运动-心理-睡眠护理干预对乳腺癌病人生活质量及癌因性疲乏的影响  

Effects of exercise-psychosomatic-sleep care intervention on quality of life and cancer-induced fatigue in patients with breast cancer

作　　者：党珊[1] 罗学斌 李春华 徐娟 叶琼告 靳爱莉 许瑞家 成连春 李英[3] 张陇平 姚晚侠 DANG Shan;LUO Xuebin;LI Chunhua;XU Juan;YE Qionggao;JIN Aili;XU Ruijia;CHENG Lianchun;LI Ying;ZHANG Longping;YAO Wanxia(the First Affiliated Hospital of Xi′an Jiaotong University,Shaanxi 710061 China)

机构地区：[1]西安交通大学第一附属医院,710061 [2]深圳市萨米医疗中心,518118 [3]西安培华学院医学院,710125

出　　处：《全科护理》2020年第18期2187-2190,共4页Chinese General Practice Nursing

基　　金：陕西省教育科学“十三五”规划2018年度课题,编号:SGH18H501。

摘　　要：[目的]探讨运动-心理-睡眠护理干预模式对乳腺癌病人癌因性疲乏和生活质量的影响。[方法]选择2017年2月—2018年1月在西安交通大学第一附属医院、深圳市萨米医疗中心住院60例乳腺癌病人为对照组,选择2018年2月—2019年1月在西安交通大学第一附属医院、深圳市萨米医疗中心住院62例乳腺癌病人为观察组,对照组给予常规护理干预,观察组病人在常规护理干预的基础上给予运动-心理-睡眠护理干预,两组均干预2个月。干预前后采用欧洲癌症生存质量核心量表(EORTC QLQ-30)评价两组病人生活质量,Piper疲乏修正量表(PFS-R)评价两组病人的癌因性疲乏情况。[结果]观察组病人干预后EORTC QLQ-30量表总体健康、功能评分升高且高于对照组,症状、特异性评分降低且低于对照组(P<0.05);观察组病人干预后PFS-R评分降低且低于对照组(P<0.05)。[结论]运动-心理-睡眠护理干预模式可缓解乳腺癌病人癌因性疲乏症状,提高病人生活质量,效果优于常规护理。Objective:To explore the effects of exercise-psychosomatic-sleep care intervention on cancer-induced fatigue and quality of life in patients with breast cancer.Methods:A total of 60 breast cancer patients who were hospitalized in the First Affiliated Hospitals of Xi′an Jiaotong University and Shenzhen Samii International Medical Center from February 2017 to January 2018 were selected as the control group.A total of 62 breast cancer patients who were hospitalized from February 2018 to January 2019 were selected as the observation group.Patients were received routine nursing intervention in the control group,and exercise-psychosomatic-sleep care intervention in the observation group for 2 months.Before and after the intervention,the European Organization for Research and Treatment of Cancer Quality of Life Core Questionnaire(EORTC QLQ-C30),and the Revised Piper Fatigue Scale(PFS-R)were used to evaluate the quality of life and the cancer-related fatigue in the two groups.Results:After intervention,the scores of the EORTC QLQ-C30 overall health and function in the observation group were increased,which were higher than that in the control group.The scores of the symptoms and specificity in the observation group were increased,which were lower than that in the control group(P<0.05).The scores of PFS-R in the observation group were increased,which were lower than that in the control group(P<0.05).Conclusion:The exercise-psychosomatic-sleep care intervention can alleviate the symptoms of cancer-induced fatigue and improve the quality of life in patients with breast cancer,which is better than routine nursing intervention.

关 键 词：乳腺癌 癌因性疲乏 生活质量 运动 心理 睡眠 护理 

分 类 号：R473.73[医药卫生—护理学]