摘要
[目的]探索基于化疗相关性症状列表(TRSC)评估的医护协作缓解肺癌病人化疗相关性症状的效果。[方法]将67例拟行第2个周期化疗的非小细胞肺癌病人分为对照组32例及观察组35例。对照组给予常规化疗及化疗护理,观察组在对照组的基础上采用基于TRSC评估的医护协作干预方法管理化疗引起的各种症状,护士在第2个、第3个、第4个周期化疗前采用TRSC进行评估,指导病人使用各种缓解症状的替代疗法,医生根据评估结果调整化疗方案或者化疗药剂量,按照实际情况治疗性用药或预防性用药。比较两组第2个周期化疗前(干预前)及完成4个周期化疗后1个月复查时或第5个周期化疗前(干预后)TRSC量表得分。[结果]干预后观察组TRSC总分低于对照组,且味觉改变、食欲下降、恶心、呕吐及感觉疲乏评分显著低于对照组(P<0.05或P<0.01)。[结论]基于TRSC评估的医护协作干预有利于缓解肺癌病人化疗相关性症状,肿瘤科护士应采用特异性工具系统、准确地评估病人的化疗相关性症状,为针对性的症状管理提供参考。
Objective:To probe into the effects of integrative physician‑nurse collaboration based on therapy‑related symptoms checklist(TRSC)assessment on alleviating chemotherapy‑related symptoms among lung cancer patients.Methods:A total of 67 patients with non‑small cell lung cancer,who planned to receive the second cycle of chemotherapy,were divided into the control group(n=32)and the observation group(n=35).Patients in both groups received routine chemotherapy and chemotherapy‑related nursing.In addition,patients in observation group needed to receive intervention charactered by integrative physician‑nurse collaboration based on TRSC assessment,so as to manage multiple symptoms induced by the chemotherapy.Patients′status was evaluated by nurses using TRSC before the second,third and fourth cycle of chemotherapy.And the patients were guided to use complementary and alternative medicine methods to alleviate symptoms.And physicians adjusted chemotherapeutic scheme or dosage of drugs according to assessment results.Furthermore,physicians could adopt therapeutic or preventive medication schemes in accordance with the actual situation.The scores of TRSC between the two groups were compared before and after intervention,namely before the second cycle of chemotherapy and one month after the fourth cycles of chemotherapy or before the fifth cycle of chemotherapy.Results:After intervention,total score of TRSC in observation group group was significantly lower than that in the control group.And the scores of taste alteration,loss of appetite,nausea,vomiting and feeling fatigue in the observation group were significantly lower than those in the control group(P<0.05 or P<0.01).Conclusions:Intervention charactered by integrative physician‑nurse collaboration based on TRSC assessment was conductive to alleviate chemotherapy‑related symptoms among lung cancer patients.Nurses in oncology department should systematically and precisely assess chemotherapy‑related symptoms by using specific instruments,thus to provide
作者
何琴
韩燕红
许珂
柳丽娜
吴晓燕
HE Qin;HAN Yanhong;XU Ke;LIU Li′na;WU Xiaoyan(Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Hubei 430022 China)
出处
《护理研究》
北大核心
2020年第15期2621-2627,共7页
Chinese Nursing Research
基金
2019年湖北省自然科学基金一般面上项目,编号:2019CFB492。
关键词
非小细胞肺癌
化疗
化疗相关性症状
症状困扰
化疗相关性症状列表
评估
医护协作
症状管理
non‑small cell lung cancer
chemotherapy
chemotherapy‑related symptoms
symptom distress
therapy‑related symptoms checklist(TRSC)
assessment
physician‑nurse collaboration
symptom management
