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《慢性病学杂志》[ISSN:1674-8166/CN:11-5900/R]

卷:

期数:

2016年01期

页码:

44-47

栏目:

论著

出版日期:

2016-02-15

文章信息/Info

Title:

The effect of integrated nursing intervention care on the cancer-related fatigue and quality of life among breast cancer patients receiving postoperative chemotherapy

作者:

崔静; 刘银芳; 黄云娜

商丘市第一人民医院，河南 商丘 476000

Author(s):

CUIJing; LIU Yin-fang; HUANG Yun-na

Thepeople’s FirstHospital of Shangqiu City,Shangqiu476000,China Corresponding author:LIUYinfang,E-mail:sqhb002@163.com

关键词:

乳腺癌术后; 化疗; 癌因性疲乏; 综合护理行为干预

Keywords:

Postoperative of breast cancer;  Chemotherapy;  Cancer-related fatigue;  Integrated nursing in-tervention

分类号:

R473.2

DOI:

-

摘要:

目的 探讨综合护理行为干预对乳腺癌术后化疗患者癌因性疲乏及生活质量的影响。方法 将80例 乳腺癌术后化疗患者随机分为观察组和对照组，各40例。对照组接受常规护理；观察组在接受常规护理的 基础上行心理认知干预、饮食干预、运动干预、音乐干预、患侧功能锻炼等综合护理行为干预。干预前后 对两组分别采用美国Andorson癌症中心疼痛研究小组研制的大五人格量表（Big Five Inventory, BFI）对 患者进行癌因性疲乏（Cancer Related Fatigue, CRF）评估和欧洲癌症治疗与研究组织的生活质量问卷 （EORTC-QLQ－C30），比较两组的癌因性疲乏状况和整体生活质量。使用Excel2003软件及SPSS17.0 统计软件进行分析。计量资料用（xˉ±s）表示，采用t检验；计数资料用百分比表示，采用χ 2检验，以P﹤ 0.05为差异有统计学意义。结果 观察组采综合护理行为干预后，癌因性疲乏程度较对照组明显减轻(χ 2 = 18.77)，前后比较差异有统计学意义（P＜0.005）；干预后观察组的总体生活质量与对照组相比差异有统计 学意义（P＜0.005）。结论 综合护理行为干预方法优于常规护理方法，可消除或缓解乳腺癌术后化疗患者 癌因性疲乏程度，提高患者的生存质量。

Abstract:

Objective To investigate the effect of integrated nursing intervention care on cancer-related fatigue (CRF) and quality of life of the postoperative breast cancer patients receiving adjuvant chemother-apy. Methods A total of80 patients with breast cancer receiving postoperative chemotherapy were randomly divided into the experimental group (n=40) and the control group (n=40). The control group only received conventional nursing care. The experimental group received both the conventional nursing care and the comprehensive nursing care including psychological, cognitive, diet, exercise, music inter-ventions, and functional exercise. Big five inventory (BFI) was used for assessing cancer related fatigue (CRF) and EORTC-QLQ－C30 was used for assessing quality of life pre- and post-intervention. Data analysis was performed using Excel 2003 software and SPSS17.0 statistical software. The measurement data was analyzed in t test. The count data was analyzed in χ 2 test, with P<0.05 indicating statistical significance. Results After the comprehensive nursing intervention, CRF level of the experimental group was significantly reduced, in comparison to that of the control group (χ 2 =18.77). The difference between the two groups was statistically significant (P<0.005). After the comprehensive nursing interven-tion, the overall quality of life in the experimental group was higher than that in the control group andthe difference was statistically significant (P<0.005). ConclusionsThe integrated nursing behavioral inter-vention method combining the conventional methods and the comprehensive nursing care is superior to the conventional methods of care, can eliminate or relieve the degree of fatigue, and can improve the quality of life of patients.

参考文献/References:

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备注/Memo

备注/Memo:

作者简介：崔静，本科，副主任护师，研究方向：肿瘤放化疗后的护理 通信作者：刘银芳，E-mail：sqhb002@163.com

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更新日期/Last Update: 2016-03-18