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护理教育作为一种减少肿瘤患者疲劳感的干预措施。

Nursing education as an intervention to decrease fatigue perception in oncology patients.

作者信息

Godino Carolina, Jodar Lina, Durán Angela, Martínez Isabel, Schiaffino Anna

机构信息

Medical Oncology Department, Catalan Oncology Institute (ICO), Av. Gran Vía s/n, km 2,7, 08907 L'Hospitalet, Barcelona, Spain.

出版信息

Eur J Oncol Nurs. 2006 Apr;10(2):150-5. doi: 10.1016/j.ejon.2005.03.004.

Abstract

People with cancer have identified fatigue as a major obstacle to normal functioning and a good quality of life. It is a nearly universal symptom for patients undergoing primary antineoplasic therapy or treatment with biologic response modifiers (BRM) and is extremely common in patients with persistent or advanced disease. The aim of the study was to determine whether nursing education decreased the perception of fatigue in patients with colon or gastric cancer. We compared the fatigue level between two groups of patients who received the same treatment and had the same type of cancer (experimental group and control group). We provided an individualised and structured nursing intervention with education to the experimental group. We followed up the fatigue level in both groups with three different measures on the Functional Assessment of Cancer Therapy Fatigue (FACT-F) Scale. After the nursing intervention there was a decrease in the level of fatigue in the experimental group, whereas the group of patients that did not receive this intervention showed an increase in fatigue level along the treatment. The nursing intervention with the individualised education and counselling has provided patients with cancer with an effective tool to manage fatigue.

摘要

癌症患者已将疲劳视为正常功能和良好生活质量的主要障碍。对于接受原发性抗肿瘤治疗或生物反应调节剂(BRM)治疗的患者而言,疲劳几乎是一种普遍症状,在患有持续性或晚期疾病的患者中极为常见。该研究的目的是确定护理教育是否能降低结肠癌或胃癌患者对疲劳的感知。我们比较了两组接受相同治疗且患同类型癌症的患者(实验组和对照组)的疲劳程度。我们为实验组提供了个性化且结构化的护理干预及教育。我们使用癌症治疗功能评估疲劳(FACT-F)量表上的三种不同测量方法对两组患者的疲劳程度进行了随访。护理干预后,实验组的疲劳程度有所降低,而未接受该干预的患者组在治疗过程中疲劳程度有所增加。个性化教育和咨询的护理干预为癌症患者提供了一种管理疲劳的有效工具。

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