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目的探讨综合护理干预对肺癌患者术后自我护理能力和生活质量的影响。方法选取2011年1月至2015年1月间陕西省肿瘤医院收治的150例行开胸手术的肺癌患者,采用随机数表法分为试验组和对照组,每组75例。试验组患者在常规护理基础上行综合护理干预,对照组患者行常规护理,比较两组患者干预前后肿瘤生存质量调查表(EORTC)得分、自我护理能力量表(ESCA)得分和自我护理不良情况。结果试验组患者自我护理能力量表各方面评分均明显高于对照组,差异均有统计学意义(均P<0.05)。对照组患者自我护理事故比率为24.0%,明显高于试验组的2.7%,差异有统计学意义(P<0.05)。干预后,试验组患者肿瘤生存质量调查表7个方面评分均明显高于干预前及对照组干预后,差异均有统计学意义(均P<0.05)。结论综合性护理干预能有效地提高肺癌患者术后的自我护理能力和生活质量水平,值得在临床上推广。
Objective To investigate the effect of comprehensive nursing intervention on self-care ability and quality of life of patients with lung cancer after operation. Methods A total of 150 patients undergoing thoracotomy for lung cancer admitted to Shaanxi Cancer Hospital from January 2011 to January 2015 were randomly divided into experimental group and control group with 75 cases in each group. Patients in the test group were given comprehensive nursing intervention on the basis of routine nursing care while patients in the control group were given routine nursing care. The scores of EORTC, ESCA and self-care were compared between the two groups before and after intervention. Results The score of self-care ability scale in test group was significantly higher than that in control group (all P <0.05). The rate of self-care accidents in the control group was 24.0%, which was significantly higher than that in the experimental group (2.7%), the difference was statistically significant (P <0.05). After the intervention, the 7 groups’ scores of tumor life quality in the test group were significantly higher than those before the intervention and the control group (all P <0.05). Conclusion Comprehensive nursing intervention can effectively improve the self-care ability and quality of life of patients with lung cancer after surgery, which is worth to be popularized clinically.