中医情志护理联合饮食干预对癌因性疲乏患者睡眠质量及营养状况的影响

Effect of emotion nursing of Chinese medicine combined with dietary intervention on sleep quality and nutritional status of cancer-related fatigue

目的探讨中医情志护理联合饮食干预对癌因性疲乏(CRF)患者睡眠质量及营养状况的影响。方法选择我院收治的118例CRF患者,依照随机数字表法分为对照组和观察组,各59例。对照组给予常规护理和饮食指导,观察组在对照组的基础上给予中医情志护理联合饮食干预,2组均治疗1个月。比较2组治疗前后的Piper疲乏自我评估修订量表(PFS-R)评分、KPS评分、SPIEGEL评分及血清白蛋白(ALB)、前白蛋白(PA)水平。比较2组治疗后的舒适度、满意度及治疗依从性。结果2组治疗后的PFS-R评分和SPIEGEL评分均明显低于治疗前(P<0.05),KPS评分均明显高于治疗前(P<0.05),同时观察组治疗后的PFS-R评分和SPIEGEL评分均明显低于对照组(P<0.05),KPS评分明显高于对照组(P<0.05);2组治疗后的血清ALB和PA水平均明显高于治疗前,且观察组均明显高于对照组(P<0.05);观察组治疗后的舒适度、满意度及治疗依从性均明显高于对照组,差异有统计学意义(P<0.05)。结论中医情志护理联合饮食干预能够明显减轻CRF患者的疲乏程度,改善睡眠质量、生活质量及营养状况,提高患者的舒适度、满意度及治疗依从性。

Objective To study the effect of emotion nursing of Chinese medicine combined with dietary intervention on sleep quality and nutritional status of cancer-related fatigue(CRF).Methods According to the random number table method,118 cases of patients with CRF in our hospital were divided into control group(n=59)and observation group(n=59).Patients of the control group were treated with conventional nursing and dietary intervention,and the observation group were treated with emotion nursing of Chinese medicine combined with dietary intervention on the basis of the control group.The two groups were treated for 1 month.The revised piper fatigue scale(PFS-R)scores,KPS scores,SPIEGEL scores and serum levels of albumin(ALB),prealbumin(PA)of the two groups before and after treatment were compared.The comfort,satisfaction and treatment compliance of the two groups were compared.Results The PFS-R scores,SPIEGEL scores of the two groups after treatment were significantly lower than those before treatment(P<0.05),the KPS scores were significantly higher than those before treatment(P<0.05).Meanwhile,the PFS-R score and SPIEGEL score of the observation group after treatment were significantly lower than the control group(P<0.05),and KPS score was significantly higher than that of the control group(P<0.05).The levels of serum ALB,PA of the two groups after treatment were significantly higher than before treatment(P<0.05),and that of the observation group were significantly higher than those of the control group(P<0.05).The comfort,satisfaction and treatment compliance of the observation group after treatment were significantly higher than those of the control group(P<0.05).Conclusion Emotion nursing of Chinese medicine combined with dietary intervention of CRF can ease the weary degree,improve the sleep quality,life quality and nutritional status,improve the patient’s comfort,satisfaction and treatment compliance.