国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2012年
17期
2634-2637
,共4页
消化道肿瘤病人%癌因性疲乏%化疗泵%持续化疗%护弹干预
消化道腫瘤病人%癌因性疲乏%化療泵%持續化療%護彈榦預
소화도종류병인%암인성피핍%화료빙%지속화료%호탄간예
Gastrointestinal cancers%Cancer-related fatigue%Chemotherapy pump%Continuous chemotheray%Nursing intervention
目的 探讨应用化疗泵持续化疗的消化道肿瘤病人癌因性疲乏的护理干预方法.方法 收集60病人随机分为实验组和对照组,对照组予常规护理;实验组进行系统的护理干预;应用简短疲乏评估表、癌症病人生活质量测定表、深入访谈法分别在护理干预前、护理干预4周后对两组病人进行癌因性疲乏和生活质量评估,比较两组病人疲乏减轻的程度及对生活质量的影响.结果 实验组与对照组的癌因性疲乏程度护理干预前比较,x2=0.31,P＞0.857,护理干预后比较x2=14.67,P＜0.002;护理干预前实验组与对照组病人生活质量比较差异无显著性(P＞0.05);护理干预后实验组与对照组病人生活质量比较差异有显著性(P＜ 0.01).结论 对病人进行认知干预、运动休息相结合的指导、饮食指导等,可以消除或缓解癌因性疲乏,提高病人的生活质量.
目的 探討應用化療泵持續化療的消化道腫瘤病人癌因性疲乏的護理榦預方法.方法 收集60病人隨機分為實驗組和對照組,對照組予常規護理;實驗組進行繫統的護理榦預;應用簡短疲乏評估錶、癌癥病人生活質量測定錶、深入訪談法分彆在護理榦預前、護理榦預4週後對兩組病人進行癌因性疲乏和生活質量評估,比較兩組病人疲乏減輕的程度及對生活質量的影響.結果 實驗組與對照組的癌因性疲乏程度護理榦預前比較,x2=0.31,P＞0.857,護理榦預後比較x2=14.67,P＜0.002;護理榦預前實驗組與對照組病人生活質量比較差異無顯著性(P＞0.05);護理榦預後實驗組與對照組病人生活質量比較差異有顯著性(P＜ 0.01).結論 對病人進行認知榦預、運動休息相結閤的指導、飲食指導等,可以消除或緩解癌因性疲乏,提高病人的生活質量.
목적 탐토응용화료빙지속화료적소화도종류병인암인성피핍적호리간예방법.방법 수집60병인수궤분위실험조화대조조,대조조여상규호리;실험조진행계통적호리간예;응용간단피핍평고표、암증병인생활질량측정표、심입방담법분별재호리간예전、호리간예4주후대량조병인진행암인성피핍화생활질량평고,비교량조병인피핍감경적정도급대생활질량적영향.결과 실험조여대조조적암인성피핍정도호리간예전비교,x2=0.31,P＞0.857,호리간예후비교x2=14.67,P＜0.002;호리간예전실험조여대조조병인생활질량비교차이무현저성(P＞0.05);호리간예후실험조여대조조병인생활질량비교차이유현저성(P＜ 0.01).결론 대병인진행인지간예、운동휴식상결합적지도、음식지도등,가이소제혹완해암인성피핍,제고병인적생활질량.
Objective To explore the methods of nursing intervention for patients with cancer- related fatigue receiving continuous chemotherapy with chemotherapy pumps for gastrointestinal cancers.Methods Sixty patients were randomly divided into a study group and a control group.The control group received conventional care and the study group received systemic nursing intervention.Brief Fatigue Assessment.EORTC QLQ-C30 questionnaire,and in-depth interview were used to assess cancerrelated fatigue and QOL before and 4 weeks after intervention.Results The study group was compared with the control group in the degrees of cancer-related fatigue before nursing intervention,x2 =0.31 and P ＞ 0.857; after intervention,x 2=14.67,and P ＜ 0.002.Quality of life did not differ significantly between the two groups before nursing intervention ( P＞ 0.05 ) but differ significantly after intervention ( P＜ 0.01 ).Conclusions Systemic nursing intervention including cognitive intervention,proper exercise and rest,and rational dietary can eliminate or relieve cancer-related fatigue and improve quality of life in patients.
