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目的:探讨术前心理准备对肺癌患者胸腔镜术后生存质量的影响。方法:随机将100例胸腔镜肺叶切除术加淋巴结清扫术后肺癌患者分为两组,实验组患者及其家属术前接受行腔镜手术的健康教育与宣讲,并观看相应手术视频和手术室及监护室环境的图片,对照组患者及其家属术前只接受传统的的口头和文字叙述为主的术前宣教方式。采用欧洲癌症治疗与研究组织癌症生存量表核心量表(QLQ-C30)中文版评估和比较两组患者术前及术后1、3、6和12个月的生活质量。结果:1)术后12个月,实验组的角色、情绪和认知评分明显高于对照组,有统计学差异(P<0.05);2)术后1个月,实验组的疲劳、疼痛和呼吸困难评分明显低于对照组,有统计学差异(P<0.05)。结论:术前视觉化的护理干预可明显提高肺癌患者胸腔镜术后的生存质量。
Objective: To investigate the effect of preoperative psychological preparation on the quality of life of patients with lung cancer after thoracoscopic surgery. Methods: 100 cases of lung cancer after thoracoscopic lobectomy and lymphadenectomy were randomly divided into two groups. Patients in the experimental group and their relatives underwent endoscopic preoperative health education and preaching, and the corresponding video and operating room and The pictures of the environment of the nurses’ room and the control group patients and their families preoperative preoperative preaching only accepted the traditional oral and written narrative. The Chinese version of the European Cancer Treatment and Research Organization Cancer Survival Scale Core Scale (QLQ-C30) was used to assess and compare the quality of life before and 1, 3, 6 and 12 months postoperatively in both groups. Results: 1) After 12 months, the role, emotion and cognitive score of the experimental group were significantly higher than those of the control group (P <0.05); 2) The fatigue and pain of the experimental group And dyspnea score were significantly lower than the control group, with statistical significance (P <0.05). Conclusion: Preoperative visual nursing intervention can significantly improve the quality of life of patients with lung cancer after thoracoscopic surgery.