术前心理准备对肺癌患者胸腔镜术后生存质量的影响
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摘要
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 evaluate the influence of effective vision health education on the quality of life of patients with lung cancer after thoracoscope surgery. Methods: 100 cases of patients with lung cancer who accepted lung resection and lymph node dissection with thoracoscope were divided into two groups, the experimental group and their families accepted the health education of thoracoscope surgery, and to watch some video and pictures of operating room and the environment of intensive care unit, the control group and their families only accepted traditional oral and written narrative as the main way of preoperative mission. The quality of life preoperation and 1, 3, 6 and 12 months postoperation were evaluated and compared between two groups using the European organization for research and treatment of cancer cancer survival scale core scale(QLQ C30). Results: 1) At 12 months postoperation, the role,emotion and cognitive scores of experimental group was obviously higher than that of control group(P<0.05). At 1 months postoperation functions, the fatigue, pain and dyspnea scores of experimental group was significantly lower than the control group(P<0.05).Conclusions: Preoperative visual nursing intervention could significantly improve the quality of life after thoracoscope surgery for lung cancer patients.
Objective: To evaluate the influence of effective vision health education on the quality of life of patients with lung cancer after thoracoscope surgery. Methods: 100 cases of patients with lung cancer who accepted lung resection and lymph node dissection with thoracoscope were divided into two groups, the experimental group and their families accepted the health education of thoracoscope surgery, and to watch some video and pictures of operating room and the environment of intensive care unit, the control group and their families only accepted traditional oral and written narrative as the main way of preoperative mission. The quality of life preoperation and 1, 3, 6 and 12 months postoperation were evaluated and compared between two groups using the European organization for research and treatment of cancer cancer survival scale core scale(QLQ C30). Results: 1) At 12 months postoperation, the role,emotion and cognitive scores of experimental group was obviously higher than that of control group(P<0.05). At 1 months postoperation functions, the fatigue, pain and dyspnea scores of experimental group was significantly lower than the control group(P<0.05).Conclusions: Preoperative visual nursing intervention could significantly improve the quality of life after thoracoscope surgery for lung cancer patients.
引文
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[17]李哲,杨三虎,黄立军,等.全肺切除术对非小细胞肺癌患者术后肺功能及生活质量影响的临床研究[J].中国现代手术学杂志,2013,17(2):85-89Li Zhe,Yang San-hu,Huang Li-jun,et al.A clinical study of long-term quality of the patients'life after pneumonectomy for NSCLC[J].China modern surgery Journal,2013,17(2):85-89
[18]Makita C,Nakamura T,Takada A,et al.High-dose proton beam therapy for stage I non-small cell lung cancer:Clinical outcomes and prognostic factors[J].Acta Oncol,2015,54(3):307-314
[19]Rowen D,Brazier J,Young T,et al.Deriving a preference-based measure for cancer using the EORTC qlq-c30[J].Value Health,2011,14(5):721-731
[20]Biere SS,Peet DL,Cuesta MA.Long-term health-related quality of life following surgery for oesophagealcancer[J].Br J Surg,2009,96(1):119-120
[21]Connor M,Davidson RT.Development of a new resilience scale:the Connor-Davidson Resilience Scale(CD-RISC)[J].Depress Anx,2003,18(2):76-82
