Abstract:

Objective　To investigate the application value of comprehensive nursing intervention on pain degree, sleep quality, and quality of life (QOL) in patients with advanced lung cancer. Methods　A total of 98 patients with advanced lung cancer admitted to Seventh Hospital from January 2020 to January 2022 were selected for the randomized controlled trial, and were randomly divided into a control group and an observation group, with 49 cases in each group. There were 29 males and 20 females in the control group; they were 39-79 (57.02±7.46) years old. There were 30 males and 19 females in the observation group; they were 40-78 (56.87±7.38) years old. The control group were given routine nursing intervention, and the observation group comprehensive nursing intervention, for 4 weeks. The pain degrees, sleep quality, and quality of life (QOL) were compared between the two groups. t test was applied. Results　After 4 weeks' intervention, the scores of Visual Analogue Scale (VAS) in the observation group and the control group were significantly lower than those before the intervention [(1.27±0.45) vs. (4.61±1.52) and (2.49±0.98) vs. (4.57±1.48)], and the score in the observation group was lower than that in the control group[(1.27±0.45) vs. (2.49±0.98)], with statistical differences (t=8.373, 4.743, and 8.359, all P<0.05). After 4 weeks' intervention, the scores of Pittsburgh Sleep Quality Index (PSQI) in the observation group and the control group were significantly lower than those before the intervention [(5.19±1.37) vs. (7.39±0.61) and (6.53±1.31) vs. (7.42±0.59)], and the score in the observation group was lower than that in the control group[(5.19±1.37) vs. (6.53±1.31)], with statistical differences (t=7.935, 3.966, and 4.625; all P<0.05). After 4 weeks' intervention, the QOL scores of the observation group and the control group were significantly higher than those before intervention [(8.69±1.31) vs. (6.59±1.32) and (7.42±1.29) vs. (6.61±1.28)], and the score of the observation group was significantly higher[(8.69±1.31) vs. (7.42±1.29)], than that of the control group (t=5.6307, 3.9664, and 3.0557; all P<0.05). Conclusion　Comprehensive nursing intervention for patients with advanced lung cancer can effectively reduce their pain degre, and significantly improve their sleep quality and quality of life.

Key words:

Lung cancer, Pain degree, Sleep quality, Quality of life, Comprehensive nursing intervention

摘要：

目的　探讨综合护理干预对肺癌晚期患者疼痛程度、睡眠质量及生活质量（QOL）的应用价值。方法　选择2020年1月至2022年1月期间南方医科大学第七附属医院收治的98例肺癌晚期患者，随机对照试验分为两组，对照组49例，男29例，女20例，年龄39～79（57.02±7.46）岁，给予常规护理干预；观察组49例，男30例，女19例，年龄40～78（56.87±7.38）岁，给予综合护理干预。两组均干预4周后，比较患者干预前后疼痛程度、睡眠质量及生活质量（QOL）。统计学方法采用t检验。结果　观察组与对照组干预4周后，视觉模拟量表（VAS）评分均低于干预前［（1.27±0.45）分比（4.61±1.52）分、（2.49±0.98）分比（4.57±1.48）分］，而观察组VAS评分明显的低于对照组［（1.27±0.45）分比（2.49±0.98）分］，差异均有统计学意义（t=8.373、4.743、8.359，均P<0.05）；匹兹堡睡眠质量指数（PSQI）评分均低于干预前［（5.19±1.37）分比（7.39±0.61）分、（6.53±1.31）分比（7.42±0.59）分］，而观察组PSQI评分明显的低于对照组［（5.19±1.37）分比（6.53±1.31）分］，差异均有统计学意义（t=7.935、3.966、4.625，均P<0.05）；QOL评分均高于干预前［（8.69±1.31）分比（6.59±1.32）分、（7.42±1.29）分比（6.61±1.28）分］，而观察组QOL评分明显高于对照组［（8.69±1.31）分比（7.42±1.29）分］，差异均有统计学意义（t=5.631、3.966、3.056，均P<0.05）。结论　对肺癌晚期患者实施综合护理干预可以有效减轻患者疼痛程度、提高睡眠质量，对改善肺癌晚期患者生活质量发挥积极作用。

关键词:

肺癌, 疼痛程度, 睡眠质量, 生活质量, 综合护理干预