循证照护方案联合健康赋权干预对食管癌放疗患者癌因性疲乏、心理应激的影响

Effects of Evidence-Based Nursing Regimen Combined with Health Empowerment Intervention on Cancer-Related Fatigue and Psychological Stress in Patients with Esophageal Cancer Undergoing Radiotherapy

目的:探究循证照护方案联合健康赋权干预对食管癌放疗患者癌因性疲乏、心理应激的影响.方法:选取2019 年 1 月至 2021 年 1 月本院收治的 86 例食管癌放疗患者为研究对象.采用随机数字表法,将其分为联合干预组(n =43)和对照组(n =43).联合干预组给予循证照护方案联合健康赋权干预,对照组给予食管癌常规护理.比较干预前、后患者癌因性疲乏[Piper疲乏量表(RPFS)]、心理应激[斯坦福急性应激反应问卷(SASRQ)]、生活质量[食管癌专用量表(QLQ-OES18)]变化情况.结果:干预 6 个月后,与干预前比较,两组RPFS、SASRQ、QLQ-OES18 评分均下降,联合干预组评分低于对照组,差异均有统计学意义(P<0.05).结论:循证照护方案联合健康赋权干预可改善患者癌因性疲乏和心理应激状态,从而有助于提高患者生活质量.

Objective:To explore the effects of evidence-based nursing regimen combined with health empowerment intervention on cancer-related fatigue and psychological stress in patients with esophageal cancer radiotherapy.Methods:A total of 86 patients with esophageal cancer radiotherapy who were admitted to the hospital between January 2019 and January 2021 were selected and were randomly divided into combined intervention group(n=43)and control group(n=43)by random number table method.The combined intervention group was treated with evidence-based nursing regimen combined with health empowerment intervention,and the control group was treated with common nursing.The cancer-related fatigue[revised piper fatigue scale(RPFS)],psychological stress[Stanford acute stress reaction questionnaire(SASRQ)]and quality of life[quality of life questionnaire of oesophageal-specific module(QLQ-OES18)]were compared and analyzed before and after intervention between the two groups.Results:After 6 months of intervention,the RPFS scores,SASRQ scores and QLQ-OES18 scores were decreased compared with those before intervention in the two groups(P<0.05),and the scores of RPFS,SASRQ and QLQ-OES18 were lower in combined intervention group than those in control group(P<0.05).Conclusion:Evidence-based nursing regimen combined with health empowerment intervention can improve the cancer-related fatigue and psychological stress,thereby helping to enhance the quality of life of patients with esophageal cancer radiotherapy.