尊严护理联合阻力呼吸训练在肺癌化疗患者中的应用效果

Abstract
Figure/Table
References (28)
Related Citation (15)

Download: PDF (708 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To observe the effect of dignity nursing combined with resistance breathing training in lung cancer (LC) patients with chemotherapy. Methods A total of 85 LC patients who received chemotherapy in Qingdao Municipal Hospital from January 2018 to March 2020 were prospectively selected, according to the add or even number of outpatient, divided them into group A 43 cases and group B 42 cases, both groups were received resistance breathing training, on this basis, group A was combined with routine nursing, group B was combined with with dignity nursing on the basis of group A; before and four weeks of intervention, the respiratory function (forced vital capacity [FVC], forced expiratory volume in one second [FEV1]), mental state (Hospital Anxiety and Depression Scale [HAD]) were compared between the two groups; the incidence of adverse events in the two groups was recorded. Results After four weeks of intervention, the levels of FVC and FEV1 in both groups were increased than those before intervention (P ＜ 0.05), but compared FVC and FEV1 levels of both groups, there were no statistical significant difference (P ＞ 0.05); after four weeks of intervention, the HAD scores of both groups were decreased than those before intervention, and group B was lower than group A (P ＜ 0.05); the incidence of adverse events of both groups were compared, there was no statistical significant difference (P ＞ 0.05). Conclusion Dignity nursing combined with resistance breathing training in LC chemotherapy patients is more conducive to alleviate anxiety, depression and other adverse emotions, improve their respiratory function, and has high application value.

Key words： Lung cancer Chemotherapy Dignity nursing Resistance breathing training Breathing function Negative emotion

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	JIANG Haitao1 QU Lili2 SONG Guifang3▲

Cite this article:

JIANG Haitao1 QU Lili2 SONG Guifang3▲. Application effect of dignity nursing combined with resistance breathing training in lung cancer patients with chemotherapy[J]. 中国医药导报, 2021, 18(21): 181-184.

URL:

https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I21/181

[1] 潘莹，龚五星，梁翠微，等.晚期非小细胞肺腺癌维持化疗临床研究[J].实用医学杂志，2017，7（33）：118-120.
[2] 周亚平，杨敏，要鹏韬，等.肺癌化疗领域指南与共识的质量评价[J].中华肿瘤杂志，2020，42（12）：1025-1033.
[3] 熊亚琴.综合呼吸训练对中老年肺癌术后肺功能康复的影响研究[J].实用中西医结合临床，2016，16（5）：80-81.
[4] Johnson MJ，Currow DC. Treating breathlessness in lung cancer patients：the potential of breathing training [J]. Expert Rev Respir Med，2016，10（3）：241-243.
[5] 何艺，宾捷，杨新辉，等.化疗期肺癌患者心理弹性与正负性情绪的相关性研究[J].解放军护理杂志，2018，35（11）：35-37.
[6] 王宁，姜琰，刘臻.尊严疗法在中晚期肺癌患者临终护理中的应用[J].中国肿瘤临床与康复，2017，24（8）：999-1001.
[7] 许林.肺癌新分期解读[J].实用老年医学，2014，28（1）：86-88.
[8] 王丽.中国原发性肺癌诊疗规范（2015年版）[J].中华肿瘤杂志，2016，37（7）：433-436.
[9] 刘方，徐琳.中文版患者尊严量表的信效度研究[J].中国实用护理杂志，2015，31（1）：26-29.
[10] Cosco TD，Doyle F，Ward M，et al. Latent structure of the Hospital Anxiety And Depression Scale：A 10-year systematic review [J]. J Psychosom Res，2012，72（3）：180-184.
[11] 汪育锦，黄静宇，胡卫东，等.2403例肺癌临床流行病学分析[J].国际肿瘤学杂志，2019，46（8）：460-465.
[12] 李林潞，毛昀，褚雪镭，等.广泛期小细胞肺癌预后因素分析[J].中国医药导报，2020，17（26）：8-12.
[13] 李华，蒙建凤，唐丽娟.探讨肺癌与肺癌合并肺部感染患者血常规指标、血清炎性因子差异性[J].中国现代医生，2020，58（24）：113-115.
[14] 刘菁菁，张洁，冯佳莉，等.呼吸训练对肺癌手术患者术后肺功能的影响[J].癌症进展，2019，17（10）：115-118.
[15] 林汉慧，陈洁，林小敏，等.人文关怀理念联合呼吸功能锻炼对肺腺癌患者的效果评价[J].中华全科医学，2019， 17（4）：586-589.
[16] 王蒙蒙.胸外科肺癌术后并发皮下气肿的护理[J].现代消化及介入诊疗，2019（A02）：1718.
[17] 张妹宁，丁利萍，杨恒，等.肺癌患者心理痛苦现状及心理干预的研究进展[J].中国医药导报，2020，17（2）：33-36.
[18] 苏娟.心理护理干预对晚期肺癌患者抑郁心理的影响[J].实用临床医药杂志，2017，21（8）：182-183.
[19] 薛洪斌，常小艳，王月.阻力呼吸训练对老年肺癌术后患者膈肌运动和肺功能的影响[J].癌症进展，2020，18（9）：959-961.
[20] 丁孟，朱霞，王小艳，等.正念行为训练对晚期肺癌患者负性情绪及应对方式的影响[J].医学临床研究，2018， 35（11）：2284-2286.
[21] Vuksanovic D，Green H，Morrissey S，et al. Dignity Therapy and Life Review for Palliative Care Patients：A Qualitative Study [J]. J Pain Symptom Manage，2017，54（4）：530537.
[22] 席宝宇，张红娟，张妮，等.深呼吸训练器对肺癌化疗患者呼吸功能和生活质量的影响[J].中国肿瘤临床与康复，2020，27（1）：82-85.
[23] 杨志彦，楚新霞.化疗前后肺癌患者生活质量、焦虑抑郁情绪变化及生活质量影响因素[J].中国医药导报，2016，13（5）：122-125.
[24] 颜雯晶，刘艳萍，丁茹蕾，等.肺癌化疗患者疲乏-负性情绪-疼痛-睡眠障碍症状群及其影响因素[J].解放军护理杂志，2019，36（6）：52-55.
[25] 张利.尊严疗法对知情晚期癌症患者心理状况及应对方式的影响[J].医学临床研究，2018，35（10）：2018-2020.
[26] 田畅，宋颖，庞微，等.尊严疗法在肿瘤晚期患者中的研究进展及应用启示[J].护士进修杂志，2019，34（19）：1761-1765.
[27] 宁晓东，张永炼，张娟，等.尊严护理干预对晚期住院癌症患者尊严水平及焦虑抑郁的影响[J].护理学杂志，2018， 33（1）：83-85.
[28] 陈勇，王宝强，何潇，等.阻力呼吸器训练对肺癌放疗后患者生命质量及肺功能的影响[J].中华物理医学与康复杂志，2017，39（4）：297-299.