CRF与TRSC连续评估在肝癌HAIC治疗全程护理中的作用  

The role of continuous evaluation of CRF and TRSC in the entire nursing process of HAIC treatment for liver cancer

作　　者：许燕 陶芸莹 王芳芳 钟琳 钱日红 许忠华 Xu Yan;Tao Yunying;Wang Fangfang;Zhong Lin;Qian Rihong;Xu Zhonghua(Department of Hepatology,Ganzhou Fifth People's Hospital,Ganzhou Institute of Hepatology,Ganzhou,Jiangxi 341000,China)

机构地区：[1]江西省赣州市第五人民医院,赣州市肝病研究所,江西赣州341000

出　　处：《首都食品与医药》2023年第24期130-132,共3页Capital Food Medicine

基　　金：江西省卫生健康委科技计划项目(202312100)。

摘　　要：目的探索癌因性疲乏(CRF)与化疗相关性症状列表(TRSC)连续评估在肝癌肝动脉灌注化疗(HAIC)治疗全程护理中的作用。方法选取赣州市第五人民医院2022年1月-2022年11月收治的60例接受肝癌HAIC治疗的患者为研究对象,采取随机数字表法分为研究组与对照组,对照组采用CRF和常规化疗症状的护理措施,研究组则采用CRF与TRSC连续评估法制定的个体化护理措施。比较两组患者的CRF情况,比较研究组患者每两个疗程前后的TRSC平均分数;比较两组患者的护理满意度分数。结果护理后两组患者CRF的自评分数及FSI分数均较护理前下降,且研究组降低幅度更大,差异有统计学意义(P<0.05);随着疗程的推进,TRSC分数呈逐渐降低趋势,差异有统计学意义(P<0.05);研究组患者的护理满意度分数高于对照组,差异有统计学意义(P<0.05)。结论CRF与TRSC连续评估可以指导护士对肝癌HAIC治疗患者进行针对性的护理,有效地减轻了患者的化疗相关症状,提高患者的生活质量和护理满意度,值得在临床护理上推广使用。Objective To explore the role of continuous evaluation of cancer related fatigue(CRF)and chemotherapy related symptom list(TRSC)in the entire nursing process of hepatic artery infusion chemotherapy(HAIC)for liver cancer.Method Sixty patients who received HAIC treatment for liver cancer admitted to our hospital from January 2022 to November 2022 were selected as the study subjects.They were randomly divided into a study group and a control group using a random number table method.The control group received nursing measures for CRF and conventional chemotherapy symptoms,while the study group received targeted personalized nursing measures developed using continuous evaluation of CRF and TRSC.Compare the CRF status of two groups of patients,and compare the average TRSC scores of the study group patients before and after every two courses of treatment;compare the nursing satisfaction scores of two groups of patients.Results After nursing,the self-evaluation score and FSI score of the two groups of patients decreased compared to before nursing,and the study group showed a greater decrease,with a statistically significant difference(P<0.05);as the course of treatment progresses,the TRSC score gradually decreases,with a statistically significant difference(P<0.05);the nursing satisfaction score of the study group patients was higher than that of the control group,with a statistically significant difference(P<0.05).Conclusion The continuous evaluation of CRF and TRSC can guide nurses to provide targeted care for patients with liver cancer treated with HAIC,effectively reducing chemotherapy related symptoms,improving the quality of life and nursing satisfaction of patients,and is worthy of promotion and use in clinical nursing.

关 键 词：肝动脉灌注化疗 癌因性疲乏 化疗相关性症状表 肝癌护理 FSI分数 

分 类 号：R473.5[医药卫生—护理学]