互联网延续性护理对转移性乳腺癌患者癌因性疲乏和生存质量的影响  

The impact of internet-based continuity of care on cancer-related fatigue and quality of life in patients with metastatic breast cancer

作　　者：陈轶楠 徐雪君 Chen Yinan;Xu Xuejun(Department of Oncology,Zhangjiagang First People's Hospital,Zhangjiagang 215600,China)

机构地区：[1]张家港市第一人民医院肿瘤科,张家港215600

出　　处：《中国肿瘤临床与康复》2024年第10期644-651,共8页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨互联网延续性护理对转移性乳腺癌患者癌因性疲乏和生存质量的影响。方法选取2022年5月至2024年5月于张家港市第一人民医院治疗的转移性乳腺癌患者82例,按照随机数字表法分对照组(39例)和研究组(43例),对照组接受常规护理,研究组接受互联网延续性护理。采用Piper疲乏修订量表(PFS-R)和生存质量测定量表(FACT-B)评估和比较2组癌因性疲乏和生存质量。结果护理后,2组患者的PFS-R评分明显低于护理前,且研究组在行为、情感、感觉、认知方面的评分和疲乏总分[分别为(2.79±0.54)(2.85±0.62)(1.86±0.41)(1.79±0.51)和(6.36±0.29)],均明显低于对照组[(4.88±0.65)(4.67±0.79)(3.87±1.22)(3.81±0.44)和(15.93±0.67)],差异有统计学意义(P<0.001)。护理后,2组患者的FACT-B评分明显高于护理前,且研究组在生理情况、社会与家庭情况、情感情况、功能情况和附加关注情况方面的评分[分别为(23.57±2.49)、(21.49±3.02)、(21.14±3.11)、(23.13±2.91)和(27.15±3.35)],均明显高于对照组[分别为(18.62±3.77)(17.35±3.48)(17.64±3.24)(16.98±3.24)和(18.38±4.13)],差异有统计学意义(P<0.001)。结论互联网延续性护理可以显著改善转移性乳腺癌患者的癌因性疲乏,提高患者的生存质量。breast cancer.Methods A total of 82 patients with metastatic breast cancer,treated at the First People's Hospital of Zhangjiagang from May 2022 to May 2024,were selected for the study.They were randomly divided into the control group(39 patients)and the study group(43 patients)using a random number table.The control group received conventional care,while the study group received internet-based continuity of care.Cancer-related fatigue and quality of life were assessed and compared between the two groups using the Piper Fatigue Scale-Revised(PFS-R)and the Functional Assessment of Cancer Therapy-Breast(FACT-B).Results After nursing care,the PFS-R scores of both groups were significantly lower than before nursing care.The study group showed significantly lower scores in the behavior,emotion,sensory,and cognitive domains,as well as a total fatigue score[(2.79±0.54),(2.85±0.62),(1.86±0.41),(1.79±0.51),and(6.36±0.29),respectively],compared to the control group[(4.88±0.65),(4.67±0.79),(3.87±1.22),(3.81±0.44),and(15.93±0.67),respectively],with statistically significant differences(P<0.001).After nursing care,the FACT-B scores of both groups were significantly higher than before nursing care,and the study group showed significantly higher scores in physical well-being,social and family well-being,emotional well-being,functional well-being,and additional concerns[(23.57±2.49),(21.49±3.02),(21.14±3.11),(23.13±2.91),and(27.15±3.35),respectively],compared to the control group[(18.62±3.77),(17.35±3.48),(17.64±3.24),(16.98±3.24),and(18.38±4.13),respectively],with statistically significant differences(P<0.001).Conclusion Internet-based continuity of care can significantly alleviate cancer-related fatigue and improve the quality of life in patients with metastatic breast cancer.

关 键 词：互联网延续性护理 转移性乳腺癌 癌因性疲乏 Piper疲乏修订量表 生存质量 生存质量测定量表 

分 类 号：R473.73[医药卫生—护理学]