摘要
目的:探讨叙事医学护理对内镜下黏膜剥离术(ESD)术后食管癌患者癌症复发恐惧、癌因性疲乏及睡眠质量的影响。方法:选取2020年6月至2022年12月福建医科大学附属第二医院消化内科接受ESD术后的食管癌患者117例作为研究对象,采用随机数字表法分为对照组(n=58)和观察组(n=59)。对照组患者给予食管癌常规护理,观察组患者在常规护理的基础上,给予叙事医学护理,比较2组患者护理干预前后癌症复发恐惧[采用疾病进展恐惧简化量表(FoP-Q-SF)]、癌因性疲乏[采用癌症疲乏量表(CFS)]及睡眠质量[采用匹兹堡睡眠质量指数量表(PSQI)]的变化,并分析FoP-Q-SF、CFS、PSQI评分的相关性。结果:干预前,2组FoP-Q-SF、CFS、PSQI评分差异均无统计学意义(均P>0.05);干预后3个月,2组FoP-Q-SF、CFS、PSQI评分较本组干预前均显著下降,且观察组干预后低于对照组,差异有统计学意义(P<0.001)。FoP-Q-SF、CFS、PSQI评分之间的相关性分析显示呈正相关,且相关性具有统计学意义(P<0.001)。结论:叙事医学护理可以有效降低食管癌ESD术后患者的癌症复发恐惧和癌因性疲乏,提高睡眠质量,值得推广应用。
Objective:To explore the impact of narrative medical nursing on fear of cancer recurrence,cancer-related fatigue,and sleep quality in patients with esophageal cancer after endoscopic mucosal dissection(ESD).Methods:A total of 117 esophageal cancer patients who underwent ESD surgery from June 2020 to December 2022 were selected as the study subjects.They were randomly divided into a control group(58 cases)and an observation group(59 cases)using a random number table method.The control group patients were given routine care for esophageal cancer,while the observation group patients were given narrative medical care on the basis of routine care.The differences in fear of cancer recurrence(FCR),cancer-related fatigue(CFS),and sleep quality(PSQI)between the two groups of patients before and after nursing intervention were compared,and the correlation of the three indicators was explored.Results:Before intervention,there was no statistically significant difference in FoP-Q-SF,CFS,and PSQI scores between the two groups(all P>0.05).After 3 months of intervention,the FoP-Q-SF,CFS,and PSQI scores of both groups significantly decreased compared to before intervention,and the observation group had a lower intervention score than the control group,with statistical significance(P<0.001).The correlation analysis between FoP-Q-SF,CFS,and PSQI scores showed a positive correlation,and the correlation was statistically significant(P<0.001).Conclusion:Narrative medical nursing can effectively reduce the fear of cancer recurrence and cancer-related fatigue in patients after esophageal cancer ESD surgery,improve sleep quality,and should be promoted and applied.
作者
黄连春
蔡秀真
HUANG Lianchun;CAI Xiuzhen(Department of Gastroenterology,the Second Affiliated Hospital of Fujian Medical University,Quanzhou 362000,China)
出处
《世界睡眠医学杂志》
2024年第1期163-166,170,共5页
World Journal of Sleep Medicine
关键词
食管癌
内镜下黏膜剥离术
癌症复发恐惧
癌因性疲乏
睡眠质量
Esophageal cancer
Endoscopic mucosal dissection
Fear of cancer recurrence
Cancer induced fatigue
Sleep quality
