张晓丹 葛慧卿

摘要 目的：研究护理干预对肺癌化疗患者睡眠质量与生命质量的影响作用。方法：选取2018年1—12月于福建省立医院接受化疗的肺癌患者84例作为研究对象，按照入院先后顺序分为观察组和对照组，每组42例。对照组予以常规护理，观察组予以护理干预，比较2组患者的睡眠质量评分、生命质量评分以及护理满意度。结果：观察组患者的PSQI睡眠質量评分、QLQ-CCC生命质量评分、观察组患者的护理满意度均优于对照组，组间比较差异有统计学意义（P<0.05）。结论：为肺癌化疗患者实施护理干预，对提升患者睡眠质量、改善生命质量均有积极帮助，还可使患者对护理服务更加满意。

关键词 护理干预;肺癌;化疗;睡眠质量;生命质量;满意度

Abstract Objective：To study the effect of nursing intervention on sleep quality and quality of life in patients with lung cancer chemotherapy.Methods：Eighty-six patients with lung cancer underwent chemotherapy in our department were divided into two groups according to the order of admission.42 patients in the reference group were given routine nursing care，and 42 patients in the experimental group were treated with nursing intervention.The sleep quality score and quality of life score of the two groups were compared.And satisfaction with care.Results：The PSQI sleep quality score，QLQ-CCC quality of life score，and nursing satisfaction of the experimental group were better than those of the reference group，and the comparison between groups was P<0.05.Conclusion：Nursing intervention for patients with lung cancer chemotherapy can be helpful to improve the quality of sleep and improve the quality of life，and can make patients more satisfied with nursing services.

Keywords Nursing intervention; Lung cancer; Chemotherapy; Sleep quality; Quality of life; Satisfaction

中图分类号：R338.63文献标识码：Adoi：10.3969/j.issn.2095-7130.2020.03.057

肺癌也称之为支气管癌，是我国发病率、死亡率均较高的恶性肿瘤，好发于吸烟者、慢性肺疾病群体中，对于肺癌患者而言，外科手术是首选、主要治疗法，可以将肺癌原发病灶及转移淋巴结切除，同时结合患者的实际病情辅以化疗方案，以控制病情进展、延长患者生存期。部分患者在被确诊时，病情已发展至肿瘤晚期，错过了手术最佳时机，临床常为患者实施化疗方案，但化疗会为患者带来一定的不良反应，引发多种不良反应，再加之心理状态差、经济压力等因素，患者的睡眠质量、生命质量也会随之下降[1]。为优化护理措施，提升护理质量，我科在2018年对84例患者进行分组研究，以探析护理干预的开展效果及价值。

1 资料与方法

1.1 一般资料

选取2018年1—12月于福建省立医院接受化疗的肺癌患者84例作为研究对象，按照入院先后顺序分为观察组和对照组，每组42例。……