家属协同护理模式对肺癌患者希望水平、癌因性疲乏及生活质量的影响

Effects of the family participatory care model on hope level,cancer-caused fatigue and quality of life of lung cancer patients

目的探讨家属协同护理模式对肺癌患者希望水平、癌因性疲乏及生活质量的影响。方法选取2018年11月—2020年11月南阳市某医院收治的88例肺癌患者为研究对象,采用随机数字表法分为对照组和观察组,每组44例。对照组患者给予常规护理,观察组患者给予家属协同护理,2组患者均持续护理1个月。比较2组患者干预前和干预1个月时的希望水平[(HHI)]、癌因性疲乏[癌症疲乏量表(CFS)]及生活质量[生命质量测定量表(FACT-G)]评分。结果干预前,2组患者HHI、FACT-G评分比较,差异均无统计学意义(P>0.05);干预后,2组患者HHI、FACT-G评分高于干预前,观察组高于对照组,差异均有统计学意义(P<0.05)。干预前,2组患者躯体疲乏、认知疲乏及情感疲乏评分比较,差异均无统计学意义(P>0.05);干预后,2组患者躯体疲乏、认知疲乏及情感疲乏评分低于干预前,观察组低于对照组,差异均有统计学意义(P<0.05)。结论家属协同护理模式在肺癌患者中应用效果良好,能够提高患者希望水平,改善癌因性疲乏状态,提高生活质量。

Objective To explore the effects of the family participatory care model on hope level,cancer-caused fatigue and quality of life of lung cancer patients.Methods Eighty-eight cases of lung cancer patients admitted to a hospital in Nanyang from November 2018 to November 2020 were selected as study subjects and divided into a control group and an observation group using the random number table method,44 cases in each group.The patients in the control group were given conventional care and the observation group were given family participatory care,and the patients in both groups were continuously cared for 1 month.The Herth Hope Index(HHI),cancer-caused fatigue[Cancer Fatigue Scale(CFS)]and quality of life[Functional Assessment of Cancer Therapy-General(FACT-G)]scores of the patients in the 2 groups before and at 1 month of intervention were compared.Results Before intervention,there was no statistically significant difference between the HHI and FACT-G scores of the 2 groups(P>0.05);after the intervention,the HHI and FACT-G scores of the 2 groups were higher than before the intervention,and the observation group was higher than the control group,with statistically significant differences(P<0.05).Before the intervention,there was no statistically significant difference in the scores of somatic fatigue,cognitive fatigue and emotional fatigue between the 2 groups(P>0.05);after the intervention,the scores of somatic fatigue,cognitive fatigue and emotional fatigue in the 2 groups were lower than before the intervention,and significantly lower in the observation group than in the control group(P<0.05).Conclusion The family participatory care model is effective in the treatment of lung cancer patients and can improve patients′hope level,cancer-caused fatigue status and quality of life.