摘要
目的探讨快速康复外科护理对肝癌患者疲乏程度和生活质量的影响.方法采用便利抽样法,选取2017年6月—2018年6月在北京协和医学院肿瘤医院肝胆外科诊断原发性肝癌且行肝癌切除术的80例患者为研究对象.按照随机数字表法将其分为对照组和观察组,每组40例.观察组给予加速康复外科护理,对照组给予常规护理.采用癌因性疲乏量表(CFS)、生存质量量表(QLQ-C30)比较干预的效果.结果干预前,两组患者CRF得分差异无统计学意义(P>0.05);干预后观察组CRF总分及各维度得分均低于对照组,差异有统计学意义(P<0.01).干预前,两组患者QLQ-C30得分差异无统计学意义(P>0.05);干预后观察组QLQ-C30得分高于对照组,差异有统计学意义(P<0.01).结论快速康复外科能有效改善肝癌患者术后疲乏程度,提升患者生活质量,值得临床推广应用.
Objective To explore the effects of fast track surgery(FTS)nursing on fatigue and quality of life among hepatocellular carcinoma patients.Methods From June 2017 to June 2018,we selected 80 primary hepatic carcinoma patients with hepatocellular carcinoma resection of hepatobiliary surgery at Peking Union Medical College Cancer Hospital as subjects by convenience sampling.All of the patients were divided into control group and observation group with the method of random number table,40 cases in each group.Observation group carried out FTS,while control group adopted routine nursing.The intervention effects were compared with the Cancer Fatigue Scale(CFS)and the Quality of Life Questionnaire Core 30(QLQ-C30).Results Before intervention,there was no statistical difference in the score of CFS between two groups(P>0.05).After intervention,the total score and dimension scores of CRF of observation group were lower than those of control group with statistical differences(P<0.01).Before intervention,there was no statistical difference in the score of QLQ-C30 between two groups(P>0.05).After intervention,the total score of QLQ-C30 of observation group was higher than that of control group with a statistical difference(P<0.01).Conclusions FTS can effectively improve the postoperative fatigue of hepatocellular carcinoma patients and quality of life of patients which is worthy of clinical popularization and application.
作者
李彩云
何瑞仙
苏伟才
戴丹丹
刘艳
孙卓秀
Li Caiyun;He Ruixian;Su Weicai;Dai Dandan;Liu Yan;Sun Zhuoxiu(Hepatobiliary Surgery,National Cancer Center & National Clinical Research Center for Cancer &Cancer Hospital,Chinese Academy of Medical Science and Peking Union Medical College,Beijing 100021,China;Nursing Department,National Cancer Center & National Clinical Research Center for Cancer & Cancer Hospital,Chinese Academy of Medical Science and Peking Union Medical College,Beijing 100021,China;Department of Medicine,National Cancer Center & National Clinical Research Center for Cancer & Cancer Hospital,Chinese Academy of Medical Science and Peking Union Medical College,Beijing 100021,China)
出处
《中华现代护理杂志》
2019年第15期1865-1868,共4页
Chinese Journal of Modern Nursing
关键词
肝肿瘤
生活质量
快速康复外科
疲乏程度
Carcinoma,hepatocellular
Quality of life
Fast track surgery
Fatigue
