护理干预对癌因性疲乏病人的效果评估

Evaluation of Nursing Intervention Effect on Cancer-related Fatigue Patients

目的:探讨癌因性疲乏病人的护理干预方法及效果。方法:将80例癌因性疲乏放化疗病人随机分为实验组和对照组各40例。实验组进行系统的护理干预,对照组作常规健康教育。应用简易疲乏量表、癌症病人生活质量测定表(EORTC QLQ-C30),分别在干预前、干预4周后,对2组病人进行癌因性疲乏和生活质量评估。结果:干预前2组病人疲乏程度比较差异无显著性意义(P>0.05);干预后2组病人的疲乏程度比较差异有显著性意义(P<0.01);干预后2组病人生活质量比较差异有显著性意义(P<0.05)。结论:护理干预方法有明显效果,对病人进行个体化健康教育,心理疏导和社会支持,适当体力活动锻炼,调理饮食和学会自我护理等,可以消除或缓解疲乏,提高病人的生活质量。

Objective： To study the nursing intervention as well as its effect on cancer-related fatigue. Method： 80 under chemoradiotherapy cancer- related patients randomly divided into two groups： experimental group and control group with 40 patients respectively. Nursing intervention was adopted to experimental group patients while control patients was only administrated with conventional healthy education. EORTC QLQ - C30 questionnaire was used to assess the cancer - related fatigue and QOL before and 4 weeks after intervention, Result： Difference with statistical significance was observed in cancer- related fatigue （p 〈 0. 01 ） and QOL（ P 〈0.05） comparision in two groups for 4 weeks after intervention , although there was no statistical difference （ P 〉 0.05 ） in either fatigue or QOL comparison of two groups before intervention. Conclusion： Nursing intervention was with superiority. Several methods were beneficial to eliminate or release fatigue and boost QOL which consisted of individual healthy education, psychic instruction, social support, adequate physical exercise, regulation on diet and self-nursing.