癌症患者化疗期间癌因性疲乏的系统化护理干预  

作　　者：杨惠娟[1] 谭华玲[1] 卫绍芳[1] 江水娇[1] 

机构地区：[1]广东省肇庆市第一人民医院,526021

出　　处：《中国医药指南（学术版）》2008年第11期45-47,共3页Guide of China Medicine

摘　　要：目的探讨癌症患者化疗期间癌因性疲乏的护理干预方法及效果。方法将100例化疗期间癌因性疲乏患者随机分为观察组和对照组各50例。对照组根据医嘱行常规护理,观察组除接受常规护理外,再进行系统的癌因性疲乏护理干预。应用简易疲乏评估表、欧洲癌症治疗与研究组织问卷(EORTC-QLQ-C30)和卡氏功能量表,分别在干预前、干预15d后对两组患者进行癌因性疲乏和生活质量及功能状况评估。结果干预前两组患者疲乏程度比较差异无显著性意义(P>0.05),干预后两组患者的疲乏程度比较差异有显著性意义(P<0.05);干预前两组生活质量和功能状况比较差异无显著性意义(P>0.05);干预后两组生活质量和功能状况比较差异有显著性意义(P<0.05)。结论系统的护理干预方法优于传统护理方法。采用系统化护理干预,健康宣教、心理支持治疗、有氧锻炼、营养支持等,可以消除或缓解癌症患者化疗期间CRF疲乏程度,提高患者的生活质量。Objective To investigate the effect of nursing intervention on the cancer patient in chemotherapy with cancer-related fatigue （CRF）. Methods 100 breast cancer patients with CRF in chemotherapy were randomly divided into the treatment group and the control group The control group only received conventional nursing care and the treatment group also received Systematic nursing intervention ofCRF. Brief Fatigue Inventory, EPRTC-QLQ-C30, and KPS were used for evaluating the patients Quality of Life（QOL ）and functional condition separately 15 days pre-and post intervention. Results There was no significant deference between degree of fatigue, QOL and functional condition before intervening（P〉0.05）, However, there was a significant difference between them 15 days after interference （P〈0.05）,Conclusions Systematic nursing intervention better than conventional measures only, Health propaganda and education, psychological supporting treatment, aerobic exercise, nutrition support, et al, could alleviate fatigue and improve the patients＇ quality of life .

关 键 词：癌症 化疗 癌因性疲乏 护理 

分 类 号：R73[医药卫生—肿瘤]