5A护理模式对肺癌术后化疗患者癌因性疲乏与生活质量的影响

Effects of 5A Model on Cancer-Related Fatigue and Quality of Life of Lung Cancer Patients with Postoperative Chemotherapy

目的探讨5A护理模式对肺癌术后化疗患者癌因性疲乏与生活质量的影响。方法以2015年2月—2017年12月我院收治的110例肺癌术后化疗患者为研究对象,根据随机信封法分为观察组和对照组,每组55例。对照组采用常规护理,观察组采用常规护理联合5A模式进行干预。分别对护理干预1个月和3个月后患者的自我效能感,干预前后的生活质量,以及干预前1天、干预第8天、第21天的癌因性疲乏进行评价。结果干预前,两组患者自我效能感、生活质量、癌因性疲乏的评分比较,差异均无统计学意义(P>0.05)。干预1个月后,观察组和对照组的自我效能感评分分别为(31.7±7.7)、(28.1±6.8),观察组显著高于对照组(P<0.05);干预3个月后,观察组和对照组的自我效能感评分分别为(33.4±6.5)、(28.5±7.2),观察组显著高于对照组(P<0.05);经重复测量方差分析,两组组间、不同时间点、组间*不同时间点的自我效能感评分比较,差异均具有统计学意义(P<0.05)。干预后,两组患者的生活质量评分均较干预前显著提高(P<0.05),且观察组显著高于对照组(P<0.05)。干预第8天,两组患者癌因性疲乏评分无显著差异(P>0.05);干预第21天,观察组和对照组癌因性疲乏评分分别为(2.07±0.88)、(3.01±1.26),观察组显著低于对照组(P<0.05);经重复测量方差分析,两组组间、不同时间点、组间*不同时间点的癌因性疲乏评分比较,差异均具有统计学意义(P<0.05)。结论采用5A模式对肺癌术后化疗患者进行护理干预,有利于缓解患者的癌因性疲乏,并提高其生活质量。

Objective To study the effects of 5A model on cancer-related fatigue and quality of life of lung cancer patients with chemotherapy after operation.Methods Between February 2015 and December 2017,110 patients with lung cancer who got chemotherapy after operation in our hospital were included.According to the random number method,the patients were divided into observation group and control group,with 55 cases in each group.Patients in control group got routine nursing,while those in observation group were intervened by 5A model nursing on the base of routine nursing.After 1 month and 3 months of nursing intervention,the self-efficacy of the subjects,and the quality of life before and after intervention were evaluated.The cancer-related fatigue was also analyzed one day before intervention and on the eighth and twenty-first day of intervention.Results Before intervention,there was no significant difference in the scores of self-efficacy,quality of life and cancer-related fatigue between the observation group and the control group(P>0.05).After one month of intervention,the scores of self-efficacy were(31.7±7.7)and(28.1±6.8)respectively in the observation group and the control group.The observation group was higher self-efficacy score than the control group(P<0.05).Three months later,the self-efficacy scores of the observation group and the control group were(33.4±6.5)and(28.5±7.2),respectively.The self-efficacy score of the observation group was significantly higher than that of the control group(P<0.05).According to the repeated measurement variance analysis,there were significant differences between groups and/or at different time points(P<0.05).After intervention,the scores of quality of life in both groups were higher than those before intervention(P<0.05).In addition,the quality of life score of in the observation group was higher than that of the control group(P<0.05).On the 8th day of intervention,there was no significant difference in the scores of cancer-related fatigue between the two groups(P>0.05).On the 21th day of intervention,the scores of cancer-related fatigue in the observation group and the control group were(2.07±0.88)and(3.01±1.26)respectively.It was lower in observation group than in control group(P<0.05).According to the repeated measurement variance analysis,there were significant differences between the two groups at different time points and/or between groups(P<0.05).Conclusion Nursing intervention for lung cancer patients with postoperative chemotherapy by 5A model is helpful to attenuate cancer-related fatigue and to improve the quality of life of patients.