舒适护理对胃癌根治术患者癌因性疲乏及生活质量的影响

Effect of comfortable nursing on cancer related fatigue and quality of life in patients with gastric cancer

目的探讨舒适护理对胃癌根治术患者癌因性疲乏及生活质量的影响。方法选择2013年1月~2014年1月我院进行胃癌根治术的胃癌患者76例作为观察对象,按数字表法随机将入选患者分为干预组和对照组,每组38例。对照组行常规对症护理,干预组着重实施舒适护理,比较两组患者干预前后的疲乏程度RPFS评分、生活质量QOL评分。结果干预前干预组的行为疲乏、情感疲乏、躯体疲乏、认知疲乏RPFS评分与对照组组间比较,差异无统计学意义（P〉0.05）;干预后,干预组的行为疲乏、情感疲乏、躯体疲乏、认知疲乏RPFS评分与干预前及对照组比较显著降低,组间比较差异有统计学意义（P〈0.05）;干预前干预组的躯体功能、角色功能、认知功能、情绪功能、社会功能QOL各项评分与对照组比较,差异无统计学意义（P〉0.05）;干预后,干预组的躯体功能、角色功能、认知功能、情绪功能、社会功能QOL各项评分与干预前及对照组比较显著升高,组间比较差异有统计学意义（P〈0.05）。结论对胃癌根治术患者实施舒适护理干预,可以减轻患者的癌因性疲乏程度,提高患者的生活质量,有利于疾病的恢复。

Objective To study the effect of comfortable nursing of cancer related fatigue and quality of life in patients with gastric cancer. Methods A total of 76 cases in our hospital for gastric cancer radical operation of gastric cancer patients from January 2013 to January 2014 as the observation objects, randomly were divided into observation group and control group, 38 cases in each group. The control group underwent conventional symptomatic care, the intervention group mainly implemented comfortable nursing, the quality of life of fatigue of RPFS scores and QOL scores were com- pared between the two groups before and after intervention. Results There were no significant differences in behavior, emotion, body tired, cognitive RPFS scores between intervention group and control groups before intervention （P〉0.05）. After the intervention, the behavior fatigue, emotional fatigue, body fatigue and cognitive RPFS scores in interven- tion group and control group were significantly reduced compared with before intervention, and there was statistically significant difference between two groups （P〈0.05）. The physical function, role function, cognitive function, emotional function, social function of QOL scores of intervention group and control groups had no significant difference before in- tervention （P〉O.05）. After the intervention, the physical function, role function, cognitive function, emotional function, social function and QOL scores in intervention group and control group increased significantly compared with before in- tervention, there was statistically significanl difference between two groups （P〈0.05）. Conclusion After radical opera- tion of gastric cancer patients, comfortable nursing intervention can reduce patient cancer-related fatigue, improve the quality of life of patients, conducive to the resumption of the disease.