膀胱充盈训练及心理干预对宫颈癌根治性调强放疗患者癌性疲乏、生命质量的影响

Effects of bladder filling training and psychological intervention on cancer-related fatigue and quality of life in patients with cervical cancer undergoing radical intensity-modulated radiotherapy

目的:观察膀胱充盈训练及心理干预对宫颈癌根治性调强放疗患者癌性疲乏、生命质量的影响。方法:选取80例宫颈癌患者作为观察对象,依据随机数字表法将其分为对照组和观察组各40例。对照组实施常规护理,观察组在对照组的基础上对患者实施针对排尿护理及心理护理,比较干预前后两组癌性疲乏得分、睡眠质量、KPS评分及干预后尿流动力学指标的变化情况与临时终止治疗情况。结果:干预后观察组行为及严重程度、情感、感觉、认知及情绪得分均明显低于对照组,差异均有统计学意义(P<0.05);干预后观察组匹兹堡睡眠质量指数(PSQI)评分明显低于对照组,KPS评分明显高于对照组,差异均有统计学意义(P<0.05);观察组最大尿流量、膀胱顺应性及最大逼尿肌压力明显大于对照组,差异均有统计学意义(P<0.05);观察组临时终止治疗例数为1例(2.5%),明显低于对照组的14例(35.0%),差异有统计学意义(P<0.05)。结论:膀胱充盈训练及心理干预对保留宫颈癌根治性调强放疗患者膀胱功能,改善生命质量有重要意义。

Objective:To investigate effects of bladder filling training and psychological intervention on cancer-related fatigue and quality of life in patients with cervical cancer undergoing radical intensity-modulated radiotherapy.Methods:80 cases with cervical cancer were selected and divided into two groups according to the random number table method,40 cases in each.The control group received routine nursing,while the observation group was given targeted nursing for drinking water and urination as well as the psychological intervention on the basis of that of the control group.The changes of cancer-related fatigue score,sleep quality,KPS score and post-intervention urodynamic parameters were compared between the two groups before and after the intervention.Results:After the intervention,the scores of the behaviors and severity,emotions,sensation, and cognition of the observation group were significantly lower than those of the control group,and the differences were statistically significant (P<0.05).After the intervention,the Pittsburgh sleep quality index (PSQI) score of the observation group were significantly lower than that of the control group,the KPS score was significantly higher than that of the control group,and the differences were statistically significant (P<0.05).The maximum urinary flow,bladder compliance and maximum detrusor pressure were significantly higher in the observation group than in the control group,and the differences were statistically significant (P<0.05).The number of cases of temporary termination of treatment in the observation group was 1 case (2.50%),which was significantly lower than that of the control group (14 cases,35.00%),and the difference was statistically significant (P<0.05).Conclusions:The bladder filling training and psychological intervention in the treatment of the patients with cervical cancer undergoing radical intensity-modulated radiotherapy is of great significance in preserving the bladder function and improving the quality of life.