乳腺癌术后化疗患者癌因性疲劳的综合护理干预效果
摘要
目的探讨综合护理干预对乳腺癌术后化疗患者癌因性疲劳(CRF)的干预效果,为改善患者生存质量提供参考。方法将96例乳腺癌术后化疗患者随机分为对照组和观察组各48例。对照组采用常规的护理方法对患者进行指导和护理。观察组在常规护理的基础上给予综合护理干预,入院时和12周后分别采用Piper疲乏修订量表(RPFS)和乳腺癌患者生命质量测定量表(FACT-B)对两组患者进行测评,并进行组间比较。结果护理前,两组患者各项癌因性疲劳程度比较,差异无统计学意义(P>0.05);护理12周后,观察组无疲乏率高于本组护理前和同期对照组,差异有统计学意义(P<0.05)。护理前,两组患者各项FACT-B评分比较,差异无统计学意义(P>0.05);护理12周后,观察组各项FACT-B评分均高于本组护理前和同期对照组,差异有统计学意义(P<0.05)。结论综合护理干预可以有效缓解乳腺癌化疗CRF患者的疲劳症状,改善生存质量。
引文
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[11] Spiegel K, Leproult R, Van Cauter E. Impact of sleep debt on metabolic and endocrine function[J]. Lancet, 1999,354(9188):1435-1439.
[2] Campos MP, Hassan BJ, Riechelmann R, et al. Cancerrelated fatigue:a practical review[J]. Ann Oncol, 2011,22(6):1273-1279.
[3] Piper BF, Dibble SL, Dodd MJ, et al.The revised Piper Fatigue Scale:psychometric evaluation in women with breast cancer[J]. Oncol Nurs Forum, 1998,25(4):677-684.
[4]万崇华,张冬梅,汤学良,等.乳腺癌患者生命质量测定量表FACT-B中文版介绍[J].中国肿瘤,2002,11(6):10-12.
[5] Barsevick A, Beck SL, Dudley WN, et al. Efficacy of an intervention for and sleep disturbance during cancer chemotherapy[J]. Pain Symptom Manage, 2010,40(2):200-216.
[6] Jankowska M. Sexual functioning in young women in the context of breast cancer treatment[J]. Rep Pract Oncol Radiother, 2013,18(4):193-200.
[7]丁金霞,王婷,王维利,等.化疗期胃癌患者癌因性疲乏的自我管理干预[J].护理学杂志.2016,31(14):29-32.
[8]谭绮琼,高丽萍,李瑞平,等.恶性肿瘤化疗期癌性疲乏患者运动状况及其影响因素分析[J].护理实践与研究,2016,13(13):79-80.
[9]周洁,王璐,邓晶晶,等.运动干预对头颈部肿瘤放疗期间癌因性疲乏的影响[J].现代医药卫生.2015,31(8):1237-1239.
[10]薛晓燕,尉晓芳,郭晋.认知行为疗法对乳腺癌放疗患者癌性疲劳与生活质量的影响[J].沈阳医学院学报,2015,17(2):74-77.
[11] Spiegel K, Leproult R, Van Cauter E. Impact of sleep debt on metabolic and endocrine function[J]. Lancet, 1999,354(9188):1435-1439.