摘要
目的研究运动-心理-睡眠护理干预对肺癌化疗患者癌因性疲乏和化疗症状的影响。方法选取2022年1月1日-6月17日于我院接受化疗的50例肺癌患者,采用随机数字表法分为对照组(25例)和观察组(25例)。对照组进行常规护理干预,观察组在其基础上应用运动-心理-睡眠护理干预,比较两组癌因性疲乏[Piper疲乏量表(PFS)]、化疗症状、运动耐量[6分钟步行试验(6MWT)]、睡眠质量[匹兹堡睡眠质量指数(PSQI)]、生存质量[世界卫生组织生活质量测定表简表(WHOQOLBREF)]。结果观察组护理后PFS评分(行为、情感、感觉、认知)低于对照组(P<0.05);观察组化疗症状发生率小于对照组(P<0.05);观察组护理后6MWT结果大于对照组,PSQI分数低于对照组(P<0.05);观察组护理后WHOQOL-BREF评分(生理、心理、社会关系、环境)高于对照组(P<0.05)。结论运动-心理-睡眠护理干预可缓解肺癌化疗患者的癌因性疲乏,减少化疗症状的出现,改善其运动耐量及睡眠质量,提升生存质量。
Objective To study the effect of exercise-psychology-sleep nursing intervention on cancer-related fatigue and chemotherapy symptoms in patients with lung cancer undergoing chemotherapy.Methods Fifty patients with lung cancer who received chemotherapy in our hospital from January 1,2022 to June 17,2022 were randomly divided into control group(25 cases)and observation group(25 cases).The control group was given routine nursing intervention,and the observation group was given exercise-psychological-sleep nursing intervention on the basis of the control group.The cancer-related fatigue[Piper Fatigue Scale(PFS)],chemotherapy symptoms,exercise tolerance[6-minute walking test(6MWT)],sleep quality[Pittsburgh sleep quality index(PSQI)],quality of life[World Health Organization Quality of Life Measurement Scale Brief Version(WHOQOL-BREF)]were compared between the two groups.Results The PFS score(behavior,emotion,sensation,cognition)of the observation group was lower than that of the control group(P<0.05).The incidence of chemotherapy symptoms in the observation group was lower than that in the control group(P<0.05).The 6MWT results of the observation group after nursing were higher than those of the control group,and the PSQI score was lower than that of the control group(P<0.05).The WHOQOL-BREF score(physiological,psychological,social relations,environment)of the observation group after nursing was higher than that of the control group(P<0.05).Conclusion Exercise-psychological-sleep nursing intervention can alleviate cancer-related fatigue in patients with lung cancer chemotherapy,reduce the occurrence of chemotherapy symptoms,improve their exercise tolerance and sleep quality,and improve their quality of life.
作者
穆悦
MU Yue(The Fifth Ward of Respiratory and Critical Care Medicine Department,Tianjin Chest Hospital,Tianjin 300222,China)
出处
《医学信息》
2023年第3期169-172,共4页
Journal of Medical Information
关键词
肺癌
化疗
运动-心理-睡眠护理
癌因性疲乏
化疗症状
Lung cancer
Chemotherapy
Exercise-psychological-sleep nursing
Cancer-related fatigue
Chemotherapy symptoms