持续护理对晚期肺癌患者生活质量和心理健康的影响

IF 1.9 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE
Rui Lu, Qianli Yu
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引用次数: 0

摘要

研究目的本研究旨在分析晚期肺癌患者的心理状态和生活质量(QoL),并评估持续护理干预对这些参数的影响:方法:将 160 名晚期肺癌患者随机分为对照组和研究组,每组 80 人。对照组接受常规护理干预,研究组接受持续护理干预,包括建立健康档案、定期随访、饮食指导、健康知识教育、心理咨询、作息指导等。干预前后 4 周分别测量炎症指标(IL-6、TNF-α、PGE2 和 SP)、Spitzer 生活质量指数(SQLI)、焦虑和抑郁自评量表、疼痛视觉模拟量表(VAS)以及患者满意度:干预后,与对照组相比,研究组的血清 IL-6 和 TNF-α 水平显著降低(P < .001),SQLI 评分提高(P = .002),焦虑和抑郁评分降低(P < .001)。心理状态与 QoL 之间存在明显的负相关(P < .001)。研究组在干预后还报告了较低的 VAS 疼痛评分(P < .001)和较高的患者满意度(P = .000):结论:持续的护理干预能明显改善晚期肺癌患者的心理健康、减轻疼痛并提高其整体生活质量。这些结果表明,全面、持续的护理干预策略可作为改善晚期肺癌患者化疗期间身心健康的有效方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Impact of Continuous Nursing on Quality of Life and Psychological Well-being in Advanced Lung Cancer Patients.

Objectives: This study aimed to analyze the psychological status and quality of life (QoL) of patients with advanced lung cancer and assess the impact of continuous nursing intervention on these parameters.

Methods: A total of 160 advanced lung cancer patients were randomly assigned to a control group or a study group, with 80 patients in each. The control group received the routine nursing intervention, while the study group received the continuous nursing intervention, including health record establishment, regular follow-ups, diet guidance, health knowledge education, psychological counseling, and work and rest guidance. Inflammatory markers (IL-6, TNF-α, PGE2, and SP), Spitzer Quality of Life Index (SQLI), anxiety and depression self-evaluation scales, Visual Analogue Scale (VAS) for pain, and patient satisfaction were measured before and after 4 weeks of intervention.

Results: Post-intervention, the study group showed a significant reduction in serum IL-6 and TNF-α levels (P < .001), improved SQLI scores (P = .002), and lower anxiety and depression scores (P < .001) compared to the control group. A significant negative correlation between psychological status and QoL was observed (P < .001). The study group also reported lower VAS pain scores (P < .001) and higher patient satisfaction (P = .000) after the intervention.

Conclusions: Continuous nursing intervention has significantly improved psychological well-being, alleviated pain, and enhanced the overall quality of life for patients facing advanced lung cancer. These results indicate that a comprehensive and sustained nursing intervention strategy can serve as an effective approach to improve the well-being of individuals navigating advanced lung cancer during chemotherapy.

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来源期刊
Alternative therapies in health and medicine
Alternative therapies in health and medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
0.90
自引率
0.00%
发文量
219
期刊介绍: Launched in 1995, Alternative Therapies in Health and Medicine has a mission to promote the art and science of integrative medicine and a responsibility to improve public health. We strive to maintain the highest standards of ethical medical journalism independent of special interests that is timely, accurate, and a pleasure to read. We publish original, peer-reviewed scientific articles that provide health care providers with continuing education to promote health, prevent illness, and treat disease. Alternative Therapies in Health and Medicine was the first journal in this field to be indexed in the National Library of Medicine. In 2006, 2007, and 2008, ATHM had the highest impact factor ranking of any independently published peer-reviewed CAM journal in the United States—meaning that its research articles were cited more frequently than any other journal’s in the field. Alternative Therapies in Health and Medicine does not endorse any particular system or method but promotes the evaluation and appropriate use of all effective therapeutic approaches. Each issue contains a variety of disciplined inquiry methods, from case reports to original scientific research to systematic reviews. The editors encourage the integration of evidence-based emerging therapies with conventional medical practices by licensed health care providers in a way that promotes a comprehensive approach to health care that is focused on wellness, prevention, and healing. Alternative Therapies in Health and Medicine hopes to inform all licensed health care practitioners about developments in fields other than their own and to foster an ongoing debate about the scientific, clinical, historical, legal, political, and cultural issues that affect all of health care.
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