临床护理路径对宫颈癌术后放疗患者癌因性疲乏的影响分析  

Effect of clinical nursing pathway on cancer-induced fatigue in patients with postoperative radiotherapy of cervical cancer

作　　者：徐春玲[1] 徐爱丽[2] 董瑶 石雪杨 冯紫薇[1] 

机构地区：[1]哈尔滨医科大学附属肿瘤医院妇科放疗病房,黑龙江哈尔滨150081 [2]哈尔滨医科大学附属第二医院妇产科,黑龙江哈尔滨150081

出　　处：《中国计划生育和妇产科》2017年第12期57-60,共4页Chinese Journal of Family Planning & Gynecotokology

基　　金：黑龙江省卫生厅科研课题(项目编号:2011-063)

摘　　要：目的探讨临床护理路径对宫颈癌术后放疗患者癌因性疲乏的影响。方法选择2013年8月至2015年12月在哈尔滨医科大学附属肿瘤医院进行放疗的宫颈癌术后患者140例,按随机信封抽签原则分为观察组与对照组各70例,对照组给予常规护理,观察组在对照组护理的基础上给予临床护理路径干预,两组护理干预时间为3个月。结果经过护理干预后,观察组的健康教育知识掌握率高于对照组,差异有统计学意义(P<0.05);观察组与对照组的癌因性疲乏评分分别为(19.13±2.48)分、(23.19±3.19)分,都明显低于护理前的(27.40±3.10)分和(27.41±4.12)分,且观察组的评分明显低于对照组(P<0.05);观察组的社会功能、情感职能、精神健康、活力、生理机能、躯体疼痛、总体健康、生理职能等生活质量评分都明显高于对照组(P<0.05)。结论临床护理路径应用于宫颈癌术后放疗患者中能提高其健康教育知识掌握率,有利于缓解癌因性疲乏,从而提高患者生活质量。Objective To explore the effect of clinical nursing pathways on cancer - induced fatigue in patients with postoperative radiotherapy of cervical cancer. Methods From August 2013 to December 2015, 140 patients with postoperative radiotherapy of cervical cancer were treated in The Affiliated Tumor Hospital of Harbin Medical University and were randomly divided into observation group and control group,with 70 patients in each group. The control group was given conventional nursing, while the observation group was given clinical nursing pathway intervention based on the control group. Nursing intervention time of the two groups was 3 months. Results The mastery rate of health education knowledge in the observation group was higher than that of the control group. The difference was statistically significant （ P 〈 0. 05 ）. After nursing, cancer - induced fatigue scores of the observation group and the control group were （ 19. 13 ±2. 48 ） points and （23.19 ± 3.19） points, respectively. They were significantly lower than those before nursing of （27.40 ±3.10） points and （27.41 ±4. 12） points （P 〈0. 05）. And the score of the observation group was significantly lower than that of the control group（ P 〈 0. 05 ）. The scores of social thnction, emotional function, mental health, energy, physiological function, body pain, overall health and physiological function of the observation group were significantly higher than those of the control group （P 〈 0. 05 ）. Conclusion Clinical nursing pathway in cervical cancer patients with postoperative radiotherapy can improve their knowledge of health education and is conducive to alleviate cancer - induced fatigue, therefore can improve the quality of life of patients.

关 键 词：临床护理路径 宫颈癌 放疗 癌因性疲乏 生活质量 

分 类 号：R713.4[医药卫生—妇产科学]