综合护理干预对乳腺癌患者癌因性疲乏的影响  

The Effect of Comprehensive Nursing Intervention on Breast Cancer-related Fatigue

作　　者：曾艳丽[1] 王晓丽[2] 

机构地区：[1]新疆医科大学护理学院,新疆乌鲁木齐830000 [2]新疆医科大学附属肿瘤医院乳腺头颈外科,新疆乌鲁木齐830011

出　　处：《护理学报》2008年第12期4-7,共4页Journal of Nursing（China）

摘　　要：目的探讨综合护理干预对改善乳腺癌患者的癌因性疲乏及影响因素的效果。方法125例乳腺癌改良根治术患者分为观察组63例,对照组62例,对照组接受常规护理,观察组在接受常规护理的基础上由护理干预质控小组中的专职主管护师进行系统化、个体化的癌因性疲乏护理干预,比较两组的癌因性疲乏状况、抑郁焦虑状况、睡眠状况。结果入院第2天,两组患者疲乏程度比较,差异无统计学意义(P>0.05)。术后第15天,观察组疲乏程度低于对照组,差异有统计学意义(P<0.01);抑郁焦虑状况也低于对照组,差异有统计学意义(P<0.01);睡眠状况比较,差异有统计学意义(P<0.01);各项目比较,观察组均优于对照组。结论认知干预、休息和睡眠干预、社会心理支持、早期有氧锻炼等综合护理干预,可以消除或缓解癌因性疲乏程度,提高患者的生存质量。Objective To explore the effect of comprehensive nursing intervention on breast cancer-related fatigue and its affecting factors. Methods 125 breast cancer patients undergone modified radical mastectomy were randomly divided into observational group （n=63） and control group （n=62）. Both groups received conventional nursing service, and the former one additionally received nursing intervention against cancer-related fatigue systematically and individually by chief nurses from nursing intervention quality control group. The fatigue, depression and anxiety, and sleeping between the groups were compared. Results On the second day after admission, the degree of fatigue showed no significant difference between the two groups （P〉0.05）, but on the 15th day after the operation, the fatigue degree at the observational group was significantly lower than that at the control group （P〈0.01）. In comparisons of items, such as depression and anxiety, sleeping and so on, the observation group was better than the control group （P〈0.01）. Conclusion The systematic nursing intervention including recognition intervention, rest and sleep intervention, social mental support and early aerobic exercise may help to alleviate cancer-related fatigue and improve the patients＇ quality of life.

关 键 词：乳腺癌 癌因性疲乏 护理干预 

分 类 号：R473.73[医药卫生—护理学]