多学科协作模式的精准护理对肺癌化疗患者疲乏-疼痛-睡眠障碍症状群的改善  

Effect of multidisciplinary team-based precise nursing on fatigue-pain-sleeping disorder symptom cluster of lung cancer patients undergoing hemotherapy

作　　者：韦红[1] 薛海霞 贾春林 张文霞[1] 刘冬艳[1] Wei Hong;Xue Haixia;Jia Chunlin;Zhang Wenxia;Liu Dongyan(Department of Oncology,Heze Municipal Hospital,Heze 274031,China)

机构地区：[1]山东省菏泽市立医院肿瘤科,274031

出　　处：《中国实用护理杂志》2020年第8期573-578,共6页Chinese Journal of Practical Nursing

摘　　要：目的 探讨基于多学科协作模式的精准护理对肺癌化疗患者疲乏-疼痛-睡眠障碍症状群的改善作用。方法 选择2016年8月至2018年12月在山东省菏泽市立医院肿瘤内科住院的110例肺癌患者作为研究对象,将110例肺癌化疗患者按照随机数字表法分为研究组和对照组各55例,对照组给予常规护理,研究组实施基于多学科协作的精准护理。干预1个月,采用多维度疲乏量表(MFI-20)评价患者疲乏程度,中文版简明疼痛评估量表(BPI-C)评价患者疼痛程度,匹兹堡睡眠质量指数(PSQI)评价患者睡眠质量。结果 干预前,研究组和对照组疲乏、疼痛、睡眠质量得分比较差异无统计学意义(P>0.05)。干预后,研究组MFI-20量表中生理疲乏、心理疲乏、精神疲乏得分及总分为分别为(17.78±3.96)、(8.02±1.58)、(10.19±2.01)、(35.98±4.96)分,BPI-C量表中目前疼痛程度、24 h内最轻微疼痛程度、24 h内最剧烈疼痛程度、24 h内平均疼痛程度得分分别为(3.76±0.53)、(2.15±0.39)、(4.11±0.77)、(2.72±0.43)分,PSQI量表中睡眠效率、入睡时间、睡眠质量、睡眠时间、睡眠障碍、日间功能、催眠药物使用得分及总分分别为(0.96±0.20)、(1.66±0.27)、(1.74±0.36)、(1.58±0.22)、(1.12±0.21)、(1.70±0.30)、(1.45±0.28)、(10.20±0.61)分,对照组以上得分分别为(18.84±2.99)、(9.15±1.95)、(11.06±3.71)、(39.05±5.28)分和(5.42±1.18)、(3.58±0.59)、(6.18±1.44)、(3.85±0.78)分和(1.12±0.19)、(1.74±0.27)、(1.91±0.25)、(1.66±0.46)、(1.33±0.32)、(1.75±0.29)、(1.33±0.42)、(10.85±0.70)分。研究组心理疲乏得分、疲乏总分、目前疼痛程度得分、24 h内最轻微疼痛程度得分、24 h内最剧烈疼痛程度得分、24 h内平均疼痛程度得分和睡眠效率得分、睡眠质量得分、睡眠障碍得分、PSQI总分均明显低于对照组,差异有统计学意义(t值为2.815~14.873,P<0.01)。结论 基于多学科协作的精准护理可以有效改善Objective To investigate the effect of multidisciplinary team-based precise nursing on fatigue-pain-sleeping disorder symptom cluster of lung cancer patients received chemotherapy.Methods A total of 110 lung cancer patients who received chemotherapy were randomly divided into study group(55 cases)and control group(55 cases).The control group received routine nursing,while the study group carried out multidisciplinary team-based precise nursing.The degree of fatigue,pain and sleeping disorder was assessed by Multidimensional Fatigue Inventory-20(MFI-20),Brief Pain Inventory-Chinese version(BPI-C)and Pittsburgh Sleep Quality Index(PSQI),respectively.Results Before intervention,the scores of fatigue,pain and sleep quality showed no significant difference(P>0.05).After intervention,the scores of physical fatigue,psychological fatigue,mental fatigue and total fatigue in MFI-20 were 17.78±3.96,8.02±1.58,10.19±2.01,35.98±4.96 in the study group;the scores of pain right now,pain at least in the 24 hours,pain at worst in the 24 hours and pain on the average in BPI-C were 3.76±0.53,2.15±0.39,4.11±0.77,(2.72±0.43)in the study group;the scores of the habitual sleep efficiency,sleep latency,subjective sleep quality,sleep duration,sleep disturbances,daytime dysfunction,use of sleeping medication scores and total scores in PSQI were 0.96±0.20,1.66±0.27,1.74±0.36,1.58±0.22,1.12±0.21,1.70±0.30,1.45±0.28,10.20±0.61 in the study group.However,those scores were 18.84±2.99,9.15±1.95,11.06±3.71,39.05±5.28 and 5.42±1.18,3.58±0.59,6.18±1.44,3.85±0.78 and 1.12±0.19,1.74±0.27,1.91±0.25,1.66±0.46,1.33±0.32,1.75±0.29,1.33±0.42,10.85±0.70 in the control group.The scores of psychological fatigue,total fatigue,pain right now,pain at least in the 24 hours,pain at worst in the 24 hours,pain on the average and habitual sleep efficiency,subjective sleep quality,sleep disturbances and total PSQI scores were all significantly decreased in the study group compared to the control group(t values were 2.815-14.873,P<0.01)

关 键 词：多学科协作 精准护理 肺肿瘤 化疗 症状群 

分 类 号：R473[医药卫生—护理学]