协同护理对肺癌患者癌因性疲乏及自护能力的影响

Effect of Collaborative Nursing on Cancer-related Fatigue and Self-care Ability of Patients with Lung Cancer

目的研究协同护理对肺癌患者癌因性疲乏及自护能力的影响。方法选取2019年10月-2021年10月我院收治的82例肺癌患者,按照随机数字表法分为对照组与观察组,各41例。对照组应用常规护理,观察组应用协同护理,比较两组Piper癌因性疲乏修订量表(PFS-R)评分、负面情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)评分]、遵医嘱行为、自我护理能力测定量表(ESCA)评分、肺癌患者生存质量测定量表(FACT-L)评分及护理满意度。结果两组PFS-R量表各项目评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);两组SAS、SDS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组遵医优良率高于对照组,差异有统计学意义(P<0.05);两组ESCA、FACT-L评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论协同护理可缓解肺癌患者的癌因性疲乏程度,调节负面情绪,增强其遵医嘱行为及自护能力,促进生活质量的进一步改善,护理满意度高。

Objective To study the effect of collaborative nursing on cancer-related fatigue and self-care ability in patients with lung cancer.Methods A total of 82 patients with lung cancer admitted to our hospital from October 2019 to October 2021 were randomly divided into control group and observation group,with 41 cases in each group.The control group was given routine nursing,and the observation group was given collaborative nursing.The Piper cancer-related fatigue revision scale(PFS-R)score,negative emotions[self-rating anxiety scale(SAS),self-rating depression scale(SDS)score],compliance behavior,self-care ability measurement scale(ESCA)score,quality of life measurement scale(FACT-L)score of lung cancer patients and nursing satisfaction were compared between the two groups.Results The scores of each item in the PFS-R scale in the two groups were lower than those before nursing,and those in the observation group were lower than those in the control group,with significant difference(P<0.05).The SAS and SDS scores of the two groups were lower than those before nursing,and the observation group was lower than the control group,the difference was statistically significant(P<0.05).The excellent and good rate of compliance in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The ESCA and FACT-L scores of the two groups were higher than those before nursing,and the observation group was higher than the control group,the difference was statistically significant(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Collaborative nursing can alleviate the cancer-related fatigue of patients with lung cancer,regulate negative emotions,enhance their compliance behavior and self-care ability,promote the further improvement of quality of life,and have high nursing satisfaction.