压力管理对改善胸腔镜肺段切除术治疗早期非小细胞肺癌患者生活质量的效果分析

压力管理对改善胸腔镜肺段切除术治疗早期非小细胞肺癌患者生活质量的效果分析

压力管理对改善胸腔镜肺段切除术治疗早期非小细胞肺癌患者生活质量的效果分析［摘要］目的探令压力管理对改善胸腔镜肺段切除术治疗早期非小细胞肺癌患者生活质量的效果。方法选择2014年8月〜2016年8月在新疆医科大学第一附属医院胸外科行胸腔镜肺段切除术治疗的早期非小细胞肺癌患者60例作为研究对象，按随机数字表将患者随机分为干预组和对照组，每组各30例。两组患者均接受常规护理，干预组在此基础上接受压力管理，干预时间均为6个月。应用癌症患者生存质量测定量表评估两组患者的生活质量。结果干预后，干预组患者总体生活质量、躯体功能、角色功能、情绪功能、认知功能、社会功能等项目得分均明显高于对照组。干预后,干预组患者疼痛、恶心呕吐、呼吸困难、失眠、食欲丧失、便秘、腹泻、经济影响等项目得分均明显低于对照组。结论对胸腔镜肺段切除术治疗早期非小细胞肺癌患者实施压力管理能够缓解患者的压力，提高其生活质量。［关键词］压力管理；胸腔镜手术；非小细胞肺癌；生活质量［中图分类号］R47［文献标识码］A［文章编号］1673-721006-0170-05 1.DepartmentofThoracicSurgery,theFirstAffiliatedHospitalofXinjiangMedicalUniversity,XinjiangUygurAutonomousRegion,Urumqi830054,China；2.NursingDepartment,theFifthAffiliatedHospitalofXinjiangMedicalUniversity,XinjiangUygurAutonomousRegion,Urumqi830028,China[Abstract]ObjectiveToinvestigatetheeffectofstressmanagementonthequalityoflifeofpatientswithearly-stagenon-smallcelllungcancertreatedbyvideo-assistedthoracoscopicsurgery.MethodsDatewerefromDepartmentofThoracicSurgery,theFirstAffiliatedHospitalofXinjiangMedicalUniversity,aninterventionstudyof60patientswithearly-stagenon-smallcelllungcancertreatedbyvideo-assistedthoracoscopicsurgerywhowereadmittedfromAugust2014toAugust2016.Patientsweredividedintointerventiongroupandcontrolgroupbyrandomnumbertable.Twogroupswerereceivedconventionalcare、andimplementedstressmanagementontheinterventiongroupfor6months.Thequalityoflifeoftwogroupswasassessedusingthecancerpatients9qualityoflifescaledevelopedbytheEuropeanOrganizationforcancerresearchandtreatment・ResultsAfterintervention,the overallqualityoflife,physicalfunction,rolefunction,emotionalfunction,cognitivefunctionandsocialfunctionofthepatientsintheinterventiongroupweresignificantlyhigherthanthoseinthecontrolgroup・Afterintervention,thescoresofthepatientsintheinterventiongroupweresignificantlylowerthanthoseinthecontrolgroup,suchaspain,nauseaandvomiting,dyspnea,insomnia、lossofappetite,constipation,diarrhea,andeconomicinfluence.ConclusionStressmanagementcanrelievethepressureandimprovethequalityoflifeofpatientswithearly-stagenon-smallcelllungcancertreatedbyvideo-assistedthoracoscopicsurgery.[Keywords]Stressmanagement；Video-assistedthoracoscopicsurgery；Non-smallcelllungcancer；Qualityoflife