认知护理干预对经TC化疗的子宫内膜癌患者生命质量及疼痛程度的影响

Effect of cognitive nursing intervention on quality of life and pain degree in patients with endometrial cancer treated by TC chemotherapy

目的观察认知护理干预对经紫杉醇+卡铂(TC)方案化疗的子宫内膜癌患者生命质量及疼痛程度的影响。方法选取Ⅱ期子宫内膜癌患者90例,分为观察组与对照组各45例。两组均行TC方案化疗,观察组在化疗基础上给予认知护理干预,治疗4个疗程后用肿瘤生命质量核心问卷(QLQ-C30)进行评估并比较患者的生命质量,用视觉模拟评分法(VAS)评价患者的疼痛程度。结果治疗后两组的整体功能、特异性症状模块各个指标及整体生命质量评分均明显优于治疗前,且治疗后观察组上述指标均优于对照组(P<0.05);两组的VAS评分均明显低于治疗前(P<0.05),且观察组VAS评分明显低于对照组(P<0.05)。结论在TC化疗基础上给予认知护理干预能很好地改善Ⅱ期子宫内膜癌患者的生命质量。

Objective To investigate the effect of cognitive nursing combined with chemotherapy on the quality of life and pain degree in the patients with endometrial cancer treated by the chemotherapeutic regime（taxionol and carboplation,TC）. Methods 90 cases diagnosed stageⅡ endometriaⅠ cancer were selected and randomly divided into the observation group and the control group,45 cases in each group. The two groups were treated with the TC chemotherapeutic regimen. The observation group was given the cognitive nursing intervention on the chemotherapy. The life questionnaire-C30 （QLQ-C30） was used to conduct the evaluation after 4 courses of treatment. The visual analogue scale （VAS） was adopted to assess the pain degree. Results After treatment,the various indicators of allomeric function and specific symptom modules, and whole life quality score were significantly superior to those before treatment in 2 groups（P〈0.05） ,moreover all the above scores in the observation group were better than those in the control group（P〈0. 05） ;after treatment, the VAS score in the two groups were lower than before treatment （P〈 0.05） ,moreover the VAS score in the observation group was better than that in the control group（P〈0.05）. Conclusion Giving the cognitive nursing intervention on the basis of chemotherapy can better improve the quality of life in the patients with stage Ⅱ endometrial cancer.