基于症状群管理方案对肺癌化疗患者疲乏及睡眠质量的影响  

Effects of Symptom Group Based Management on Fatigue and Sleep Quality in Patients Undergoing Chemotherapy for Lung Cancer

作　　者：应伟[1] 李程[1] 江波[1] 王兴远[1] 周伟[1] Ying Wei;Li Cheng;Jiang Bo;Wang Xingyuan;Zhou Wei(Guang ′an people′s hospital,Guang ′an 638000,China)

机构地区：[1]广安市人民医院

出　　处：《世界睡眠医学杂志》2019年第8期1016-1018,共3页World Journal of Sleep Medicine

摘　　要：目的:探讨基于症状群管理方案对肺癌化疗患者疲乏及睡眠质量的影响。方法:选取2017年1月至2019年1月广安市人民医院收治的肺癌化疗患者82例作为研究对象,随机将患者分为2组,每组41例,对照组实施常规护理干预,观察组在常规护理干预基础上使用症状群管理方案,观察分析2组干预前,干预3周疲乏、睡眠质量、疼痛程度、生命质量情况。结果:干预前,2组疲乏量表(RPFS)、简明疼痛评估量表(BPI)、匹茨堡睡眠质量指数量表(PSQI)评分无统计学意义(P> 0. 05),干预3周,观察组RPFS、BPI、PSQI评分均显著低于对照组(P <0. 05);干预前,2组生命质量核心量表(EORTC QOQ-C30)各项评分无统计学意义(P> 0. 05),干预3周,观察组功能量表和总体健康量表评分显著高于对照组,而症状量表和单一症状量表评分显著低于对照组(P <0. 05)。结论:基于症状群管理方案可显著改善肺癌化疗患者疲乏症状,提高睡眠质量及生命质量。Objective: To investigate the effect of symptom group-based management on fatigue and sleep quality in patients with lung cancer undergoing chemotherapy. Methods: The study included between January 2017 and January 2019,82 cases of lung cancer chemotherapy patients as the research object,randomly divided the patients into two groups,each group of 41 cases,control group routine nursing intervention,the observation group on the basis of conventional nursing intervention using symptom group management plan,analyze the two groups before intervention,intervention 3 weeks fatigue,sleep quality,pain degree,the quality of life. Results: Before intervention,there was no significant difference in RPFS,BPI and PSQI scores between the two groups ( P >0.05).After 3 weeks of intervention,RPFS,BPI and PSQI scores in the observation group were significantly lower than those in the control group ( P <0.05).Before the intervention,there was no significant difference in the scores of EORTC qoq-c30 (EORTC qoq-c30) between the two groups ( P >0.05).After 3 weeks of intervention,the scores of functional scale and overall health scale in the observation group were significantly higher than those in the control group,while the scores of symptom scale and single symptom scale were significantly lower than those in the control group ( P <0.05). Conclusion: Symptom-based management scheme can significantly improve fatigue symptoms,sleep quality and life quality in patients with lung cancer undergoing chemotherapy.

关 键 词：症状群管理方案 肺癌 疲乏 睡眠质量 

分 类 号：R338.63[医药卫生—人体生理学]