CAJ | 학술논문

目的描述肺癌术后化疗患者的癌因性疲乏水平,探讨其影响因素,旨在为制定有效的疲乏干预措施提供理论依据.方法采用描述性相关性研究设计,方便抽样的方法,采用Piper疲乏修正量表、抑郁自评量表、匹兹堡睡眠质量指数量表对广州市2家三级甲等医院的100例肺癌患者的癌因性疲乏水平、抑郁水平、睡眠质量进行调查.结果 87％肺癌术后化疗患者存在癌因性疲乏,呈中等水平；83％患者存在抑郁情绪,且抑郁程度越高,患者的CRF水平越高.患者术前疲乏总分为(4.72±0.88)分,术后为(5.44±1.26)分,组间比较差异具有统计学意义(t=11.98,P＜0.01).患者睡眠质量PSQI评分总分为(11.00±3.85)分,患者的睡眠质量较差,且影响其CRF的水平,肺癌患者的CRF总分与睡眠质量的得分呈正相关(r =0.234,P＜0.05).结论肺癌术后化疗患者普遍存在癌因性疲乏,医护人员应关注肺癌患者的情绪和睡眠质量,尽可能创造条件减轻患者的疲乏.
목적 묘술폐암술후화료환자적암인성피핍수평,탐토기영향인소,지재위제정유효적피핍간예조시제공이론의거.방법 채용묘술성상관성연구설계,방편추양적방법,채용Piper피핍수정량표、억욱자평량표、필자보수면질량지수량표대엄주시2가삼급갑등의원적100례폐암환자적암인성피핍수평、억욱수평、수면질량진행조사.결과 87％폐암술후화료환자존재암인성피핍,정중등수평；83％환자존재억욱정서,차억욱정도월고,환자적CRF수평월고.환자술전피핍총분위(4.72±0.88)분,술후위(5.44±1.26)분,조간비교차이구유통계학의의(t=11.98,P＜0.01).환자수면질량PSQI평분총분위(11.00±3.85)분,환자적수면질량교차,차영향기CRF적수평,폐암환자적CRF총분여수면질량적득분정정상관(r =0.234,P＜0.05).결론 폐암술후화료환자보편존재암인성피핍,의호인원응관주폐암환자적정서화수면질량,진가능창조조건감경환자적피핍.
Objective To describe the level of cancer related fatigue (CRF) in lung cancer patients receiving chemotherapy after surgery,and to explore its related factors so as to provide the basis for making effective intervention measures.Methods 100 lung cancer patients receiving chemotherapy after surgery from two tertiary-level hospitals were recruited in this study by convenient sampling.The study adopted a descriptive correlation method.The level of CRF and depression,and sleep quality were investigated with the Revised Piper Fatigue Scale,Self-Rating Depression Scale (SDS),and Pittsburgh Sleep Quality Index (PSQI).Results 87％of lung cancer patients had a middle level of CRF,; 83％ of them had depression,the higher the level of depression,the higher the level of CRF.The total score of fatigue before the operation was (4.72 ± 0.88),(5.44 ± 1.26) after the operation; there was significant difference between the score of fatigue before and after the operation( t =11.98,P ＜ 0.01 ).Patients' total score of PSQI was ( 11.00 ± 3.85 ) ; their sleep quality was poor,and it also influenced the levels of CRF、The total score of CRF is positively related with the sleep quality (r =0.234,P ＜ 0.05 ).Conclusions CRF prevails in lung cancer patients receiving chemotherapy after surgery,the medical care staff shall pay much attention to their emotion and sleep quality so as to lessen their fatigue as much as possible.