摘要
目的:观察中医情志护理对老年肺癌患者生活质量及应激水平影响。方法:选取2014年1月至2017年1月间在德阳市人民医院确诊并接受化疗的肺癌患者106例,依据随机数字表法将患者分为两组:观察组(53例)采用中医的情志护理,对照组(53例)采用常规护理措施;观察患者护理前后抑郁、焦虑和生存质量的改变情况,记录患者护理前后心率、舒张压和收缩压等水平的改变情况,检测其血清Fb与D-D的水平改变情况。结果:两组患者护理后其SAS及SDS评分、血清Fb及D-D水平均明显下降,与护理前对比差异有统计学意义(P<0. 05),观察组效果比对照组更佳,护理后两组对比差异有统计学意义(P<0. 05);生存质量的相关指标评分均明显上升,与护理前对比差异有统计学意义(P<0. 05),观察组效果比对照组更佳,护理后两组对比差异有统计学意义(P<0. 05);对照组患者护理后收缩压比护理前明显下降,心率、舒张压对比护理前差异无统计学意义(P>0. 05),观察组患者护理后其心率、舒张压和收缩压均有显著下降,与护理前、对照组对比差异均有统计学意义(P<0. 05)。结论:中医情志护理可明显改善老年肺癌患者的生活质量、调节患者治疗中的负面情绪,降低应激水平,使患者预后更好。
Objective:To study the effect of emotional care on the quality of life and stress of elderly patients with lung cancer.Methods:From January 2014 to January 2017 in Deyang People’ s Hospital diagnosed and received 106 patients with lung cancer chemotherapy patients,according to random number table method,the patients were divided into two groups:observation group(53cases) with emotional nursing of traditional Chinese medicine,the controlled group(53cases) with routine nursing measures.Observed the changes of depression,anxiety and quality of life the nursing of the patients before and after nursing records of patients before and after the heart rate,diastolic blood pressure and systolic blood pressure changes,serum Fb and DD levels changes.Results:The two groups of patients after nursing in the SAS and SDS score,serum Fb and D-D levels were significantly decreased,with statistically significant differences before treatment(P< 0.05),the effect of the observation group was better than the controlled group,there were statistically significant differences between the two groups after nursing(P<0.05),survival quality index the scores were significantly increased,with significant differences before treatment(P< 0.05),the effect of the observation group was better than the controlled group,there were statistically significant differences between the two groups after nursing(P<0.05).Patients in the controlled group after nursing care than systolic blood pressure significantly decreased,heart rate and diastolic blood pressure compared with before treatment there was no statistically significant difference(P>0.05).The patients in the observation group after the nursing care of heart rate,diastolic blood pressure and systolic blood pressure were significantly decreased compared with the controlled group,there were statistically significant differences before treatment(P<0.05).Conclusion:Emotional nursing of traditional Chinese medicine can obviously improve the quality of life of elderly patients with lung cancer,adjust the negative emotions in patients’ treatment,reduce the stress level,and make the prognosis of patients better.
作者
张荣华
丛伟
ZHANG Ronghua;CONG Wei(TCM Comprehensive Ward,the People's Hospital of Deyang City (Deyang Sichuan 618000,China;Department of Oncology,Sichuan Provincial People's Hospital,Sichuan Academy of Medical Sciences (Chengdu Sichnan 610072,China))
出处
《四川中医》
2019年第1期201-204,共4页
Journal of Sichuan of Traditional Chinese Medicine
基金
四川省卫生厅科研项目(项目编号:100525)
关键词
老年肺癌
中医情志护理
生活质量
应激水平
Elderly lung cancer
TCM emotional care
Quality of life
Stress level
作者简介
张荣华,大专,主管护师,主要从事老年临床护理及中医理疗工作,E-mail:luckylly@aliyun.com。
