症状管理教育在胃癌化疗患者疼痛-疲乏-睡眠障碍症状群中的应用效果

The effect of symptom management education in the symptom cluster of pain-fatigue-sleep disorders in patients with gastric cancer undergoing chemotherapy

目的:分析症状管理教育在胃癌化疗患者疼痛-疲乏-睡眠障碍症状群中的应用效果。方法:采用方便抽样法抽取2023年1—10月江苏省中医院肿瘤内科、消化肿瘤外科5个病区符合纳入和排除标准的胃癌化疗患者60例作为研究对象,采用随机数字表法分为观察组30例和对照组30例。对照组因化疗方案改变脱落1例,观察组无脱落。对照组给予常规护理及健康宣教,观察组则在对照组基础上采用症状管理教育进行干预。比较两组的疼痛-疲乏-睡眠障碍症状群及生活质量干预效果。结果:干预后,观察组癌症疲乏量表评分、数字评定量表评分、匹兹堡睡眠质量指数评分均低于对照组,生活质量核心量表30评分高于对照组(P<0.05)。结论:症状管理教育有利于改善胃癌化疗患者疼痛-疲乏-睡眠障碍症状群,提高其生活质量。

Objective To analyze the effect of symptom management education on pain-fatigue-sleep disorder in patients with gastric cancer undergoing chemotherapy.Methods A total of 60 patients with gastric cancer undergoing chemotherapy who met the criteria of deletion in 5 wards of the Department of Oncology and Department of Digestive Oncology,Jiangsu Province Hospital of Chinese Medicine from January to October 2023 were selected by convenient sampling method as the study objects,they were divided into observation group(30 cases)and control group(30 cases)by random number table method.In the control group,1 case fell off due to the change of chemotherapy regimen,while in the observation group,no case fell off.The control group received routine treatment and nursing,and the observation group received symptom management education intervention on the basis of the control group.The pain-fatigue-sleep disorder symptom cluster and quality of life intervention effect were compared between the two groups.Results After intervention,the scores of Cancer Fatigue Scale,Numerical Rating Scale,Pittsburgh Sleep Quality Index in the observation group were lower than those in the control group,and the Quality of Life Luestionnaire-Core 30 score of quality of life scale in the observation group were higher than those in control group(P<0.05).Conclusions Symptom management education is helpful to improve the pain-fatigue-sleep disorder symptom group,improve the quality of life in patients with gastric cancer undergoing chemotherapy.