循证护理干预模式对肺癌放化疗患者癌因性疲乏治疗依从性及并发症的影响

Influence of Evidence-based Nursing Intervention Mode on Cancer-induced Fatigue,Treatment Compliance and Complications in Patients with Lung Cancer Radiotherapy and Chemotherapy

目的:探讨循证护理干预模式对肺癌放化疗患者癌因性疲乏、治疗依从性及并发症的影响。方法:选取2019年8月—2020年8月在驻马店市中心医院行放化疗的78例肺癌患者作为研究对象,按随机数表法分为两组,每组各39例。对照组实施常规护理,观察组实施循证护理。比较两组癌因性疲乏、治疗依从性、并发症情况及生存质量。结果:两组干预后1个月,观察组简易疲乏量表(BFI)评分(32.14±6.34)分,低于对照组的(44.75±8.40)分,治疗依从性94.87%,高于对照组的76.92%,并发症发生率17.95%,低于对照组的41.03%,差异有统计学意义(t=7.483,χ^(2)=5.186、4.995,P<0.05);干预后1个月,观察组生存质量中躯体功能(65.46±7.31)分、认知功能(60.09±6.17)分、情绪功能(66.25±5.76)分、角色功能(68.54±4.97)分及社会功能评分(61.95±4.33)分均分别高对照组,差异有统计学意义(t=4.373、3.535、5.684、6.245、7.500,P<0.05)。结论:循证护理干预模式能够改善肺癌放化疗患者癌因性疲乏及治疗依从性,并降低并发症发生率。

Objective:To explore the effect of evidence-based nursing intervention mode on cancer-related fatigue,treatment compliance and complications in patients with lung cancer radiotherapy and chemotherapy.Methods:78 lung cancer patients who underwent radiotherapy in the hospital from August 2019 to August 2020 were selected for the study and divided into two groups by random number table method,with 39 cases in each group.The control group were carried out routine nursing,while the observation group were carried out evidence-based nursing.The cancer-related fatigue,treatment compliance,complications condition and quality of life were compared between the two groups.Results:1 month after the intervention,the Brief Fatigue Inventory(BFI)score of the observation group was(32.14±6.34) points,which was lower than(44.75±8.40) points of the control group,the treatment compliance was 94.87%,which was higher than 76.92% of the control group,and the complication rate was 17.95%,which was lower than 41.03% of the control group,with statistically significant differences(t=7.483,χ^(2)=5.186,4.995,P<0.05).At 1month after the intervention,the quality of survival in the observation group was(65.46±7.31) points,cognitive function(60.09±6.17) points,emotional function(66.25 ± 5.76) points,role function(68.54 ± 4.97) points and social function scores(61.95 ± 4.33)points,all of which were higher than those in the control group,with statistically significant differences(t=4.373,3.535,5.684,6.245,7.500,P<0.05).Conclusion:The evidence-based nursing intervention model can improve cancer-caused fatigue and treatment adherence and reduce complication rates in lung cancer radiotherapy patients.