基于ITHBC的护理措施在结直肠癌患者化疗期癌因性疲乏中的应用

Application of ITHBC-based nursing measures in cancer-related fatigue of patients with colorectal cancer during chemotherapy

目的观察基于健康行为整合理论(ITHBC)的护理措施在结直肠癌患者化疗期癌因性疲乏中的应用效果。方法选取2020年5月至2022年4月于空军军医大学第二附属医院肿瘤科进行化疗的106例结直肠癌患者作为研究对象,按照随机数表法分为研究组和对照组各53例。对照组患者给予常规护理,研究组患者给予基于ITHBC的护理措施,两组患者均护理至出院。比较两组患者护理前及护理至出院随访6个月后癌症疲乏量表(CFS)、癌症生活质量问卷-C30(QLQ-C30)和自我感受负担量表(SPBS)评分。结果护理前,两组患者的情感疲乏、躯体疲乏、认知疲乏评分比较差异均无统计学意义(P>0.05);护理后,研究组患者的情感疲乏、躯体疲乏、认知疲乏评分明显低于护理前,且研究组患者的情感疲乏、躯体疲乏、认知疲乏评分分别为(8.36±2.69)分、(18.53±6.14)分、(8.82±2.39)分,明显低于对照组的(10.65±3.50)分、(21.36±6.79)分、(10.92±3.41)分,差异均有统计学意义(P<0.05);护理前,两组患者的躯体功能、情绪功能、角色功能、社会功能评分比较差异均无统计学意义(P>0.05);护理后,两组患者的躯体功能、情绪功能、角色功能、社会功能评分明显高于护理前,且研究组患者的躯体功能、情绪功能、角色功能、社会功能评分分别为(78.79±5.67)分、(81.35±7.84)分、(80.93±5.46)分、(78.42±5.64)分,明显高于对照组的(71.42±5.48)分、(73.43±7.25)分、(75.24±5.86)分、(69.37±5.42)分,差异均有统计学意义(P<0.05);护理前,两组患者的情感、身体、经济评分比较差异均无统计学意义(P>0.05);护理后,两组患者的情感、身体、经济评分明显低于护理前,且研究组患者的情感、身体、经济评分分别为(11.16±2.94)分、(10.32±1.27)分、(16.15±2.36)分,明显低于对照组的(15.74±2.45)分、(12.67±1.56)分、(19.87±2.65)分,差异均有统计学意义(P<0.05)。结论基于ITHBC的护理措施应用于结直肠癌患者化疗期可有效改善其癌因性疲乏及生存质量,同时还能有效减轻自我感受负担,值得临床推广应用。

Objective To observe the application effect of nursing measures based on integrated theory of health behavior change(ITHBC)in cancer-related fatigue of patients with colorectal cancer during chemotherapy.Methods A total of 106 patients with colorectal cancer who received chemotherapy in Department of Oncology,the Second Affiliated Hospital of Air Force Medical University from May 2020 to April 2022 were selected as the study objects.According to random number table method,they were divided into a study group and a control group,with 53 patients in each group.The patients in the control group were given routine care,while those in the study group were given ITHBC-based nursing measures.Both groups of patients received nusing until discharge.The scores of the Cancer Fatigue Scale(CFS),Cancer Quality of Life Questionnaire C30(QLQ-C30),and Self-perceived Burden Scale(SPBS)were compared between two groups before nusing and at 6 months of follow-up after discharge.Results Before nursing,there were no significant difference in the scores of emotional fatigue,physical fatigue,and cognitive fatigue between the two groups(P>0.05).After nursing,the scores of emotional fatigue,physical fatigue,and cognitive fatigue were significantly lower than those before nursing,and those indicators in the study group were(8.36±2.69)points,(18.53±6.14)points,(8.82±2.39)points,which were significantly lower than(10.65±3.50)points,(21.36±6.79)points,(10.92±3.41)points in the control group(P<0.05).Before nursing,there were no significant differences in the scores of physical function,emotional function,role function and social function between the two groups(P>0.05).After nursing,the scores of the two groups were significantly higher than those before nursing,and those indicators in the study group were(78.79±5.67)points,(81.35±7.84)points,(80.93±5.46)points,(78.42±5.64)points,which significantly higher than(71.42±5.48)points,(73.43±7.25)points,(75.24±5.86)points,(69.37±5.42)points in the control group(P<0.05).Before nursing,there were no significant difference in emotional,physical,and economic scores between the two groups(P>0.05).After nursing,the emotional,physical,and economic scores of the two groups were significantly lower than those before nursing,and the scores in the study group were(11.16±2.94)points,(10.32±1.27)points,(16.15±2.36)points,significantly lower than(15.74±2.45)points,(12.67±1.56)points,(19.87±2.65)points in the control group(P<0.05).Conclusion The application of ITHBC-based nursing measures in patients with colorectal cancer during chemotherapy can effectively improve their cancer-related fatigue and quality of life,and can also effectively reduce the burden of self-perception,which is worthy of clinical application.