中医情志护理和饮食护理干预癌因性疲乏临床研究  

Clinical Study on Intervention of Emotion Nursing and Dietary Nursing of Chinese Medicine for Cancer-Related Fatigue

作　　者：张辉[1] 李果[1] 姚金晓 刘扬帆[1] 宋菲[1] 张祎 ZHANG Hui;LI Guo;YAO Jinxiao;LIU Yangfan;SONG Fei;ZHANG Yi

机构地区：[1]南阳市中心医院,河南南阳473012 [2]南阳市中心医院血液肿瘤研究所,河南南阳473012

出　　处：《新中医》2019年第7期270-273,共4页New Chinese Medicine

摘　　要：目的:观察在常规治疗与护理基础上予中医情志护理和饮食护理干预癌因性疲乏(CRF)患者的临床效果。方法:将130例CRF患者随机分为对照组和观察组各65例。2组均给予贞芪扶正颗粒服用、运动疗法、对症处理等措施治疗,并给予健康教育、心理护理等综合护理措施,观察组加予中医情志护理和饮食护理。治疗前后采用视觉模拟评分法(VAS)和Piper疲乏修订量表(PFS-R)评定疲乏程度,以Karnofsky (KPS)评分评价生活活动能力,统计放射治疗与化学药物治疗的完成情况和患者对护理措施的满意度。结果:治疗后,2组VAS评分、PFS-R评分均较治疗前下降(P <0.01),KPS评分均较治疗前升高(P <0.01),观察组VAS评分、PFS-R评分均低于对照组(P <0.01),KPS评分高于对照组(P <0.01)。观察组疲乏程度轻于对照组(P <0.05),生活活动能力、治疗依从性均优于对照组(P <0.05,P <0.01),护理满意度高于对照组(P <0.05)。结论:在常规治疗与护理基础上加予中医情志护理和饮食护理措施,有助于减轻肿瘤患者的疲乏程度,提高患者的生活活动能力和对治疗的依从性,患者对护理措施认可。Objective: To observe the clinical effect of intervention of emotion nursing and dietary nursing of Chinese medicine based on the routine treatment and nursing for patients with cancer-related fatigue(CRF). Methods:A total of 130 cases of CRF patients were randomly divided into the control group and the observation group,65 cases in each group. Both groups were treated with Zhenqi fuzheng granules, exercise therapy as well as symptomatic treatment, and were given comprehensive nursing measures including health education and psychological nursing;the observation group was additionally treated with emotion nursing and dietary nursing of Chinese medicine. Before and after treatment,the degree of fatigue was evaluated by Visual Analogue Scale(VAS) and the revised Piper Fatigue Scale(PFS-R);the activities of daily living were evaluated by Karnofsky Performance Score(KPS);the completion of radiotherapy and chemotherapy as well as the nursing satisfaction of patients were counted. Results: After treatment, the scores of VAS and PFS-R in the two groups were decreased when compared with those before treatment(P < 0.01),while the score of KPS in the two groups were increased when compared with those before treatment(P < 0.01);the scores of VAS and PFS-R in the observation group were lower than those in the control group(P < 0.01),while the score of KPS in the observation group was higher than that in the control group(P < 0.01). The degree of fatigue in the observation group was lower than that in the control group(P < 0.05);the activities of daily living and treatment compliance in the observation group were better than those in the control group(P <0.05, P < 0.01);the nursing satisfaction in the observation group was higher than that in the control group(P < 0.05).Conclusion: The therapy of emotion nursing and dietary nursing of Chinese medicine based on the routine treatment and nursing can help to reduce the degree of fatigue of patients with cancer, improve their activities of daily living, treatment compliance and ap

关 键 词：癌因性疲乏(CRF) 中医护理 情志护理 饮食护理 Piper疲乏修订量表(PFS-R) KARNOFSKY评分 治疗依从性 护理满意度 

分 类 号：R248.1[医药卫生—中医临床基础]