世界睡眠医学杂志2024,Vol.11Issue(9) :2160-2162.DOI:10.3969/j.issn.2095-7130.2024.09.072

研究延续性干预对晚期肺癌患者睡眠质量的效果

Effect of Continuity of Care on Sleep Quality in Patients with Advanced Lung Cancer

李燕凌 王小燕
世界睡眠医学杂志2024,Vol.11Issue(9) :2160-2162.DOI:10.3969/j.issn.2095-7130.2024.09.072

研究延续性干预对晚期肺癌患者睡眠质量的效果

Effect of Continuity of Care on Sleep Quality in Patients with Advanced Lung Cancer

李燕凌 1王小燕1
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作者信息

  • 1. 厦门大学附属第一医院,厦门,361000
  • 折叠

摘要

目的:分析在晚期肺癌患者中开展延续性干预对其睡眠质量的影响.方法:选取2023年3月至2024年3月厦门大学附属第一医院收治的晚期肺癌患者60例作为研究对象,按照随机数字表法分为对照组和观察组,每组30例.对照组给予常规护理干预,观察组在对照组基础上给予延续性护理干预.采用汉密尔顿焦虑(HAMA)量表比较2组患者干预前后焦虑状态的改善效果,采用医院自主研发的调查问卷评估患者的遵医行为以及家属的照护能力,采用视觉模拟量表(VAS)比较2组患者干预前后的疼痛感受,采用匹兹堡睡眠质量指数量表(PSQI)比较2组患者干预前后睡眠质量的变化,采用健康调查简表(SF-36)比较2组患者干预前后生命质量的改善效果.结果:干预后,观察组HAMA评分、VAS评分、PSQI评分显著低于对照组,观察组SF-36评分显著高于对照组,观察组患者的遵医行为评分显著高于对照组,差异均有统计学意义(均P<0.05).结论:将延续性干预应用于晚期肺癌患者护理管理中,可有效提升患者的遵医行为和家属照顾能力,改善患者的负性情绪和睡眠质量,从而提高患者的生命质量.

Abstract

Objective:To analyze the impact of continuity of care on sleep quality in patients with advanced lung cancer.Methods:A total of 60 patients with advanced lung cancer,treated at the First Affiliated Hospital of Xiamen University from March 2023 to March 2024,were selected as research subjects.They were randomly divided into a control group(n=30),which received routine nursing care,and an observation group(n=30),which received continuity of care in addition to routine nursing care.The Hamilton Anxiety Rating Scale(HAMA)was used to compare the improvement in anxiety between the two groups before and after the inter-vention.A self-developed hospital questionnaire was used to assess patient compliance and family caregiver ability.The Visual Ana-log Scale(VAS)was used to compare the pain levels,while the Pittsburgh Sleep Quality Index(PSQI)was used to evaluate changes in sleep quality.The Short Form Health Survey(SF-36)was used to assess improvements in quality of life.Results:After the inter-vention,the HAMA,VAS,and PSQI scores of the observation group were significantly lower than those of the control group.The SF-36 scores and patient compliance in the observation group were significantly higher than those in the control group,with statistically significant differences between the two groups(P<0.05).Conclusion:The application of continuity of care in the nursing manage-ment of patients with advanced lung cancer effectively improves patient compliance,enhances family caregiving abilities,alleviates negative emotions,and improves sleep quality,thereby enhancing the overall quality of life.

关键词

晚期肺癌/延续性干预/睡眠质量/效果分析/遵医行为/焦虑/疼痛/生命质量

Key words

Advanced lung cancer/Continuity of care/Sleep quality/Effect analysis/Compliance/Anxiety/Pain/Quality of life

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出版年

2024
世界睡眠医学杂志

世界睡眠医学杂志

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