2023年2月第30卷第2期安宁疗护在晚期肺癌患者中的应用效果探讨陈丽君，陈园园，刘鹤阳（河南科技大学第一附属医院肿瘤内科，河南洛阳471000）【摘要】目的探讨安宁疗护在晚期肺癌患者中的应用效果。方法88例晚期肺癌患者随机分为两组各44例，对照组给予常规护理干预，观察组在对照组基础上给予安宁疗护干预，比较两组干预前后的疼痛程度和负性情绪。结果干预1个月后，两组的VAS评分、SAS评分、SDS评分均显著低于干预前，且观察组的VAS评分、SAS评分、SDS评分均显著低于对照组（P<0.05）。结论安宁疗护可明显减轻晚期肺癌患者的疼痛状况，缓解患者的负性情绪。【关键词】晚期肺癌；安宁疗护；疼痛；负性情绪中图分类号：R473.73文献标识码：Adoi:10.3969/j.issn.1674-4659.2023.02.0265DiscussionontheApplicationEffectofPalliativeCareinPatientswithAdvancedLungCancerCHENLijun,CHENYuanyuan,LIUHeyang(DepartmentofOncology,theFirstAffiliatedHospitalofHe'nanUniversityofScienceandTechnology,Luoyang471000,China)[Abstract]ObjectiveToexploretheapplicationeffectofpalliativecareinpatientswithadvancedlungcancer.Methods88patientswithadvancedlungcancerwererandomlydividedintotwogroups,with44casesineachgroup.Thecontrolgroupreceivedroutinenursingintervention,theobservationgroupreceivedpalliativecareinterventiononthebasisofthecontrolgroup.Thepaindegreeandnegativeemotionsbeforeandafterinterventionwerecomparedbetweenthetwogroups.ResultsAfter1monthofintervention,theVASscores,SASscoresandSDSscoresofthetwogroupsweresignificantlylowerthanthosebeforeintervention,andtheVASscore,SASscoreandSDSscoreoftheobservationgroupweresignificantlylowerthanthoseofthecontrolgroup(P<0.05).ConclusionsPalliativecarecansignificantlyreducethepainstateandalleviatethenegativeemotionsofpatientswithadvancedlungcancer.[Keywords]Advancedlungcancer;Palliativecare;Pain;Negativeemotions当肺癌患者病情进展至晚期时，身体重要脏器已受到癌细胞严重侵蚀，手术治疗已经意义不大，常通过放、化疗等手段来延长患者生存时间［1］。然而放、化疗副作用较大，且患者在知晓自身生存时间有限的情况下，容易产生抑郁、悲观、绝望等情绪，部分患者甚至选择直接放弃后续治疗。因此，采取有效的干预措施帮助晚期肺癌患...
