【摘要】 目的:探讨基于老年综合评估的临床护理路径对老年晚期非小细胞肺癌(NSCLC)患者癌因性疲乏及睡眠质量的影响效果。方法:选取我院收治的老年晚期NSCLC患者92例作为研究对象,随机等分为研究组和对照组,其中对照组采用常规护理;研究组采用基于老年综合评估的临床护理路径护理。比较两组患者心理状况、癌因性疲乏、睡眠质量情况。结果:护理后两组SAS,SDS评分均低于护理前(P<0.05),且研究组低于对照组(P<0.05);护理后两组患者行为、躯体、认知、情感疲乏评分低于护理前(P<0.05),研究组低于对照组(P<0.05);护理后两组睡眠质量、日间功能、催眠药物、入睡时间、睡眠障碍、睡眠效率、睡眠时间、PSQI总分均低于护理前(P<0.05),研究组低于对照组(P<0.05)。结论:基于老年综合评估的临床护理路径能够有效改善老年晚期NSCLC患者癌因性疲乏和睡眠质量。更多还原

【Abstract】 Objective: To explore the effect of clinical nursing pathway based on comprehensive assessment of elderly patients on cancer-related fatigue and quality of sleep in elderly patients with advanced non-small cell lung cancer( NSCLC). Methods: A total of 92 elderly patients with advanced NSCLC admitted to our hospital were selected as the research objects and randomly and equally divided into study group and control group. The control group received conventional nursing; the study group adopted clinical nursing pathway based on comprehensive assessment of the elderly. The psychological status,cancer-related fatigue and quality of sleep were compared between the two groups. Results: After nursing,the SAS and SDS scores in the two groups were lower than those before( P < 0. 05),and the scores in the study group were lower than those in the control group( P < 0. 05); after nursing,the scores of behavior,body,cognition and emotional fatigue in the two groups were lower than those before( P < 0. 05),and the scores in the study group were lower than those in the control group( P < 0. 05); the quality of sleep,daytime function,hypnotic,sleep latency,sleep disorder and sleep efficiency,hours of sleep and PSQI overall score were lower than those before nursing( P < 0. 05),and those in the study group were lower than the control group( P < 0. 05). Conclusion: The clinical nursing pathway based on comprehensive assessment of the elderly can effectively improve the cancer-related fatigue and quality of sleep in elderly patients with advanced NSCLC.更多还原