团组护理干预对宫颈癌患者同步放化疗后膀胱功能恢复及癌因性疲乏的影响  

Effect of group nursing intervention on bladder function recovery and cancer-related fatigue in patients with cervical cancer after undergoing concurrent radiotherapy and chemotherapy

作　　者：刘玉灵 宋哲 殷慧香 李秀杰 LIU Yu-ling;SONG Zhe;YIN Hui-xiang;LI Xiu-jie

机构地区：[1]郑州大学附属肿瘤医院,河南省肿瘤医院妇科六病区,郑州市450003

出　　处：《护理实践与研究》2020年第24期90-92,共3页Nursing Practice and Research

摘　　要：目的探讨团组护理干预对宫颈癌同步辅助放化疗患者膀胱功能恢复及癌因性疲乏的影响。方法以医院2016年11月至2018年12月住院治疗的86例宫颈癌同步放化疗患者为观察对象,按照两组患者基本信息均衡可比的原则,分为对照组与观察组,每组43例。对照组采用常规护理,观察组在对照组基础上予以团组护理干预,对比两组患者干预后膀胱功能恢复、癌因性疲乏评分情况。结果两组患者尿失禁发生率比较差异无统计学意义(P>0.05);观察组保留尿管时间短于对照组(P<0.05),观察组排尿困难、膀胱功能障碍、膀胱充盈感、尿潴留发生率均低于对照组,差异均有统计学意义(P<0.05);观察组躯体疲乏、情感疲乏和认知疲乏各维度癌因性疲乏评分均明显低于对照组,差异有统计学意义(P<0.05)。结论团组护理干预可有效改善宫颈癌同步放化疗患者膀胱功能,避免不良反应,改善癌因性疲乏症状。Objective To explore the effect of group nursing intervention on bladder function recovery and cancer-related fatigue in patients with cervical cancer after undergoing concurrent radiotherapy and chemotherapy.Methods To select 86 cases of patients with cervical cancer after undergoing concurrent radiotherapy and chemotherapy for who were hospitalized in hospital from November 2016 to December 2018 as the observational objects.According to the principle of balanced and comparable basic information of the two groups of patients,they were divided into a control group and an observation group,with 43 cases in each group.The control group was given routine nursing care,and the observation group was given group nursing intervention on the basis of the control group to compare the bladder function recovery and cancer-related fatigue scores of the two groups after intervention.Results There was no significant difference in the incidence of urinary incontinence between the two groups(P>0.05),and the observation group kept the catheter for shorter time than the control group(P<0.05).The incidence of dysuria,bladder dysfunction,bladder fullness,and urinary retention in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The scores of cancer-related fatigue in all dimensions of physical fatigue,emotional fatigue and cognitive fatigue in the observation group were significantly lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The application of group nursing intervention can effectively improve the bladder function of patients with cervical cancer after undergoing concurrent radiotherapy and chemotherapy,avoid adverse reactions,and improve symptoms of cancer-related fatigue.

关 键 词：团组护理干预 宫颈癌 同步放化疗 膀胱功能锻炼 癌因性疲乏 

分 类 号：R473.71[医药卫生—护理学]