妇科恶性肿瘤患者化疗期间癌因性疲乏状况及自我缓解方式

Cancer Related Fatigue and Self Relief Methods among Patients with Gynecological Malignant Tumor

目的探讨妇科恶性肿瘤患者化疗期间癌因性疲乏状况及自我缓解方式，为临床采取科学有效的护理干预措施提供依据。方法便利选取浙江省青田县人民医院2011年9月至2012年10月收治的163例妇科恶性肿瘤患者，分别于化疗前1～2d、化疗中及化疗后7d采用Piper疲乏评估量表一中文版和疲乏缓解量表一中文版进行调查。结果妇科恶性肿瘤患者在化疗不同阶段均存在轻度至重度疲乏，而化疗中的整体疲乏程度最严重，且在认知、行为、情感、情绪等方面的疲乏得分均高于化疗前及化疗后，差异均有统计学意义（均P〈0．01）。妇科恶性肿瘤患者缓解疲乏的方式中，以低活动方式得分最高，其中睡觉、打吨、休息居于前三位；而社交活动、做家务、听音乐是得分最低的3种方式。结论在化疗的最初阶段，护士应加强对化疗患者疲乏感的观察和评估，以早期发现患者的疲乏表现并给予相应对策，减轻其疲乏感；对于患者在缓解疲劳方式上存在的认知偏差，护士应加强其认知干预，给予专业性指导和帮助，以达到有效缓解患者疲乏的目的。

Objective To explore the cancer related fatigue and self relief methods among patients with gynecological malignant tumor,so as to provide evidences for developing nursing interventions. Methods By convenience sampling,totally 163 women with gynecological malignant tumor were assessed 1-2 days before,during and 7 days after chemotherapy by the Piper fatigue assessment scale-Chinese edition and fatigue relief scale Chinese version. Results Moderate to severe cancer related fatigue were detected through the whole process of chemotherapy and the most serious cancer related fatigue was found in the process of chemotherapy. Fatigue related behavior, emotion, cognition in the process of chemotherapy was significant- ly higher than that before and after chemotherapy（P〈0.01）. Sleeping,nap and rest were the top three methods used to relieve fatigue, while listening music, doing housework, and social work Were the least used methods. Conclusion Nurses should strengthen the observation and assessment in the initial stage of chemotherapy to detect the cancer related fatigue as early as possible and take corresponding interventions to relieve it. Nurses should strengthen the cognition intervention process and give them professional guid- ance to relieve the level of cancer related fatigue for patients with cognition bias.