Miles手术患者癌因性疲乏与生活质量的护理干预

Nursing intervention on carcinoma-related fatigue and quality of life of patients with Miles operation

目的研究Miles手术患者癌因性疲乏与生活质量的相互关系，为护理干预提供依据。方法将60例Miles手术患者随机分为对照组和观察组，应用简易疲乏量表与生活质量调查问卷表进行调查，采用系统化护理干预措施调查分析2组患者癌因性疲乏与生活质量的相互关系。结果观察组在干预后的疲乏症状明显轻于对照组；系统化护理干预措施后2组患者生活质量和功能状况比较有统计学意义（P〈0．05），观察组QOL得分高于对照组；癌因性疲乏与生活质量相互影响，其生理、心理、社会关系等领域与癌因性疲乏的各项呈负相关（P〈0．05）。结论Miles手术患者的疲乏症状影响着他们的生活质量；系统化护理干预可消除或减轻癌性疲乏症状；系统化护理干预可提高Miles手术患者的生活质量。

Objective To explore the correlation between carcinoma-related fatigue and quality of life of patients with Miles operation in order to provide evidences for nursing intervention. Methods 60 patients with Miles operation were randomly divided into the observation group and the control group. The simple fatigue scale and quality of life scale questionnaire were filled in by the patients. Systemic nursing intervention was used to analyze the correlation between carcinoma-related fatigue and quality of life in the two groups. Results Fatigue symptoms in the observation group were slighter than those in the control group after the nursing intervention. The quality of life and function state were significantly different between the two groups after the systemic nursing intervention. The score of QOL of the observation group was higher than that of the control group. Carcinoma-related fatigue and quality of life were influenced each other. There were negative correlations between carcinoma- related fatigue and physiology, psychology and social relationship field （P 〈 0. 05 ）. Conclusions The fatigue symptom in patients with Miles operation influences their quality of life. Systemic nursing interventions can eliminate or decrease their carcinoma-related fatigue and promote their quality of life.