许亚芬 吴文裕

摘要目的：探讨整体护理干预对肺癌患者术后睡眠及生命质量的影响。方法：选取2017年5月至2018年5月厦门大学附属第一医院收治的肺癌胸腔镜术后患者68例作为研究对象，按照入院顺序分为观察组和对照组，每组34例。对照组进行常规护理，观察组则进行整体护理干预。比较2组护理前后的睡眠质量[匹兹堡睡眠质量指数（PSQI）]及生命質量[生命质量测定量表简表（WHOQOLBREF）]。结果：护理前2组的PSQI评分比较，差异无统计学意义（P>005），护理后观察组的PSQI评分显著低于对照组，WHOQOLBREF评分显著高于对照组，差异有统计学意义（P<005）。结论：整体护理干预对肺癌患者的术后睡眠质量及生命质量具有较好的改善效果，因此具有较高的临床应用价值。

关键词整体护理干预;肺癌;胸腔镜术;睡眠质量;生命质量

Observation on the Improvement Effect of Holistic Nursing Intervention for Postoperative Sleep and Life Quality of Patients with Lung Cancer

XU Yafen，WU Wenyu

（Department of Thoracic Surgery，First Affiliated Hospital of Xiamen University，Xiamen 361000，China）

AbstractObjective：To explore the influence of holistic nursing intervention for postoperative sleep and life quality of patients with lung cancerMethods：A total of 68 patients with lung cancer after thoracoscopic surgery in First Affiliated Hospital of Xiamen University from May 2017 to May 2018 were divided into observation group and control group with 34 cases in each group according to the order of admissionThe control group were with routine nursing，while the observation group were with holistic nursing interventionThen the sleep quality[Pittsburgh sleep quality index（PSQI）] nursing before and after nursing and life quality[WHO Quality of Life Brief Scale（WHOQOLBREF）] of two groups were comparedResults：The PSQI scores of two groups before the nursing were compared，there was no statistically significant differences（P>005），the PSQI scores of observation group after the nursing were significantly lower than those of control group，the WHOQOLBREF scores were significantly higher than those of control group，there were statistically significant differences（P<005）Conclusion：The improvement effect of holistic nursing intervention for the postoperative sleep and life quality of patients with lung cancer is better，so its clinical application value is higher.

KeywordsHolistic nursing intervention;Lung cancer;Thoracoscopy;Sleep quality;Quality of life

中图分类号：R33863;R47373文献标识码：Adoi：10.3969/j.issn.2095-7130.2020.06.055

肺癌为临床常见的恶性肿瘤疾病，发病隐匿，病情进展迅速，发病率和死亡率较高[12]。胸腔镜下肺癌根治术凭借创伤小、恢复快和并发症少等优势在肺癌治疗中得到广泛应用。多数患者对术后的恢复效果持不确定性态度，严重影响了患者的睡眠质量和生命质量。因此在肺癌胸腔镜术后，给予患者合理护理干预，可为治疗效果提供保障，本研究报道如下。

1资料与方法

11一般资料选取2017年5月至2018年5月厦门大学附属第一医院收治的肺癌胸腔镜术后患者68例作为研究对象，按照入院顺序分为观察组和对照组，每组34例。观察组中男20例，女14例，年龄40～75岁，平均年龄（5012±231）岁，其中腺癌14例，鳞癌16例，腺磷癌4例;分级：Ⅱ级20例，Ⅲ级10例，Ⅳ级4例;对照组中男21例，女13例，年龄40～76岁，平均年龄（5019±288）岁，其中腺癌16例，鳞癌17例，腺磷癌1例;分级：Ⅱ级18例，Ⅲ级13例，Ⅳ级3例。2组……