基于家庭的多学科康复护理模式对肺癌化疗患者癌因性疲乏和生活质量的影响

Effect of family-based multidisciplinary rehabilitation nursing model on cancerrelated fatigue and quality of life in patients with lung cancer chemotherapy

目的探讨基于家庭的多学科康复护理模式对肺癌化疗患者癌因性疲乏和生活质量的影响。方法采用随机数字表法将168例肺癌化疗患者随机分为对照组和研究组,各84例。对照组给予常规护理,研究组在常规护理的基础上采用基于家庭的多学科康复护理模式。比较两组肺癌化疗患者干预前和干预3个月后的癌因性疲乏情况和生活质量。结果干预3个月后,研究组患者Piper疲乏量表中行为疲乏、情感疲乏、感觉疲乏、认知疲乏维度的评分及总分均低于对照组患者,差异均有统计学意义(P﹤0.05)。干预3个月后,研究组患者中文版36条目简明健康状况调查问卷(SF-36)中生理、情感、社会、身体疼痛、活动、精神健康、总体健康维度的评分均高于对照组患者,差异均有统计学意义(P﹤0.05)。结论基于家庭的多学科康复护理模式能有效缓解肺癌化疗患者的癌因性疲乏程度,提高其生活质量。

Objective To explore the effect of family-based multidisciplinary rehabilitation nursing model on cancerrelated fatigue and patients’quality of life with lung cancer chemotherapy.Method A total of 168 patients with lung cancer receiving chemotherapy were selected and randomly divided into control group and study group,with 84 cases in each group,using the random number method.The control group was given routine care,and the study group adopted a family-based multidisciplinary rehabilitation nursing model based on routine care.The cancer-related fatigue and quality of life of the two groups of lung cancer chemotherapy patients before the intervention and 3 months after intervention were compared.Result After 3 months of intervention,the scores of subdomains including behavioral,affective,sensory,cognitive/mood attributes of fatigue on the Piper fatigue scale,as well as the total scores of the study group were lower than those of the control group,and the differences were statistically significant(P<0.05).After 3 months of intervention,the scores of the physiological,affective,social,physical pain,activity,mental health and general health in the 36-items short form health survey(SF-36)of the study group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion The family-based multidisciplinary rehabilitation nursing model can alleviate cancer-related fatigue of patients undergoing chemotherapy for lung cancer and improve their quality of life.