[2]Satoshi O,Kunihiko K,Akira I,et al.Quality of life with gefitinib in patients with EGFR-mutated non-small cell lung can cer:Quality of life analysis of north east Japan study group 002 tri al[J].The Oncologist,2012,17(6):863-870
[3]卢强,黄立军,张志培,等.两种不同镇痛方法对于开胸术后恢复影响的临床研究[J].实用医学杂志,2012,28(5):753-756Lu Qiang,Huang Li-jun,Zhang Zhi-pei,et al.Clinical research on the influence of two different analgesia methods on the postopera tive recovery after thoracotomy[J].Practical Medicine Journal,2012,28(5):753-756
[4]Wintner LM,Giesinger JM,Zabernigg A,et al.Quality of life during chemotherapy in lung cancer patients:results across different treatment lines[J].British Journal of Cancer,2013,585(109):2301-2308
[5]Schulte T,Schniewind B,Dohrmann P,et al.The extent of lung parenchyma resection significantly impacts long-term quality of life in patients with non-small cell lung cancer[J].Chest,2009,135(2):322-329
[6]Masaaki K,Harue T,Akihiro T,et al.Quality-of-life evaluation for advanced non-small-cell lung cancer:a comparison between vinorelbine plus gemcitabine followed by docetaxel versus paclitaxel plus carboplatin regimens in a randomized trial:Japan Multinational Trial Organization LC00-03(BRI LC03-01)[J].BMC Cancer,2011,11(356):1-8
[7]Balduyck B,Hendriks J,Lauwers P,et al.Quality of life evolution after lung cancer surgery:a prospective study in 100 patients[J].Lung Cancer,2007,56(3):423-431
[8]Farzan S,Andre A K,Benjamin M.Quality-of-life concerns in lung cancer patients[J].Expert Reviews,2010,10(6):667-676
[9]Olavarrieta JR,Coronel P.Expectations and patient satisfaction related to the use of thoracotomy and video-assisted thoracoscopic surgery for treating recurrence of spontaneous primary pneumothorax[J].J Bras Pneumol,2009,35(2):122-128
[10]Kathrin D,Nicole R,Christian J.Health-related quality of life questionnaires in lung cancer trials:a systematic literature review[J].Health Economics Review,2013,3(1):15
[11]徐美清.肺癌微转移临床诊断的意义[J].临床肺科杂志,2003,8(3):233-234Xu Mei-qing.Micrometastasis of Lung Cancer and Clinical Significance[J].Journal of Clinical Pulmonary Medicine,2003,8(3):233-234
[12]Everardo DS,Krzysztof A,Artur K,et al.Assessment of quality of life in advanced non-small-cell lung cancer:An overview of recent randomized trials[J].Cancer Treatment Reviews,2012,38(6):807-814
[13]Barbara M,Antonietta A.Assessing quality of life in long-term cancer survivors:a review of available tools[J].Support Care Cancer,2013,21(6):3143-3152
[14]Yu X N,Zhang J X.Factor analysis and psychometric evaluation of the Connor-Davidson Resilience Scale(CD-RISC)with Chinese people[J].Soc Behav Pers,2007,35(1):19-31
[15]Kristine KB,Amy KF,Gregory AO,et al.A Psychometric analysis of quality of life tools in lung cancer patients who smoke[J].Lung Cancer,2009,66(1):134-139
[16]Salvo N,Hadi S,Napolskikh J,et al.Quality of life measurement in cancer patients receiving palliative radiotherapy for symptomatic lung cancer:a literature review[J].Current Oncology,2009,16(2):16-28
[17]李哲,杨三虎,黄立军,等.全肺切除术对非小细胞肺癌患者术后肺功能及生活质量影响的临床研究[J].中国现代手术学杂志,2013,17(2):85-89Li Zhe,Yang San-hu,Huang Li-jun,et al.A clinical study of long-term quality of the patients'life after pneumonectomy for NSCLC[J].China modern surgery Journal,2013,17(2):85-89
[18]Makita C,Nakamura T,Takada A,et al.High-dose proton beam therapy for stage I non-small cell lung cancer:Clinical outcomes and prognostic factors[J].Acta Oncol,2015,54(3):307-314
[19]Rowen D,Brazier J,Young T,et al.Deriving a preference-based measure for cancer using the EORTC qlq-c30[J].Value Health,2011,14(5):721-731
[20]Biere SS,Peet DL,Cuesta MA.Long-term health-related quality of life following surgery for oesophagealcancer[J].Br J Surg,2009,96(1):119-120
[21]Connor M,Davidson RT.Development of a new resilience scale:the Connor-Davidson Resilience Scale(CD-RISC)[J].Depress Anx,2003,18(2):76-82