摘要
目的探讨整合式心理护理联合个体化营养干预对食管癌放疗患者癌因性疲乏及营养状况的影响。方法选择2020年2月—2023年2月大连市医科大学附属第二医院接诊的86例食管癌放疗患者为研究对象,根据随机数字表法分为对照组和观察组,各43例。对照组进行常规护理,观察组联合开展整合式心理护理与个体化营养干预,比较两组患者的心理弹性、癌因性疲乏、营养状况及生活质量变化。结果干预后,观察组中文版心理弹性量表各维度评分及总评分均高于对照组,组间差异有统计学意义(P<0.05);观察组Piper疲乏调查量表各项评分均低于对照组,组间差异有统计学意义(P<0.05);观察组各项营养指标水平均高于对照组,组间差异有统计学意义(P<0.05);观察组癌症患者生命质量评测表各项评分均高于对照组,组间差异有统计学意义(P<0.05)。结论对食管癌放疗患者开展整合式心理护理联合个体化营养干预有助于改善患者心理弹性及机体营养状况,缓解癌因性疲乏,提高生活质量。
Objective To investigate the effects of integrated psychological nursing combined with individualized nutrition intervention on cancer-related fatigue and nutritional status in patients with esophageal cancer treated with radiotherapy.Methods 86 patients treated with radiotherapy for esophageal cancer in the Second Affiliated Hospital of Dalian Medical University from February 2020 to February 2023 were selected as the study objects,and were divided into a control group and an observation group according to random number table method,with 43 cases in each group.The control group received routine nursing,and the observation group jointly received integrated psychological nursing and individualized nutrition intervention.The changes of mental resilience,cancer-related fatigue,nutritional status and quality of life of the two groups were compared.Results After the intervention,the scores of all dimensions and total scores of the Chinese version of psychological resilience scale in the observation group were higher than those in the control group,and the differences between groups were statistically significant(P<0.05);the Piper fatigue scale scores of the observation group were lower than those of the control group,and the differences between groups were statistically significant(P<0.05);the levels of nutritional indexes in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05);the scores of cancer Quality of Life Questionnaire in observation group were higher than those in control group,and the differences between groups were statistically significant(P<0.05).Conclusion Integrated psychological nursing combined with individualized nutrition intervention can improve the psychological resilience and nutritional status of patients with esophageal cancer,alleviate cancer-related fatigue and improve the quality of life.
作者
赵春静
丛军
ZHAO Chunjing;CONG Jun(Department of Radiation Oncology,The Second Affiliated Hospital of Dalian Medical University,Dalian Liaoning,116023,China;Department of Emergency Medicine,Department of Health Management,Dalian Rehabilitation and Nursing Center,Joint Logistic Support Force,Dalian Liaoning,116016,China)
出处
《反射疗法与康复医学》
2023年第23期148-151,155,共5页
Reflexology And Rehabilitation Medicine
关键词
癌因性疲乏
整合式心理护理
个体化营养干预
营养状况
生活质量
Cancer-related fatigue
Integrated psychological nursing
Individualized nutrition intervention
Nutritional status
Quality of life
