Effect of Health Education in Programmed Nursing on Perioperative Anxiety and Compliance of Patients with Lung Cancer
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摘要:
目的 探讨程序化护理实施健康教育对改善肺癌患者围术期焦虑并提高治疗依从性的作用。 方法 将86例拟手术的肺癌患者,随机分成实验组和对照组各43例。实验组运用护理程序实施健康教育,而对照组进行常规健康教育。通过焦虑自评表(SAS)评估围术期肺癌患者焦虑情况;通过治疗依从性优良率比较评估依从性水平。 结果 健康教育前,2组患者焦虑情况比较差异无统计学意义(P > 0.05);健康教育后,无论在术前1d还是术后3d,实验组患者焦虑情况均低于对照组(P < 0.05)。实验组患者治疗依从性优良率明显高于对照组(P < 0.05)。 结论 程序化护理实施健康教育不仅能有效缓解肺癌患者围术期焦虑,还能有效提高其治疗依从性。 Abstract:Objective To explore the effect of health education implemented by nursing process on improving perioperative anxiety and treatment compliance of lung cancer patients. Methods Eighty-six lung cancer patients were randomly divided into experimental group and control group, 43 cases in each group. The experimental group carried out health education with nursing process, while the control group carried out routine health education. Anxiety was assessed by self-rating anxiety Scale (SAS) in perioperative lung cancer patients. The compliance level was evaluated by comparing the excellent and good treatment compliance rate. Results Before health education, there was no statistical difference in anxiety between the two groups (P < 0.05). After health education, no matter 1 day before surgery or 3 days after surgery, the anxiety of the experimental group was lower than that of the control group (P < 0.05). The excellent compliance rate of experimental group was significantly higher than that of control group (P < 0.05). Conclusion Health education in programmed nursing can not only effectively relieve perioperative anxiety of lung cancer patients, but also effectively improve their treatment compliance. -
Key words:
- Nursing procedure /
- Health education /
- Lung cancer surgery /
- Anxiety /
- Treatment compliance
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表 1 2组患者一般资料比较 [
$\bar x \pm s $ /n(%)]Table 1. Comparison of general information between two groups of patients
项目 实验组 对照组 t/χ2 P 年龄(岁) 58.19 ± 5.63 60.40 ± 5.53 −1.84 0.07 性别 男 13(30.2) 10(23.3) 0.53 0.47 女 30(69.8) 33(76.7) 吸烟史 有 7(16.3) 4(9.3) 0.42 0.52 无 36(83.7) 39(90.7) 学历 小学及以下 23(53.5) 21(48.8) 0.74 0.83 初中 12(27.9) 13(30.2) 高中或中专 3(7.0) 5(11.6) 大学 5(11.6) 4(9.3) 病理 腺癌 34(79.1) 35(81.4) 0.08 0.96 鳞癌 8(18.6) 7(16.3) 小细胞 1(2.3) 1(2.3) 表 2 2组间SAS评分比较[(
$\bar x \pm s$ ),分]Table 2. Comparison of SAS scores between the two groups [(
$\bar x \pm s$ ),scores]组别 入院12 h 术前1 d 术后3 d SAS评分 t P SAS评分 t P SAS评分 t P 对照组 54.21 ± 7.39 −1.18 0.241 56.86 ± 7.40 6.23 < 0.001* 51.98 ± 11.48 2.30 0.024* 实验组 56.16 ± 7.93 47.28 ± 6.86 47.26 ± 7.00 *P < 0.05。 表 3 2组间治疗依从性比较[n(%)]
Table 3. Comparison of treatment compliance between the two groups [n(%)]
组别 优+良 差 χ2 P 对照组 35(81.4) 8(18.6) 4.07 0.044* 实验组 41(95.3) 2(4.7) *P < 0.05。 -
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