摘要
目的探讨基于指南的管理方案对肺癌患者疲乏、疼痛、睡眠障碍症状群和生命质量的影响。方法选取2017年7-11月收住人院的肺癌患者88例，按病区分为对照组和干预组各44例。对照组接受常规护理，干预组在此基础上还接受疲乏、疼痛、睡眠障碍症状群管理的健康教育及相关技能指导。经3周干预后，比较2组患者疲乏、疼痛、睡眠障碍严重程度以及生命质量。结果干预3周后干预组患者疲乏、疼痛和睡眠障碍评分分别为（3．65±0．97）、（2．44±0．79）、（9．30±2．41）分，对照组分别为（3．89±1．05）、（2．77±0．88）、（10．09±1．97）分，其中疲乏评分差异无统计学意义（F=1．60，P〉0．05），疼痛、睡眠障碍评分差异有统计学意义（F=7．83、5．13，均P〈0．05），干预组生命质量总分以及生理、心理、社会、环境领域评分分别为（52．42±4．71）、（14．02±2．05）、（12．39±2．36）、（14．39±2．45）、（11．61±l_84）分，对照组分别为（50．77±4．11）、（13．31±2．21）、（11．89±2．04）、（13．65±2.69）、（11．92±1．86）分，其中心理、环境领域评分差异无统计学意义（F=0．52，均P〉0．05），生命质量总分、生理、社会领域评分差异有统计学意义（F=5．03～6．86，均P〈0．05）。结论基于指南的管理方案能有效控制症状的恶化，改善患者生命质量。
Objective To explore the effects of guideline-based symptom cluster management program on the severity of fatigue, pain, sleep disturbance and the quality of life in lung cancer patients. Methods A total of 88 lung cancer patients admitted from July 2017 to November 2017 were divided into the intervention group and the control group with 44 cases in each group by the wards. The control group received routine nursing. The intervention group received health education and related skills guidance about symptom management of fatigue, pain and sleep disturbance on the basis of routine. The severity of fatigue, pain, sleep disturbance and quality of life were compared between the 2 groups after 3 weeks intervention. Results After 3 weeks intervention, the scores of fatigue,pain and sleep disturbance in the intervention group were 3.65±0.97, 2.44±0.79, 9.30~2.41 respectively,the scores in the control group were 3.89 ±1.05, 2.77 ± 0.88, 10.09 ± 1.97 respectively. There was no statistically significant differences in fatigue score （F=0.60,P 〉 0.05）,but there were statistically significant differences in pain and sleep disturbance scores between two groups （F=7.83, 5.13, all P 〈 0.05）. The scores of quality of life, physical, psychological, social, environmental domains in the intervention group were 52.42±4.71,14.02±2.05, 12.39±2.36, 14.39±2.45, 11.61±1.84 respectively, the control group were 50.77±4.11, 13.31±2.21, 11.89±2.04, 13.65 ±2.69, 11.92± 1.86 respectively. There was no statistically significant differences in scores of psychological and environmental domains （F=0.52, all P 〉 0.05）, but there were statistically significant differences in total score, scores of physical and social domains between two groups （F=5.03-6.86, all P 〈 0.05）. Conclusion The guideline-based management program could effectively control the deterioration of the severity of fatigue, pain, sleep disturbance and improve patient＇s quality of life.
作者
米雪
张立力
缪景霞
Mi Xue;Zhang Lili;Miao Jingxia(School of Nursing,Southern Medical University,Guangzhou 510515,China)
出处
《中国实用护理杂志》
2018年第25期1947-1951,共5页
Chinese Journal of Practical Nursing
基金
南方医科大学护理专项课题基金重点项目（Z2016004）
关键词
症状群
疲乏
疼痛
睡眠障碍
管理
Symptom cluster
Fatigue
Pain
Sleep distuabance
Management
