＂四维规范性＂护理干预老年乳腺癌患者癌因性疲乏的效果及相关机制  

Effect and correlated systems of ＂four-dimension standard＂ nursing on intervening the cancer-related fatigue of aged breast cancer patients

作　　者：巫宗霞 高芸 李莉 张明霞 刘小燕 

机构地区：[1]四川省雅安市人民医院干部科/老年病科,625000 [2]广元市人民医院手术室 [3]雅安市人民医院胸外科

出　　处：《国际护理学杂志》2017年第20期2750-2754,共5页international journal of nursing

摘　　要：目的 观察＂四维规范性＂护理干预82例老年乳腺癌患者癌因性疲乏（CRF）的效果,并探讨相关机制.方法 选取2010年1月-2015年2间存在CRF的乳腺癌患者82例为研究对象,随机分为研究组42例和对照组40例.对照组采用常规的护理方式,研究组在进行常规护理的同时采用＂四维规范性＂护理干预方式.比较两组患者的CRF评分、血红蛋白（Hb）、最大摄氧量（VO2 max）、自我效能（GSES评分）、社会支持（SSRS评分）、生活质量（QOL评分）是否改善,从而评价＂四维规范性＂护理的效果.结果 ①癌因性疲乏：与干预前相比,研究组干预后的CRF相关得分均出现显著改变（均P〈0.05）,而对照组干预后的CRF相关得分均无明显变化（均P〉0.05）;研究组干预后的CRF相关得分均明显高于对照组（均P〈0.05）;②Hb和VO2max：与干预前相比,两组干预后的Hb均明显下降（均P〈0.05）,研究组的VO2 max明显升高（P〈0.05）;而两组干预后的Hb比较,差异无统计学意义（P〉0.05）,但研究组干预后的VO2max明显高于对照组（P〈0.05）;③自我、社会、生活评价：与干预前比较,两组干预后的GSES、QOL均明显升高（均P〈0.05）,研究组干预后的SSRS明显升高;与对照组相比,研究组干预后的GSES、SSRS、QOL明显高于对照组（P〈0.05）.结论 ＂四维规范性＂护理干预对老年乳腺癌患者的CRF效果较好,能够显著减轻或消除CRF,提高最大摄氧量、自我效能、社会支持,改善患者的生活质量,优于常规的护理方式,可在临床上用于乳腺癌患者的CRF护理.Objective To explore the effect of ＂four-dimension standard＂ nursing on the fatigue and quality of life of elderly patients with breast cancer, and discuss the related mechanism. Methods From January 2010 to February 2015, 82 cases of breast cancer patients with fatigue caused by cancer were included in this study. The patients were ran-domly divided into study group and control group. The control group of 40 patients received routine care. The research team used ＂four-dimension standard＂ nursing intervention mode while taking regular nursing to compare the CRF score, hemo-globin （Hb）, maximal oxygen uptake （VO2 max）, general self-efficacy scale （GSES score）, social support require-ment scale （ SSRS） score and quality of life （ QOL） score were improved so as to evaluate the effect of ＂four-dimension standard＂ nursing. Results ①Cancer related fatigue： Compared with before intervention, there was significant change for cancer-related fatigue related scores after intervention in study group （P〈0. 05）, but not in control group. Cancer-re-lated fatigue related scores after intervention in study group were significantly higher than that of control group （P〈0. 05） .②Hb and VO2 max： Compared with before intervention, Hb after intervention in two groups significantly decreased （ P〈0. 05）, study group＇s VO2max increased significantly （P〈0. 05） . And there was no statistically significant difference for Hb after intervention between two groups （P〉0. 05）, but study group＇s VO2max after intervention were significantly higher than those in the control group （P〈0. 05） .③Self, society and life： Compared with before intervention, GSES, QOL after intervention in two groups were significantly higher （P〈0. 05）, SSRS after intervention in study group increased sig-nificantly. Compared with control group, GSES, SSRS, QOL after intervention in study group significantly higher than that of control group （P〈0. 05） . Conclusions The CRF effect

关 键 词：乳腺癌 癌因性疲乏 "四维规范性"护理干预 

分 类 号：R473.73[医药卫生—护理学]