摘要
目的观察系统性护理干预对改善晚期非小细胞肺癌化疗患者癌因性疲乏的效果。方法选取晚期非小细胞肺癌于该院进行化学药物治疗(化疗)治疗的患者108例,采用等组实验法设计,将开展传统护理模式的2015年6月~2016年6月的患者54例设置为对照组,将实施系统性护理干预的2016年7月~2017年7月的患者54例设置为研究组。比较两组护理前后患者癌因性疲乏程度、生活质量变化以及患者满意度等指标。结果干预前两组多维疲乏症状量表(Multidimensional Fatigue Symptom Inventoy-Short Form,MFSI-SF)评分各指标比较,差异均无统计学意义(均P>0.05);干预后,研究组一般疲乏、身体疲乏、情绪疲乏、心理疲乏以及活力等5个维度评分均明显低于对照组,差异有统计学意义(均P<0.05);干预前两组欧洲癌症研究与治疗组织生活质量测定量表(EORTC QLQ-C30)评分各指标比较,差异均无统计学意义(均P>0.05);干预后,研究组躯体功能、情绪功能、认知功能、角色功能和社会功能等项目评分均明显高于对照组,差异有统计学意义(均P<0.05)。结论系统性护理干预对改善晚期非小细胞肺癌化疗患者癌因性疲乏及生活质量效果显著,有利于提高化疗效果,值得临床推广。
Objective To observe the effect of systematic nursing intervention on improving cancer-induced fatigue in patients with advanced non-small cell lung cancer undergoing chemotherapy. Methods A total of 108 cases of patients with advanced non-small cell lung cancer who were treated with chemotherapy in the hospital were selected, and the experimental design method of the same group was adopted. 54 cases of patients with traditional nursing mode from June 2015 to June 2016 were set as the control group. From July 2016 to July 2017, 54 patients who implemented systematic nursing intervention were set as the research group. The indexes of cancer-induced fatigue, quality of life and patient satisfaction were compared between the two groups before and after nursing. Results Multidimensional Fatigue Symptom Inventoy-Short Form(MFSI-SF) score of the two groups before intervention showed no statistical significance(P>0.05). After the intervention, the scores of general fatigue, physical fatigue, emotional fatigue, psychological fatigue and vitality in the study group were significantly lower than those in the control group, with statistically significant differences(P<0.05). There was no significant difference in European cancer research and treatment organization quality of life scale(EORTC QLQ-C30) scores between the two groups before intervention(P>0.05). After intervention, scores of physical function, emotional function, cognitive function, role function and social function in the study group were significantly higher than those in the control group, with statistically significant differences(P<0.05). Conclusions Systematic nursing intervention has a significant effect on improving cancer-induced fatigue and quality of life in patients with advanced non-small cell lung cancer undergoing chemotherapy, which is conducive to improving the effect of chemotherapy and worthy of clinical promotion.
作者
王华君
Wang Huajun(Department of Oncology, Ward 5, Featured Medical Centre of Chinese Army Characteristic Medical Center, 400042, China)
出处
《国际护理学杂志》
2019年第8期1067-1070,共4页
international journal of nursing
