护理干预在消除进展期癌症患者癌因性疲乏中的作用

Nursing intervention play a role in advanced cancer paticnts with cancer-related fatigue

目的:探讨护理干预在消除进展期癌症患者癌因性疲乏中的作用。方法:对40例进展期癌症患者在手术前后及化疗前后行护理干预,并与同期未行护理干预的40例进展期癌症患者对照,观察组除接受常规护理外,还进行系统的癌因性疲乏护理干预,对照组行常规护理。应用简易疲乏表、评估表、欧洲癌症治疗与研究组织问卷(EORTC-QLQ-C30)和卡氏功能量表,分别在干预前、干预15d后对两组患者进行癌因性和生活质量及功能状况评估。结果:干预前两组患者不适程度比较差异无显著性意义(U=0.9893.P>0.05);干预后两组患者的疲乏程度比较差异有显著性意义(U=3.0411,P<0.05);干预前两组生活质量和功能状况比较差异无显著性意义(t=0.52、0.92、1.26、0.61、0.63、1.10、0.50.P均>0.05);干预后两组生活质量和功能状况比较差异有显著性意义(t=4.86、6.99、4.12、6.85、3.06、2.3l、2.86,P均<0.05)。结论:系统护理干预方法优于传统护理方法,指导患者写疲乏日记,进行心理疏导、健康教育、有氧运动,提供药膳饮食,可以消除疲乏或缓解疲乏程度,提高进展期癌症患者的生活质量。

Objective：To investigate the nursing intervention play a role in advanced cancer patients with cancer -related fatigue. Methods：80 advanced cancer patients with CPRF were randomly divided into group A （observation group, n =40） and group B（control group,n =40） after operation. Group A received nursing intervention plus conventional nursing and group B only received conventional nursing of CRF. Brief Fatigue Inventory, EORTC - QLQ - C30, and KPS wer used for evaluating the patients＇qualty of life（QOL） and functional condition separately 15 days pre - and post intervention. Results：There was no significant deference betwcen degree of fatigue （ U = 0. 9893,P 〉 0. 05 ）, QOL and functional condition before intervening （ t = 0. 52,0. 91,1.26,0. 61,0.63,1.10,0.50, P 〉 0. 05 ）. However, there was a significant difference between them 15 days after interference（ U = 3. 0411, P 〈 0. 05 ） ,QOL and functional condition after interference（ t = 4. 86,6.99,4.12,6.85,3.06,2.31,2.86, P 均 〈 0. 05 ）. Conclusion ：Interference nursing care is better than conventional measures only. Diary of fatigue, health education, aerobic exercise and herbal diet could alleviate fatigue and improve the advanced cancer patients＇quality of life.