临床研究2024，Vol.32Issue(5)：179-182,4.DOI:10.12385/j.issn.2096-1278(2024)05-0000-04
慢性疾病轨迹护理干预对肺癌术后患者生活质量及心理状况的影响
Impact of Chronic Disease Trajectory Nursing Intervention on Quality of Life and Psychological Status of Patients After Lung Cancer Surgery
摘要
Abstract
Objective To explore the effects of chronic disease trajectory nursing on the quality of life,self-management level,psychological health,and incidence of complications in patients after lung cancer surgery.Methods A total of 89 patients who underwent thoracoscopic radical surgery for lung cancer in the Department of Thoracic Surgery at the First Affiliated Hospital of Zhengzhou University from January 2022 to January 2023 were selected as the research objects.Patients were divided into an observation group(n=49)and a control group(n=40)using the coin toss method.Patients in the control group received routine nursing interventions,while patients in the observation group received chronic disease trajectory nursing interventions on the basis of the control group.After 6 months of follow-up,the self-management efficacy,quality of life,psychological status,and incidence of complications were compared between the two groups.Results Before the intervention,there was no significant difference in the scores of social function,cognitive function,emotional function,role function,and physical function between the two groups(P＞0.05).After the intervention,the scores of social function,cognitive function,emotional function,role function,and physical function in both groups significantly increased,with higher scores in the observation group than in the control group,and the differences were statistically significant(P＜0.05).Before the intervention,there was no significant difference in the scores of self-relaxation,positive attitude,self-decision-making,and total self-management efficacy between the two groups(P＞0.05).After the intervention,the scores of self-relaxation,positive attitude,self-decision-making,and total self-management efficacy in both groups significantly increased,with higher scores in the observation group than in the control group,and the differences were statistically significant(P＜0.05).Before the intervention,there was no significant difference in the Self-Rating Depression Scale(SDS)scores and Self-Rating Anxiety Scale(SAS)scores between the two groups(P＞0.05).After the intervention,the SDS scores and SAS scores in both groups significantly decreased,with lower scores in the observation group than in the control group,and the differences were not statistically significant(P＜0.05).After the intervention,the incidence of complications in the control group(20.00%)was significantly higher than that in the observation group(8.16%),and the difference was statistically significant(χ2=6.355,P＜0.05).Conclusion Chronic disease trajectory nursing intervention applied to patients undergoing lung cancer surgery can improve quality of life,enhance self-management level,promote psychological health,and reduce the incidence of complications,which is worthy of clinical application.关键词
肺癌/生活质量/慢性病/心理健康/慢性疾病轨迹护理Key words
lung cancer/quality of life/chronic disease/psychological health/chronic disease trajectory nursing分类
医药卫生引用本文复制引用
李亚萍,苌静,杨洋,徐榆琳,徐露露,邵晴晴..慢性疾病轨迹护理干预对肺癌术后患者生活质量及心理状况的影响[J].临床研究,2024,32(5):179-182,4.基金项目
LINC01833/miR-519e-3p/S100A4/ASAP1促进肺腺癌侵袭转移的机制研究(22A320072). （22A320072）
