基于中医理念的延续性护理对白血病化疗患者癌因性疲乏及并发症的影响  

Effect of Continuous Nursing Based on the Concept of Chinese Medicine on CancerRelated Fatigue and Complications in Patients with Leukemia Undergoing Chemotherapy

作　　者：邱少佳[1] 赵小强[1] 杨海平[1] QIU Shaojia;ZHAO Xiaoqiang;YANG Haiping

机构地区：[1]河南科技大学第一附属医院血液科,河南洛阳471000

出　　处：《新中医》2021年第20期148-151,共4页New Chinese Medicine

摘　　要：目的:观察基于中医理念的延续性护理对白血病化疗患者癌因性疲乏及并发症的影响。方法:选取行化疗并下达出院医嘱的68例白血病患者进行研究,随机分为研究组和对照组各34例。研究组实行基于中医理念的延续性护理方案,对照组实行常规护理方案。2组患者均持续护理6个月,根据多维疲乏症状量表-简短版(MFSI-SF)分别对2组进行癌因性疲乏程度评估;采用癌症治疗功能评价量表(FACT-G)和卡氏功能状态(KPS)评分评估2组患者护理前后的生活质量水平和健康状态;观察比较2组护理期间并发症发生情况。结果:护理干预后,研究组患者一般疲乏、身体疲乏、心理疲乏、情绪疲乏评分及总分均低于对照组,活力评分高于对照组,差异均有统计学意义(P<0.05)。护理前,2组FACT-G、KPS评分比较,差异无统计学意义(P>0.05)。护理后,2组FACT-G、KPS评分均较护理前升高(P<0.05),且研究组FACT-G、KPS评分高于对照组(P<0.05)。治疗期间,研究组口腔感染、胃肠道反应、皮肤感染等并发症发生率均低于对照组,差异有统计学意义(P<0.05);2组出血、静脉炎的发生率比较,差异无统计学意义(P>0.05)。结论:中医理念的延续性护理可有效缓解白血病化疗患者癌因性疲乏程度,改善生活质量,有效降低口腔感染、胃肠道反应、皮肤感染等并发症的发生率。Objectives:To observe the effect of continuous nursing based on the concept of Chinese medicine on cancerrelated fatigue and complications in patients with leukemia undergoing chemotherapy. Methods: A total of 68 cases of patients with leukemia undergoing chemotherapy and discharged from hospital were selected and randomly divided into the study group and the control group,with 34 cases in each group. The study group was given continuous nursing plan based on the concept of Chinese medicine, and the control group was given routine nursing plan. Both groups were continuously nursed for six months. The degrees of cancer-related fatigue in the two groups were evaluated by Multidimensional Fatigue Symptom Inventory-Short Form(MFSI-SF). Before and after nursing,quality of life and health status of patients in the two groups were evaluated by the scores of Functional Assessment of Cancer Therapy-General(FACT-G) and Karnofsky Performance Status(KPS). During nursing, the incidences of complications in the two groups were observed, compared,and analyzed. Results: After nursing intervention, the scores of general fatigue, physical fatigue, psychological fatigue,emotional fatigue and the total score in the study group were lower than those in the control group,and the score of vitality was higher than that in the control group,differences being significant(P<0.05). Before nursing,there was no significant difference being found in the comparison of the scores of FACT-G and KPS between the two groups(P>0.05). After nursing,the scores of FACT-G and KPS in the two groups were increased when compared with those before nursing(P<0.05),and the scores of FACT-G and KPS in the study group were higher than those in the control group(P<0.05). During treatment,the incidence of complications such as oral infection,gastrointestinal reaction and skin infection in the study group was lower than that in the control group,the difference being significant(P<0.05);there was no significant difference being found in the comparison of the inciden

关 键 词：白血病 癌因性疲乏 延续性护理 中医护理 并发症 

分 类 号：R248[医药卫生—中医临床基础] R473.73[医药卫生—中医学]