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目的探讨人文关怀对晚期肺癌患者不良情绪和自尊水平的影响。方法选取2014年7月至2015年2月间湖北医药学院附属东风医院收治的60例晚期肺癌患者,采用随机数字表法分为观察组和对照组,每组30例。观察组患者在常规护理基础上采用人文护理关怀,对照组患者仅采用常规护理。比较两组患者的不良情绪、自尊水平和生活质量。结果观察组患者护理1个月后抑郁自评量表(SDS)、焦虑自评量表(SAS)阳性率均低于对照组,社会自尊、行为自尊、外表自尊和自尊总分均高于对照组,差异均有统计学意义(P<0.05)。观察组患者护理1个月后的生活质量问卷功能量表、症状量表以及整体生活质量表评分好于对照组,差异均有统计学意义(均P<0.05)。结论人文关怀能够缓解晚期肺癌患者的不良情绪,更好地维护患者的自尊,改善患者的生活质量。
Objective To investigate the influence of humanistic care on the level of bad mood and self-esteem in patients with advanced lung cancer. Methods Sixty patients with advanced lung cancer who were admitted to Dongfeng Hospital affiliated to Hubei Medical College from July 2014 to February 2015 were randomly divided into observation group and control group with 30 cases in each group. Patients in the observation group were treated with humane nursing care based on routine care and patients in the control group only with routine care. The adverse emotions, self-esteem and quality of life of the two groups were compared. Results The positive rate of self-rating depression scale (SDS) and anxiety self-rating scale (SAS) in observation group was lower than that of control group after 1 month of nursing. The social self-esteem, behavioral self-esteem, external self-esteem and self-esteem were higher than those of control Group, the difference was statistically significant (P <0.05). The quality of life questionnaire, symptom scale and overall quality of life questionnaire in the observation group were better than those in the control group after 1 month of nursing (all P <0.05). Conclusion Humanistic care can relieve the negative emotions of patients with advanced lung cancer and better protect their self-esteem and improve their quality of life.