癌症化疗患者消化道症状群的干预及效果评价  

Intervention and effect evaluation of gastrointestinal symptom cluster in cancer patients with chemotherapy

作　　者：冯芳茗[1] 周嫣[1] 巢黔[2] 戎艳鸣 李王莺[4] 

机构地区：[1]上海市东方医院护理部,200120 [2]上海市东方医院肿瘤科,200120 [3]上海市东方医院儿科,200120 [4]上海市东方医院门诊,200120

出　　处：《中国护理管理》2017年第9期1190-1194,共5页Chinese Nursing Management

基　　金：上海市卫生局青年科研项目(20134y030)

摘　　要：目的 :本研究旨在探讨"知识-技能-支持"症状管理方案对癌症化疗患者消化道症状群的干预效果。方法 :将2014年7-12月收集的病例设为对照组,2015年4-9月收集的病例设为实验组,对照组采用常规指导,实验组采用"知识-技能-支持"症状管理方案,使用记忆症状量表、患者生活质量测评量表、卡式功能状态量表测评两组患者在入院时、化疗后1周、化疗后1个月、化疗后3个月4个时间点的消化道症状、生活质量和功能状态,采用双因素重复测量方差分析比较两组各指标的变化趋势。结果 :在干预和时间共同作用下,癌症患者消化道症状体验(F=4.817,P=0.036)、功能状态(F=2.829,P=0.049)、生活质量(F=15.372,P<0.001)的差异均有统计学意义。结论 :"知识-技能-支持"症状管理方案可有效改善癌症化疗患者消化道症状情况,提升功能状态和生活质量。Objective： To explore the effect of the Knowledge-Skills-Support symptom management program on the gastrointestinal symptom cluster in cancer patients. Methods： The patients admitted from July to December in 2014 were selected as the control group, which accepted routine care. While the patients admitted from April to September in 2015 were selected as experimental group, which treated with the Knowledge-Skills-Support symptom management program. The MSAS, FACT-G （V4.0） and KPS were used to evaluated the differences in the gastrointestinal symptoms, quality of life and functional status of two groups patients on admission, one week after chemotherapy, one month after chemotherapy and three months after chemotherapy. Results： There were statistically significant between two groups in gastrointestinal symptoms experience （F=4.817, P=-0.036）, functional status （F=2.829, P=-0.049） and quality of life （F=15.372, P〈0.001）. Conclusion： Knowledge-Skills-Support symptom management program can effectively improve the gastrointestinal symptoms, functional status and quality of life of cancer patients.

关 键 词：癌症 症状群 消化道症状 干预方案 化疗 

分 类 号：R47[医药卫生—护理学]