护士-家属-疾病同伴者参与临床关怀对淋巴瘤患者化疗期的影响

Effect of Clinical Care with Nurse,Family Member and Peer Participation in Patients with Lymphoma during Chemotherapy

目的:探讨护士-家属-疾病同伴者参与临床关怀对淋巴瘤患者化疗期的影响。方法:选取2017年6月1日~2020年6月1日收治的100例淋巴瘤患者,按照随机数字表法分为对照组和观察组各50例,对照组采用常规干预模式,观察组采用护士-家属-疾病同伴者参与临床关怀;比较两组干预前后疲乏程度[采用Piper疲乏修订量表(PFS-R)]、心理应激[采用抑郁自评量表(SDS)、焦虑自评量表(SAS)]、创伤后成长水平[采用创伤后成长量表(PTGI)]及生活质量[采用生活质量量表(QLQ-C30)]。结果:干预后,两组PFS-R、SAS、SDS、PTGI、QLQ-C30评分均优于干预前(P<0.05),且观察组优于对照组(P<0.01)。结论:护士-家属-疾病同伴者参与临床关怀可缓解患者化疗期疲乏,改善患者心理应激反应,提高其创伤后成长水平。

Objective:To explore the effect of clinical care with nurse,family member and peer participation in patients with lymphoma during chemotherapy.Methods:A total of 100 patients with lymphoma admitted during June 1,2017 to June 1,2020 were selected and divided into the control group and the observation group according to the random number table method with 50 cases in each group.The control group received conventional intervention,and the observation group received clinical care with nurse,family member and peer participation.Fatigue by the Revised Piper Fatigue Scale(PFS-R),psychological stress by Self-rating Depression Scale(SDS)and Self-rating Anxiety Scale(SAS),post traumatic growth by Post Traumatic Growth Inventory(PTGI)scores and quality of life by Quality of Life Scale(QLQ-C30)between the two groups were compared.Results:After the intervention,the scores of PFS-R,SAS,SDS,PTGI and QLQ-C30 were better in both groups than those before intervention(P<0.05),and those in the observation group were better than those in the control group(P<0.01).Conclusion:Clinical care with nurse,family member and peer participation can relieve the fatigue and psychological stress in patients with lymphoma during chemotherapy,improve their psychological stress response,and improve their post traumatic growth.