优质护理对放化疗肺癌患者生活质量的影响

黄建霞　胡小红　吴巧珍

[摘要] 目的 探讨对放化疗肺癌患者施以优质护理干预后，观察对其生活质量产生的影响。方法 选择我院2014年5月～2016年2月收治的70例放化疗肺癌患者作为实验对象；所有放化疗肺癌患者采用数字奇偶法分组；对照组与观察组肺癌患者分别配合采用传统护理以及优质护理方式完成疾病的放化疗工作；对最终的功能量表、症状量表以及单一症状量表等生活质量评价指标回顾性分析。 结果 观察组放化疗肺癌患者功能量表评分同对照组放化疗肺癌患者比较，显著升高（P<0.05）；观察组放化疗肺癌患者症状量表评分同对照组放化疗肺癌患者比较，显著降低（P<0.05）。观察组放化疗肺癌患者单一症状量表评分同对照组放化疗肺癌患者比较，显著降低（P<0.05）。 结论 对于放化疗肺癌患者施以优质护理干预，对于患者功能量表评分的提高及症状量表与单一症状量表评分的降低可以做出有效保证，从而显著优化肺癌患者的整体生活质量。

[关键词] 优质护理；放化疗；肺癌；生活质量

[中图分类号] R473.73 [文献标识码] B [文章编号] 1673-9701（2017）19-0139-03

[Abstract] Objective To investigate the effect of quality nursing intervention on the quality of life in the patients with lung cancer undergoing radiotherapy and chemotherapy. Methods 70 patients with lung cancer undergoing radiotherapy and chemotherapy who were admitted to our hospital from May 2014 to February 2016 were selected as the experimental subjects. All the patients undergoing radiotherapy and chemotherapy were assigned to groups according to the odd and even number method； the patients in the control group and the observation group were given the radiotherapy and chemotherapy of the disease by traditional nursing and quality nursing methods respectively； a retrospective analysis was carried out on the quality of life indicators such as the final functional scale， symptom scale and single symptom scale. Results The scores of functional scale in the patients with lung cancer undergoing radiotherapy and chemotherapy were significantly higher than those in the control group（P<0.05）；the scores of symptom scale in the patients undergoing radiotherapy and chemotherapy in the observation group were significantly lower than those in the control group（P<0.05）.The scores of single symptom scale in the patients with lung cancer undergoing radiotherapy and chemotherapy in the observation group were significantly lower than those in the control group（P<0.05）. Conclusion The quality nursing intervention for the patients with lung cancer undergoing radiotherapy and chemotherapy can make an effective assurance for the improvement of the patient's functional scale and the reduction of the symptom scale and single symptom scale， so as to significantly optimize the overall quality of life of the patients with lung cancer.

[Key words] Quality nursing； Radiotherapy and chemotherapy； Lung cancer； Quality of life

肺癌是常見的呼吸道恶性肿瘤之一，近 50 年来肺癌的发病率和死亡率明显上升，已经位居全球男性癌症死因之首。肺癌的恶性程度很高，多数患者发现或确诊的时候已是晚期，失去手术根治的机会。因此，多数患者主要采取化疗和放疗进行治疗，但化疗及放疗有严重的不良反应，对患者情绪和生活质量有严重的影响。因此，对肺癌化疗及放疗患者采取优质护理干预，可以有效解除患者的消极心理，增强患者对接受治疗的依从性和提升患者的生活质量，增强治疗效果[1-3]。本文将明确有效方法以提高放化疗肺癌患者的生活质量作为研究目的，以此说明优质护理方案的临床创建价值。现报道如下。

1 资料与方法

1.1 一般资料

选择我院2014年5月～2016年2月收治的70例放化疗肺癌患者作为实验对象；……