自我管理症状护理模式对消化系统恶性肿瘤患者术前癌因性疲乏的影响效果

Effect analysis of self-management symptom nursing model on preoperative cancer related fatigue of 108 cases digestive system malignant tumor patients

目的观察自我管理症状护理模式对消化系统恶性肿瘤患者术前癌因性疲乏的影响效果。方法选择108例消化系统恶性肿瘤患者,随机分为自我管理症状护理模式干预组(观察组)和常规护理干预组(对照组),每组54例。观察不同护理干预措施后,在不同治疗时点(入院第1天、第7天、出院时),采用癌症疲乏量表(CFS)、癌症治疗功能评价量表(FACT)评价两组患者的得分情况。出院后,随访6个月评定生活质量。结果入院第1天,两组患者的CFS、FACT评分比较,差异无统计学意义(P>0.05);入院第7天和出院时,观察组的CFS评分低于对照组,FACT评分则高于对照组,差异均有统计学意义(P<0.05,P<0.01)。出院时,观察组患者的FACT总分及各维度均高于对照组,尤以生理维度及情感维度明显,差异有统计学意义(P<0.05,P<0.01)。两组患者均无失访,随访6个月、12个月观察组的生活质量指标生理机能(PF)、生理职能(RP)、情感职能(RE)得分均高于对照组,差异有统计学意义(P<0.01)。结论在消化系统恶性肿瘤患者中予以自我管理症状护理模式,可较好地改善术前癌因性疲乏症状,提高患者的生命与生活质量。

Objective To observe effect of self-management symptom nursing model on preopera- tive cancer related fatigue of 108 cases digestive system malignant tumor patients. Methods Selected 108 cases digestive system malignant tumor patients who were treated in our department, randomly divided them into self-management symptom nursing model intervention group （short for observation group） and normal nursing intervention group （short for control group） , 54 cases in each group, observed after treated by different nursing intervention measures and adopted cancer fatigue scale （CFS）, functional assessment of cancer therapy （FACT） evaluated two group patients＇ score at different treatment time point （ be hospitalized 1 d, 7 d and left hospital）. After they left hospital, followed up half year and evaluated their life quali- ties. Results Be hospitalized 1 d, compared two group patients＇ CFS, FACT scores, the differences hadn＇t statistical differences （ P 〉 0.05 ） ; be hospitalized 7 d and when they left hospital, observation group＇s CFS scores lower than control group, FACT scores higher than control group, the differences had statistical signifieances （P 〈 0. 05, P 〈 0.01 ）. When they left hospital, observation group patients＇ FACT total scores and each dimension all higher than control group, especially physiological dimension and emo- tional dimension, the differences had statistical siguificances （P 〈0. 05, P 〈0.01 ）. Each patient all has been followed up, when followed up 6 mo and 12 mo observation group patients＇ life of quality index physical functioning, role-physical, role-emotional score all higher than control group, the differences had statistical significances. Conclusion Adopted self-management symptom nursing model on preoperative cancer related fatigue can well improve preoperative cancer related fatigue symptom, increase patients＇ live qualities.