心理护理干预及健康宣教对肺癌患者癌性疼痛及生活质量的影响

目的探讨心理护理干预与健康宣教对肺癌患者癌性疼痛及生活质量的影响。方法选取2008年9月～2012年1月诸暨市人民医院肿瘤内科收治的116例肺癌患者为研究对象，随机分为观察组与对照组，每组各58例，观察组给予心理护理与健康宣教干预；对照组则给予常规护理。采用NRS数字分级法以及肿瘤患者生活质量评分标准（QOL）对两组患者疼痛程度以及生活质量进行评估，并将两者评估结果进行统计学分析比较。同时比较经不同护理后患者自身行为改变情况，包括对疾病认知程度的提升、负面情绪的消除、不良生活习惯的改善及用药依从性的提高。结果经护理后，观察组患者疼痛平均分值低于对照组（3．5±1．7）分比（6．2±2．9）分]，差异有统计学意义（P〈0．05），同时观察组患者生活质量优良人数明显高于对照组49例（84．48％）比26例（44．83％）1，两组相比差异有统计学意义（P〈0．05）；经护理宣教后，观察组患者对疾病认知程度的提升较对照组更为明显53例（91．38％）比38例（65．52％）]。同时，观察组患者负面情绪的消除，不良生活习惯的改善及用药依从性的提高方面与对照组相比改善较为明显，差异有统计学意义（P〈0．05）。结论心理护理干预与健康宣教可有效消除患者负面情绪，明显减轻肺癌患者癌性疼痛，对提高患者生活质量有重要意义。

Influence of psychological nursing intervention and health education on pain degree and life quality of patients with lung cancer

Objective To discuss the influence of psychological nursing intervention and health education on the pain degree and life quality of patients with lung cancer. Methods 116 patients with lung cancer from September 2008 to January 2012 in People＇s Hospital of Zhuji City were selected as the research object, who were randomly divided into observation group and control group, with 58 cases in each group. Comprehensive nursing intervention including psychological nursing and health education was conducted in observation group; and the control group was given routine nursing. Pain degree and life quality of patients in two groups were evaluated by Digital classification method NRS and the quality of life scoring criteria of cancer patients （QOL）, and the results were statistically analyzed and compared. Meanwhile, their behavior change including promo-tion of knowledge about disease, elimination of the negative emotions, reduction of bad living habits and improvement of drug compliance were compared after different nursing. Results The score of pain in observation group was lower than which in control group （3.5±1.7） point vs （6.2±2.9） point], the difference was statistically significant （P 〈 0.05）; excellence rate of hfe quality of observation group was higher than which in control group 49 cases （84.48%） vs 26 cases （44.83%）], the difference of two groups was statistically significant （P 〈 0.05）. After health education intervention, the promotion of knowledge about dis-ease of the observation group was more obvious than while in control group 53 cases （91.38%） vs 38 cases （65.52%）], mean-while, the elimination of the negative emotions, reduction of bad living habits and the improvement of drug compliance of the observation group were significantly improved compared with the control group, the differences were statistically significant （P 〈 0.05）. Conclusion Psychological nursing intervention and health education have an effect on elimination of the negative emotions of patient and obviously decreasing of the cancer pain, and have a important implications for improve the life quality of patient.