探讨延续护理对肺癌术后化疗的患者生活质量的影响。方法 选择2013年1月—2015年8月在上海市同济医院心胸外科行手术-化疗治疗后出院的120例肺癌患者。以数字随机法分为观察组和对照组各60例。 对照组实施常规的护理方法,观察组在此基础上实施延续护理,应用中文版肺癌生活质量评估量表分别评价两组患者出院时、出院后3个月和6个月的生活质量。结果 对照组、观察组出院时生活质量各维度及总分均处于较低水平,但两组差异上无统计学意义(p>0.05);出院后第3个月、第6个月两组各维度及总分上升速度均出现差异,且具有统计学意义(p<0.05;p<0.01)。结论 延续护理能有效改善肺癌术后化疗患者的生活质量。
Objective To evaluate Continuation care on the quality of life of patients with lung cancer chemotherapy after surgery. Methods Choose in January 2013 - August 2015 in Shanghai tongji hospital thoracic surgeons line operation - discharge of 120 patients with lung cancer after chemotherapy treatment. In digital randomized divided into observation group and control group (n = 60). Control group routine nursing methods, observation group on the basis of the implementation of the continuation of care, was applied to evaluate life quality evaluation scale for Chinese lung cancer respectively when two groups of patients discharged from hospital, 3 months and 6 months after hospital discharge, the quality of life. Results The control group, the observation group quality of life in all dimensions and total discharge at low levels, but there is no statistically significant differences between the two groups (p > 0.05); 3 months, 6 months after discharge in the two groups in various dimensions and the total score rise speed difference, with statistical significance (p < 0.05, p < 0.01). Conclusion Continuation of nursing can effectively improve the quality of life of postoperative chemotherapy in patients with lung cancer.
[1]付路易,程棣群,张翠萍.非小细胞肺癌患者出院后继续口服分子靶向药物治疗的延续护理[J].中华护理杂志, 2014,49(1): 433-435
[2]朱叶卉,胡雁,吴密彬,等.电话随访对乳腺癌患者服药依从性和生活质量的影响[J].中华护理杂志,2015, 50(1):69-72
[3]王丹丹,付菊芳,左秀萍,等.肺癌患者化疗期间的症状群及其对日常生活的影响[J].护理管理杂志,2013,13(3):156-157
[4]Duffy JR,Hoskins LM.Development and testing of a caring-based intervention for older adults with heart failure[J].J Cardiovasc Nurs,2005,20(5):325-333
[5]潘雁.肺癌患者生命质量量表的评价和应用研究[D].复旦大学硕士论文,2010,9:20-21
[6]王丹丹,付菊芳,房宁宁,等.肺癌患者的症状群及其与生活质量的相关性[J].护理学杂志,2012,27(23):5-8
[7]Van Hecke A,Grypdonck M,Beele H,et al. Adherence to legulcer lifestyle advice: qualitative and quantitative outcomes associated with a nurse - led intervention[J].J Clin Nurs,2011,20(3-4):429-443.
[8]宫伟利.延续性自我管理对肺癌患者癌因性疲乏和生命质量的影响[J].护理管理杂志,2015,
15(10):746-747
[9]Lane MD,Le HB,Lee S,et al.Combination radiofrequency ablation and cementoplasty for palliative treatment of painful neoplastic bone metastasis:experience with 53 treated lesions in 36 patients[J].SkeletalRadiol,2011,40(1) : 25-32.
[10]谢凤兰,成守珍,蔡卫,等.电话随访实施延续护理对提高护理满意度的效果[J].中国医院管理,2013,33(4):52-53