以问题为导向的护理干预方案在肺癌化疗患者中的应用效果<sup>*</sup>

doi:10.3969/j.issn.1671-7171.2025.08.006

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摘要【目的】探讨以问题为导向的护理干预方案在肺癌化疗患者中的应用效果。【方法】96例进行化疗的肺癌患者,随机分为观察组(实施以问题为导向的护理干预)和对照组(实施常规护理干预),每组48例。比较两组患者入院当日、出院前1 d的肺功能、心理弹性、癌因性疲乏状况。【结果】入院当日,两组患者肺功能各项指标,心理弹性量表(CD-RISC)、癌因性疲乏量表(CRF)各项评分比较,差异无统计学意义(P>0.05);出院前1 d,两组患者的肺功能各项指标、CD-RISC各项评分均高于入院当日(P<0.05),CRF各项评分均低于入院当日(P<0.05),且观察组各项指标均优于对照组(P<0.05)。【结论】实施以问题为导向的护理干预方案可改善肺癌化疗患者的肺功能、心理弹性、癌因性疲乏状况,值得临床推广应用。

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	刘瑞敏
	刘亚龙
	王晓冰
	任利丽

关键词 ：肺肿瘤, 药物疗法, 护理

Abstract：【Objective】To explore the application effect of a problem-oriented nursing intervention program in patients with lung cancer undergoing chemotherapy.【Methods】A total of 96 patients receiving chemotherapy for lung cancer were randomly divided into the observation group (receiving problem-oriented nursing intervention) and the control group (receiving routine nursing care), with 48 cases in each group. Pulmonary function, psychological resilience, and cancer-related fatigue were compared between the two groups on the day of admission and one day before discharge.【Results】 On the day of admission, there were no statistically significant differences between the two groups in terms of pulmonary function indicators, scores on the Connor-Davidson Resilience Scale (CD-RISC), or Cancer-Related Fatigue Scale (CRF) (P>0.05). One day before discharge, all pulmonary function indicators and CD-RISC scores in both groups were significantly improved compared to those on the day of admission (P< 0.05), while CRF scores were significantly decreased (P<0.05). Moreover, all indicators in the observation group were significantly better than those in the control group (P<0.05).【Conclusion】The implementation of a problem-oriented nursing intervention program can improve pulmonary function, psychological resilience, and cancer-related fatigue in patients, and is worthy of clinical promotion.

Key words： Lung Neoplasms Drug Therapy Nursing Care

收稿日期: 2024-10-31

中图分类号:

R734.2

基金资助:^*河南省医学科技攻关计划项目(编号:LHG20230421)

引用本文:

刘瑞敏, 刘亚龙, 王晓冰, 任利丽. 以问题为导向的护理干预方案在肺癌化疗患者中的应用效果^*[J]. 医学临床研究, 2025, 42(8): 1314-1317.
LIU Ruimin, LIU Yalong, WANG Xiaobing, et al. Application Value of Problem-Oriented Nursing Intervention Program in Lung Cancer Patients Undergoing Chemotherapy. JOURNAL OF CLINICAL RESEARCH, 2025, 42(8): 1314-1317.

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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2025.08.006 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2025/V42/I8/1314

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