU Qin;YANG Chunmeng(Department of Oncology,Nanping People's Hospital,Nanping,Fujian Province,353000 China)
出处
《中外医疗》
2024年第5期137-140,150,共5页
China & Foreign Medical Treatment
关键词
渐进式肌肉放松训练
认知行为
肺癌化疗
心境状态
睡眠质量
生活质量
Progressive muscle relaxation training
Cognitive behavior
Lung cancer chemotherapy
Mood state
Sleep quality
Quality of life
