症状管理理论下的姑息护理对宫颈癌晚期患者的应用价值

Application value of palliative care under symptom management theory for patients with advanced cervical cancer

目的 探究症状管理理论下的姑息护理对宫颈癌晚期患者的应用价值。方法 选取2019年7月至2022年7月南通市第三人民医院抽取的100例宫颈癌晚期患者作为研究对象,按照随机数字表法将其分成对照组和观察组,每组50例。对照组采用常规的姑息护理,观察组在对照组基础上增加症状管理理论下的姑息护理,两组均护理1个月。比较两组干预前后中文版压力知觉量表(CPSS)、癌因性疲乏(CRF)量表,及世界卫生组织生活质量测定量表(WHOQOL-BREF)。结果 干预后,两组CPSS、CRF评分低于干预前,且观察组低于对照组(P<0.05)。干预后,两组WHOQOL-BREF评分均高于干预前,且观察组高于对照组(P<0.05)。结论 针对宫颈癌晚期患者采取症状管理理论下的姑息护理,可在降低患者心理弹性表现的同时,还能够改善患者的CRF量表评分,进而提高患者的患病后生活质量,值得各个科室借鉴采纳。

Objective To explore the application value of palliative care under symptom management theory for patients with advanced cervical cancer.Methods A total of 100 patients with advanced cervical cancer from Nantong Third People's Hospital from July 2019 to July 2022 were selected as the study objects and they were divided into the control group and the observation group according to random number table method,with50 cases in each group.The control group received conventional palliative care,and the observation group added the palliative care under symptom management theory on the basis of the control group.Both groups received nursing care for one month.The Chinese perceived stress scale(CPSS),cancer-related fatigue(CRF) scale,and the World Health Organization on quality of life brief scale(WHOQOL-BREF) before and after intervention were compared between the two groups.Results After intervention,the CPSS and CRF scores of the two groups were lower than those before intervention,and those in the observation group were lower than those in the control group(P<0.05).After intervention,the WHOQOL-BREF scores in both groups were higher than before intervention,and that in the observation group was higher than that in the control group(P<0.05).Conclusion For patients with advanced cervical cancer,palliative care under the symptom management theory can not only reduce the psychological resilience of patients,but also improve the score of patients with CRF scale,and then improve the quality of life of patients after the disease,which is worthy of reference and adoption by various departments.