舒适护理对结肠癌术后化疗患者康复效果及癌因性疲乏的影响研究  

The Effect of Comfortable Nursing on Cancer Related Fatigue and Rehabilitation Efficacy of Patients Under Chemotherapy after Surgery for Colon Cancer

作　　者：汤妹娥[1] 杨润琴[1] 李丽[2] 

机构地区：[1]四川省成都市第五人民医院肝胆外科,四川成都611130 [2]四川省人民医院,四川成都610072

出　　处：《河北医学》2016年第2期314-317,共4页Hebei Medicine

基　　金：四川省卫生厅科研课题,(编号:30305030254)

摘　　要：目的:探讨舒适护理对结肠癌术后化疗患者癌因性疲乏的影响。方法:选择符合标准的患者60例,随机分为观察组和对照组各30例,两组患者均给予常规护理,观察组此基础上实施舒适护理,采用欧洲癌症研究与治疗组织(EORTC)编制的生活质量核心问卷(QLQ-C30)中的5个功能量表进行康复效果,癌因性疲乏采用简明疲乏量表(BFI)进行评价。结果:术前,两组患者QLQ-C30功能量表各维度评分相似,差异无统计学意义(P>0.05);两个疗程化疗结束时,两组患者QLQ—C30功能量表各维度评分较术前增加,但是观察组各项指标评分明显高于对照组,差异有统计学意义(P<0.05)。术前,两组患者BFI评分相似,差异无统计学意义(P>0.05);化疗第14天和第28天,两组患者BFI评分较术前均增加,但是观察组患者增加幅度小于对照组,差异有统计学意义(P<0.05)。结论:舒适护理可明显改善结肠癌术后化疗患者癌因性疲乏程度,促进患者术后康复,提高生活质量。Objective： To investigate the effect of comfortable nursing on cancer related fatigue and to promote the postoperative rehabilitation of patients under chemotherapies after surgeries for colon cancer.Method： A total of 60 eligible patients were selected and randomly divided into observation group and control group,with 30 patients in each group. The patients of both groups were given usual care,while the observation group given comfortable nursing additionally. The rehabilitation efficacy was evaluated by the five functional scales of quality of life questionnaire（ QLQ- C30） of European Organization for Research on the Treatment of Cancer（ EORTC）,and cancer related fatigue evaluated by Brief Fatigue Inventory（ BFI）. Result： Before the surgery,the patients of the two groups had similar QLQ- C30 functional scale scores（ P 0. 05）; at the end of 2 courses of chemotherapy,the patients of both groups had increased QLQ- C30 functional scale scores compared with those before the surgeries,but the observation group had significantly higher functional scale scores than those in the control group（ all P 0. 05）. Before the surgery,the patients of the two groups had similar BFI scores（ P 0. 05）; at the 14 th day and the 28 th day after the chemotherapy,the patients of both groups had increased BFI scores compared with those before the surgeries,but the patients of the observation group had a smaller increasing extent than the control group,and the difference was statistically significant（ P 0. 05）. Conclusion： Comfortable nursing can significantly improve the degree of cancer related fatigue,promote the postoperative rehabilitation,and elevate the quality of life in patients under chemotherapy after surgery for colon cancer.

关 键 词：舒适护理 癌因性疲乏 生活质量 结肠癌根治术 化疗 

分 类 号：R473.73[医药卫生—护理学]