摘要
目的探究运动-心理-睡眠护理干预在食管癌患者中的应用效果。方法采用便利抽样法,选取2016年6月—2018年9月西安交通大学医学院第一附属医院外科收治的中晚期食管癌住院患者200例,按照入院顺序分为对照组和试验组,每组100例。对照组采用常规护理,试验组在常规护理的基础上行运动-心理-睡眠护理干预。干预前后采用欧洲癌症患者生命质量测定量表(EORTC QLQ-C30)和Piper疲乏修正量表(PFS-R)比较两组干预效果。结果试验组干预1个月后功能评分(62.11±3.22)分,总体健康评分(67.23±3.74)分,均高于对照组,症状评分(42.12±2.13)分,特异性条目评分(43.75±3.21)分,低于对照组,差异均有统计学意义(t值分别为101.159、15.053、22.910、3.347;P<0.01);试验组患者癌因性疲乏评分(3.36±1.25)分,对照组(5.14±1.04)分,差异有统计学意义(t=10.663,P<0.01)。结论运动-心理-睡眠护理干预在食管癌患者护理中,可提高患者的生活质量,缓解患者癌因性疲乏症状,值得在临床推广使用。
ObjectiveTo explore the effects of exercise-psychology-sleep nursing among esophageal cancer patients.MethodsFrom June 2016 to September 2018,we selected 200 esophageal cancer inpatients with intermediate and advanced stage in Surgery Department at the First Affiliated Hospital of Xi'an Jiaotong University by convenience sampling.All of the patients were divided into control group and experimental group according to admission order,100 cases in each group.Control group carried out routine nursing.On the basis of routine nursing,experimental group implemented exercise-psychology-sleep nursing.After intervention,the intervention effects were compared with the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30(EORTC QLQ-C30)and the Revised Piper Fatigue Scale(PFS-R)between two groups.ResultsOne month after intervention,the scores of function and general health of experimental group were(62.11±3.22)and(67.23±3.74)respectively higher than those of control group;the scores of symptoms and specificity of experimental group were(42.12±2.13)and(43.75±3.21)respectively lower than those of control group;the differences were all statistical(t=101.159,15.053,22.910,3.347;P<0.01).The scores of cancer related fatigue of experimental group and control group were(3.36±1.25)and(5.14±1.04)respectively with a statistical difference(t=10.663,P<0.01).ConclusionsThe application of exercise-psychology-sleep nursing in esophageal cancer patients can improve quality of life and relieve cancer related fatigue of patients which is worthy of being widely used in clinical application.
作者
田美丽
黄俊婷
李朵朵
王瑞君
姚晚侠
Tian Meili;Huang Junting;Li Duoduo;Wang Ruijun;Yao Wanxia(Department of Radiotherapy and Oncology,the First Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710061,China;Nursing Faculty,Medical School,Xi'an Jiaotong University,Xi'an 710061,China;Department of Outpatient,the First Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710061,China;Medical School,Xi'an Peihua University,Xi'an 710125,China)
出处
《中华现代护理杂志》
2019年第11期1409-1412,共4页
Chinese Journal of Modern Nursing
基金
陕西省自然科学基础研究计划(2018JM7150).
关键词
食管肿瘤
生活质量
癌因性疲乏
运动-心理-睡眠护理
Esophageal neoplasms
Quality of life
Cancer-related fatigue
Exercise-psychology-sleep nursing
