摘要 目的观察品管圈活动对老年肿瘤化疗患者焦虑、抑郁、睡眠质量和心理健康的干预效果,为改善患者的负性精神状况提供方法。方法选取2019年7月~2020年1月于复旦大学附属华东医院日间化疗病房接受化疗的肿瘤患者120例,根据数字表法随机分为试验组(n=60)和对照组(n=60)。对照组患者接受常规护理干预,试验组患者在与对照组相同常规护理基础上,增加品管圈活动干预。分别采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、匹兹堡睡眠质量指数量表(PSQI)和症状自评量表(SCL-90),对2组干预前后的焦虑、抑郁、睡眠质量和心理健康程度进行评分和比较。结果干预前,2组的SAS评分、SDS评分、PSQI各项因子评分和SCL-90各项指标评分差异均无统计学意义(P>0.05);干预后,2组的SDS评分、SDS评分、PSQI各项因子评分和SCL-90各项指标评分均明显低于同组干预前(P<0.05),且试验组均显著低于对照组(P<0.05)。结论品管圈活动可明显改善老年化疗患者的焦虑和抑郁程度、睡眠质量和心理健康,具有一定的临床应用价值。 Objective To observe the intervention effects of quality control circle s activities on anxiety,depression,sleep quality and mental health of elderly cancer patients undergoing chemotherapy,and to provide a method for improving patients'negative mental status.Methods A total of 120 cancer patients who received chemotherapy in the Daily Chemotherapy Ward of Huadong Hospital Affiliated to Fudan University from July 2019 to January 2020 were randomly divided into experi-mental group(n=60)and control group(n=60).The patients in the control group received routine nursing intervention,and the patients in the experimental group received the intervention of quality control circle's activities based on the same routine nursing as the control group.The Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)scores,Pittsburgh Sleep Quality Index(PSQI)scores and the Symptom Checklist 90(SCL-90)scores were used to evaluate anxiety,depression,sleep quality,and mental health and compare between the two groups before and after intervention.Results Before the in tervention,there was no significant difference in the SAS,SDS,PSQI,and SCL-90 scores between the two groups(P>0.05).After the intervention,the SAS,SDS,PSQI of each factor and SCL 90 scores of the two groups were significantly lower than those of the same group before the intervention(P<0.05),and the above scores of the experimental group were significantly lower than those of the control group(P<0.05).Conclusion Quality control circle's activities can effectively improve anxiety,depression,sleep quality,and mental health of cancer patients treated with chemotherapy,and have certain clinical application value.
出处 《老年医学与保健》 CAS 2021年第2期262-265,277,共5页 Geriatrics & Health Care
基金 上海青年护理人才培养资助计划项目(护医卫基[2016]06号)。
关键词 老年 肿瘤 化疗 品管圈 不良反应 焦虑 抑郁 睡眠质量 心理健康 elderly tumor chemotherapy quality control circle adverse effects anxiety depression sleep quality mental health
分类号 R47 [医药卫生—护理学]
