摘要
目的:探讨需要层次护理在卵巢癌患者癌因性疲乏改善中的应用效果。方法:将2022年8月-2024年1月本院收治的卵巢癌患者96例以随机数字表法分为观察组及对照组各48例,对照组给予常规护理干预,观察组在对照组基础上实行需要层次护理,均干预3个月。观察两组患者干预前后癌因性疲乏症状改善情况,并对比两组心理韧性、应对方式及生存质量变化。结果:干预3个月后,观察组心理韧性量表各维度评分高于对照组,Piper疲乏修订量表各维度评分低于对照组,应对方式评定量表积极应对因子评分(27.01±2.23分)高于对照组(25.67±2.17分),消极应对因子评分(18.33±3.15分)低于对照组(20.17±3.01分),生命质量测定量表心理功能(46.17±4.03分)、躯体功能评分(28.08±2.39分)高于对照组(43.08±4.45分、26.19±2.81分),不良反应评分(21.11±2.37分)低于对照组(22.14±2.15分)(均P<0.05)。结论:需要层次护理能够增强卵巢癌患者心理韧性,改善其癌因性疲乏症状,还有利于患者疾病应对方式向积极转变,提高患者总体生存质量。
Objective:To explore the application effect of the hierachy of needs nursing in improving the cancer-related fatigue of patients with ovarian cancer.Methods:From August 2022 to January 2024,a total of 96 patients with ovarian cancer treated in the hospital were divided into two groups(48 cases in each group)by random number table method.The patients in the two groups were given the routine nursing for 3 months,and the patients in the observation group were given the hierachy of needs nursing additionally.The improvement situation of the cancer-related fatigue symptoms of the patients in the two groups before and after intervention was observed.The changes of mental resilience,coping style and quality of life of the patients were compared between the two groups.Results:After 3 months of intervention,the scores of the all dimensions of CD-RISC of the patients in the observation group were significantly higher than those of the patients in the control group,and the scores of the all dimensions of the revised Piper fatigue scale of the patients in the observation group were significantly lower than those of the patients in the control group.The positive coping factor score of the coping style rating scale(27.01±2.23 points)of the patients in the observation group was significantly higher than that(25.67±2.17 points)of the patients in the control group.The negative coping factor score(18.33±3.15 points)of the patients in the observation group was significantly lower than that(20.17±3.01 points)of the patients in the control group,and the scores of psychological function(46.17±4.03 points)and physical function(28.08±2.39 points)of the quality of life measurement scale of the patients in the observation group were significantly higher than those(43.08±4.45 points and 26.19±2.81 points)of the patients in the control group.The adverse reaction score(21.11±2.37 points)of the patients in the observation group was significantly lower than that(22.14±2.15 points)of the patients in the control group(all P<0.05).Conclusion:The hierachy of needs nursing for the patients with ovarian cancer can enhance their mental resilience,improve their cancer-related fatigue symptoms and help to positively change their disease coping style and improve their overall quality of life.
作者
文雯
周红艳
尹丽
李国雯
李铁莲
WEN Wen;ZHOU Hongyan;YIN Li;LI Guowen;LI Tielian(Panzhihua Hospital of Integrated Traditional Chinese and Western Medicine,Panzhihua,Sichuan Province,617000)
出处
《中国计划生育学杂志》
2025年第8期1755-1759,共5页
Chinese Journal of Family Planning
关键词
卵巢癌
癌因性疲乏
需要层次护理
心理韧性
生活质量
Ovarian cancer
Cancer-related fatigue
Hierachy of needs nursing
Mental resilience
Quality of life
