摘要
目的探讨延续性护理对老年肺癌化疗患者自我护理能力及负性情绪的影响。方法选取2018年1月至2020年6月间北京市西城区广外社区卫生服务中心收治的100例老年肺癌化疗患者,采用信封抽签法分为观察组与对照组,每组50例。对照组患者采用常规护理,观察组患者采用延续性护理,比较两组患者出院时及出院后2个月的自我护理能力评分及焦虑和抑郁评分。采用自我护理能力量表(ESCA)评估患者的自我护理能力,采用焦虑自评量表(SAS)和抑郁自评量表(SDS)评估患者的负性情绪。结果干预后,两组患者的ESCA评分均升高,且观察组高于对照组,差异均有统计学意义(均P<0.05)。干预后,两组患者的SAS和SDS评分均降低,且观察组低于对照组,差异均有统计学意义(均P<0.05)。结论延续性护理用于老年肺癌化疗患者中,可提升患者的自我护理能力,缓解患者焦虑、抑郁情绪,具有推广价值。
Objective To explore the effects of continuous nursing on self-care ability and negative emotions in elderly patients with lung cancer on chemotherapy.Methods A total of 100 elderly lung cancer patients on chemotherapy admitted to Guangwai Community Health Service Center from January 2018 to June 2020 were enrolled.They were divided into an observation group and a control group by envelope drawing method with 50 patients in each group.The observation group was given continuous nursing besides conventional nursing and the control group was only given conventional nursing.The self-care ability scores were compared between the two groups at discharge and 2 months after discharge,and the anxiety and depression scores were evaluated at discharge and 2 months after discharge.Exercise of self-care ability(ESCA)scale was used to evaluate patient's self-care ability and self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were used to assess patient's negative emotions.Results After the intervention,the ESCA scores were increased in the two groups,and the observation group was higher than the control group(all P<0.05).After the intervention,the SAS and SDS scores were reduced in the two groups,and the observation group was lower than the control group(all P<0.05).Conclusion Continuous nursing used in elderly patients with lung cancer chemotherapy can improve patients'self-care ability and relieve patients'anxiety and depression,and it is worthy of promotion.
作者
朱国杰
张海川
王成恒
ZHU Guo-jie;ZHANG Hai-chuan;WANG Cheng-heng(Guangwai Community Health Service Center,Xicheng District,Beijing 100055,China)
出处
《中国肿瘤临床与康复》
2021年第8期1006-1008,共3页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
延续性护理
肺肿瘤
药物疗法
自我护理能力
负性情绪
Continuous nursing
Lung neoplasms
Chemotherapy
Self-care ability
Negative emotion