节约体能法对宫颈癌同步放化疗病人癌因性疲乏的干预效果

Intervention effect of energy conservation on cancer⁃related fatigue in patients with cervical cancer undergoing concurrent chemoradiotherapy

目的:探讨节约体能法对宫颈癌同步放化疗病人癌因性疲乏(CRF)的干预效果。方法:采用方便抽样法,选取2018年4月—12月在西安交通大学第一附属医院放疗病区住院治疗的108例宫颈癌病人作为研究对象,按入院时间分为对照组和干预组,每组54例。对照组给予放疗科常规护理,干预组在放疗科常规护理基础上给予节约体能法的干预。于治疗开始前、放疗5次结束、放疗10次结束、放疗15次结束、放疗20次结束及放疗25次结束后采用中文版Piper疲乏修订量表(RPFS)对病人CRF严重程度进行评价。结果:干预期间对照组流失3例病人,干预组流失4例病人,最终对照组51例病人完成研究,干预组50例病人完成研究。中文版RPFS总分及行为疲乏、情感疲乏、感知疲乏、认知疲乏维度得分的干预主效应、时间主效应均有统计学意义(P<0.05)。在治疗开始前和放疗5次结束2个时间点,对照组与干预组的中文版RPFS总分及各维度得分差异无统计学意义(P>0.05)。在放疗10次结束、放疗15次结束、放疗20次结束及放疗25次结束4个时间点,对照组与干预组的中文版RPFS总分及各维度得分差异有统计学意义(P<0.05)。结论:宫颈癌同步放化疗病人CRF水平在治疗期间升高,节约体能法可有效降低各时间点宫颈癌同步放化疗病人的CRF水平。

Objective:To explore the intervention effect of energy conservation on cancer-related fatigue(CRF)in patients with cervical cancer undergoing concurrent chemoradiotherapy.Methods:108 patients with cervical cancer who were hospitalized in radiotherapy ward of the First Affiliated Hospital of Xi'an Jiao Tong University were selected as subjects by convenient sampling method from April to December 2018.They were divided into control group and intervention group based on their admission time,with 54 patients in each group.The control group received routine nursing care in radiotherapy department,while the intervention group received intervention with energy conservation on the basis of routine nursing care in radiotherapy department.The Chinese version of The Revised Piper Fatigue Scale(RPFS)was used to evaluate severity of CRF in patients before treatment,after 5 rounds of radiotherapy,after 10 rounds of radiotherapy,after 15 rounds of radiotherapy,after 20 rounds of radiotherapy,and after 25 rounds of radiotherapy.Results:During the intervention period,there were 3 patients lost in control group and 4 patients lost in intervention group.Finally,51 patients in control group completed the study,and 50 patients in intervention group completed the study.The intervention main effect and time main effect of total score of the Chinese version of RPFS and its 4 dimensional scores with behavioral fatigue,emotional fatigue,perceived fatigue,and cognitive fatigue had statistically significant(P<0.05).The total score of the Chinese version of RPFS and its each dimensional scores between control group and intervention group had not statistically significant difference(P>0.05)at two time points that before treatment and after 5 rounds of radiotherapy.The total score of the Chinese version of RPFS and its each dimensional scores between control group and intervention group had statistically significant difference(P<0.05)at four time points that after 10 rounds of radiotherapy,after 15 rounds of radiotherapy,after 20 rounds of radiotherapy,and after 25 rounds of radiotherapy.The median scores of total score of the Chinese version of RPFS and its each dimensional scores in control group were higher than or egual to those in intervention group.Conclusions:The level of CRF in patients with cervical cancer undergoing concurrent chemoradiotherapy increases during treatment period.The energy conservation can effectively reduce level of CRF in patients with cervical cancer undergoing concurrent chemoradiotherapy at each time points.