杨巧丽　金旦飞　马德华

[摘要] 目的 觀察舒适护理模式在肺癌患者中的应用效果。 方法 按纳入研究顺序将89例肺癌患者进行编号，采用随机数字表法将其分为舒适组和对照组。对照组患者实施常规护理，舒适组实施舒适护理模式。观察两组生活质量及并发症情况，评估患者对护理服务满意度、应对方式（MCMQ）评分及舒适度。 结果 舒适组总并发症发生率为4.44%，对照组高达22.73%，存在显著差异（P<0.05）。干预前，两组患者角色、躯体、认知、情绪、社会功能维度生活质量评分结果比较，差异无统计学意义（P>0.05）；护理干预后，舒适组患者生活质量评分高于对照组，且均存在显著差异（P<0.05）。干预前，两组患者舒适度评分结果比较，差异无统计学意义（P>0.05）；护理干预后，舒适组患者机体舒适评分结果高于对照组，差异有统计学意义（P<0.05）。对照组患者满意度为72.73%，舒适组患者满意度为93.33%，舒适组患者满意度高于对照组（P<0.05）。干预前，两组患者应对方式评分结果比较，差异无统计学意义（P>0.05）；护理干预后，舒适组患者面对评分高于对照组、回避及屈服评分低于对照组（P<0.05）。 结论 舒适护理在肺癌患者护理中应用能明显减少并发症，改善各方面生活质量。

[关键词] 舒适护理；肺癌；生活质量；并发症；MCMQ评分

[中图分类号] R473.73 [文献标识码] B [文章编号] 1673-9701（2017）23-0154-06

[Abstract] Objective To observe the application effect of comfortable nursing model in the patients with lung cancer. Methods A total of 89 patients with lung cancer were numbered according to the order of inclusion. They were divided into the comfort group and the control group according to the random number table method. The control group was given regular nursing during hospitalization， and the comfort group was given comfortable nursing model. The quality of life and complications were observed and compared. The patients' satisfaction with nursing care， coping mode （MCMQ） score and comfort degree were evaluated. Results The complication rate was only 4.44% in the comfort group and 22.73% in the control group， and there was significant difference （P<0.05）. Before the intervention， there were no statistically significant differences in the scores of quality of life in the dimensions of character， body， cognition， emotion and social function between the two groups（P>0.05）； after the the nursing intervention， the scores of quality of life in the comfort group were higher than those in the control group， and there were significant differences（P<0.05）. Before the intervention， the scores of comfort degree in the two groups were not statistically significant（P>0.05）； after the nursing intervention， the comfort scores in the comfort group were higher than those in the control group（P<0.05）. The patients' satisfaction rate in the control group was 72.73%， and the patients' satisfaction rate in the comfort group was 93.33%. The patients' satisfaction rate in the comfort group was higher than that in the control group（P<0.05）. Before the intervention， there was no statistically significant difference between the two groups in the score of MCMQ（P>0.05）； after the nursing intervention， the confrontation score in the comfort group in the comfort group was higher than that in the control group， and the scores of avoidance and yield scores were lower than those in the control group（P<0.05）. Conclusion Comfort nursing in the nursing care for the patients with lung cancer is able to significantly reduce the complications and improve the quality of life in all aspects.endprint

[Key words] Comfort nursing； Lung cancer； Quality of life； Complications； MCMQ scores

肺癌是临床最为常见的恶性肿瘤类型，男性发病率位居世界恶性肿瘤首位。据资料显示[1]，截止2003年世界范围内肺癌发病率已高达120万/年，死亡率已高达110万/年，是恶性肿瘤中发病率和死亡率最高的类型。近年来，随着肺癌发病率逐渐上升，该病临床治疗和人性化护理已经得到国内外学者和医务工作者的普遍重视[2]。既往研究显示[3]，舒适护理在肺癌患者临床治疗中能显著提高其生活质量水平。本研究为进一步探讨舒适护理模式在肺癌患者中的引入及应用成效，特选取89例患者开展对照研究，现报道如下。

1 资料与方法

1.1 臨床资料

将2014年1月～2016年5月至医院接受治疗的肺癌患者参照入选标准筛选出89例作为研究对象，按照纳入研究顺序进行编号，采用随机数字表法分为舒适组（n=45）和对照组（n=44）。……