摘要
目的探究循证护理路径干预对鼻咽癌放疗患者认知水平、癌因性疲乏及睡眠质量的影响。方法选取2017年9月至2020年9月我院收治的106例鼻咽癌放疗患者,根据护理干预方案不同分为研究组53例(基于循证理念的护理干预)与对照组53例(常规护理干预)。比较两患者组认知水平评分,癌因性疲乏[采用Piper疲乏量表(PFS)]、焦虑抑郁评分[采用医院焦虑抑郁量表(HAD)评估]、睡眠质量评分[采用阿森斯失眠量表(AIS)评估]以及放疗急性不良反应发生率。结果干预后,两组疾病知识、治疗知识、注意事项、不良反应防治等评分均上升,且研究组高于对照组(P<0.05);两组行为、情感、感知、认知或情绪等各项PFS评分均上升,研究组高于对照组(P<0.05);两组焦虑、抑郁、AIS评分均下降,研究组低于对照组(P<0.05);研究组不良反应总发生率(22.64%)低于对照组(43.40%)(P<0.05)。结论予鼻咽癌放疗患者循证护理路径干预措施可有效改善患者的心理状态、癌因性疲乏程度以及睡眠质量,提高其疾病认识水平,降低放疗急性不良反应发生率,临床应用价值高。
Objective To explore the effect of evidence-based nursing pathway intervention on the cognitive level,cancer-related fatigue and sleep quality of patients with nasopharyngeal cancerradiotherapy.Methods One hundred and six patients with nasopharyngeal carcinoma undergoing radiotherapy in our hospital from September 2017 to September 2020 were selected.According to different nursing interventions,they were divided into a study groupand a control group,53 in each group.The study group was treated with evidence-based nursing intervention and the control group was treated with conventional nursing intervention.The cognitive level score,cancer-related fatigue estimated by using the Piper Fatigue Scale(PFS),anxiety and depression score estimated by using the Hospital Anxiety and Depression Scale(HAD)and sleep quality score assessed by using the Athens Insomnia Scale(AIS),as well as the incidence of acute adverse reactions to radiotherapy were compared between the two groups.Results Compared with those before intervention,the scores in disease knowledge,treatment knowledge,precautions,prevention and treatment of adverse reaction in the two groups were increased,and the scores of the study group were higher than those of the control group(P<0.05).Compared with those before intervention,the PFS scores in behavior,emotion,perception,cognition or emotion in the two groups were increased,and the above-mentioned indicators of the study group were higher than those of the control group(P<0.05).The anxiety,depression,and the AIS scores of the two groups were decreased after intervention,and the scores of the study group were lower than those of the control group(P<0.05).The total incidence of adverse reactions in the study group was 22.64%which was lower than 43.40%in the control group(P<0.05).Conclusion Evidence-based nursing pathway intervention for patients with nasopharyngeal cancer radiotherapy can effectively improve the mental state of patients,cancer-related fatigue and sleep quality,improve their understanding about the
作者
陈艳
杨雪
王华
杨婷
程平
CHEN Yan;YANG Xue;WANG Hua;YANG Ting;CHENG Ping(Department of Chest radiotherapy,Sichuan Cancer Hospital,Chengdu 610041,China)
出处
《实用医院临床杂志》
2021年第6期176-179,共4页
Practical Journal of Clinical Medicine
关键词
循证护理
临床护理路径
鼻咽癌放疗
认知水平
癌因性疲乏
睡眠质量
Evidence-based nursing
Clinical nursing path
Radiotherapy of nasopharyngeal carcinoma
Cognitive level
Cancer-related fatigue
Sleep quality
