94例大肠癌术后化疗患者癌因性疲乏现况调查分析  

The Investigation and Analysis of Cancer Related Fatigue in 94 Cases of Colorectal Cancer with Postoperative Chemotherapy

作　　者：吴晓琴[1] 夏海鸥[1] 章灵君[2] 邵春霞[2] 戴秋君 孔振芳[3] 张晓菊[4] 

机构地区：[1]复旦大学护理学院,上海200032 [2]浙江省宁波市医疗中心李惠利医院 [3]浙江省宁波市第二医院 [4]上海市肿瘤医院

出　　处：《中国医学创新》2014年第33期64-66,共3页Medical Innovation of China

基　　金：宁波社会发展科研项目(2013C50035)

摘　　要：目的:了解大肠癌术后化疗患者癌因性疲乏的发生率和严重程度;探讨大肠癌术后化疗患者癌因性疲乏的影响因素。方法:采取方便抽样法选取94例大肠癌术后化疗的患者进行问卷调查。结果:82例大肠癌术后化疗患者发生疲乏,发生率为87.2%。疲乏的行为、情感、感觉、认知/情绪4个维度的中重度疲乏例数分别为29、34、32、31例,发生率分别为30.9%、36.2%、34.0%、33.0%。影响整体疲乏得分的主要因素有术后运动习惯、睡眠时间、是否腹腔镜、化疗方案、化疗阶段(P<0.05)。结论:大肠癌术后化疗患者癌因性疲乏的发生率较高,中重度疲乏患者较多,临床护理人员应着重关注患者术后的运动宣教、改善患者睡眠,为不同术式、化疗方案和化疗阶段的患者进行及时有效的干预,减轻患者的疲乏,提高其生存质量。Objective：To investigate the incidence and severity of cancer related fatigue in colorectal cancer patients with postoperative chemotherapy and the influencing factors of cancer related fatigue in these patients.Method：94 patients who were selected by convenience sampling were surveyed by questionnaires. Result：82 cases of these patients occured fatigue,the incidence rate was 87.2%. In 4 fatigue dimensions of behavior, emotion, feeling, cognition and emotion, there were 29（30.9%）,34（36.2%）,32（34.0%）,31（33.0%） cases suffered moderate to severe fatigue.The main influencing factors were exercise habits after operation,the amount of sleep, whether laparoscopic surgery, chemotherapy regimen, chemotherapy stage（P〈0.05）. Conclusion： Cancer related fatigue usually occurs in colorectal cancer patients with postoperative chemotherapy, the cases usually suffer from moderate to severe fatigue, nurses should focus on sports education, sleeping improving, provide timely and effective nursing measures for patients to relieve fatigue, improve the quality of survival.

关 键 词：大肠癌 术后化疗 癌因性疲乏 

分 类 号：R473.73[医药卫生—护理学]