探究综合教育计划对癌症患者生活质量的影响：一项临床试验研究。
Investigating the effect of Integrated Educational Program on the Quality of Life among Cancer Patients: A Clinical Trial Study.
作者信息
Bayati Maryam, Molavynejad Shahram, Taheri Norollah, Cheraghian Bahman
机构信息
Nursing Care Research Center in Chronic Diseases, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Abadan Faculty of Medical Sciences, Abadan, Iran.
出版信息
Asian Pac J Cancer Prev. 2019 Nov 1;20(11):3457-3463. doi: 10.31557/APJCP.2019.20.11.3457.
BACKGROUND
cancer is one of the most common causes of death around the world. The process of this disease and the resulting complications reduce the quality of life of cancer patients. Taking the necessary measures for improving the quality of life of these patients seems to be essential. This study was performed to investigate the effect of integrated educational program on the quality of life of cancer patients.
METHOD
in this clinical trial study, 64 patients hospitalized in the specialized cancer hospital affiliated with Ahvaz Jundishapur University of Medical Sciences, Iran, were selected according to the inclusion criteria. Then, through blocked randomization method, they were assigned into intervention and control groups. The intervention group received the necessary trainings over four 60-min sessions (one session per week). The data collection in this study included demographic questionnaire and quality-of-life questionnaire of cancer patients (QLQ-C30). The quality of life was examined before the training as well as one and two months after the training. The data were analyzed by SPSS 20. Independent t-test was used to compare the means of the life quality dimensions of the studied groups.
RESULTS
all of the functional dimensions [physical , role function , emotional , cognitive , social(P≤0.05)] and symptomatic [fatigue , nausea and vomiting, pain , dyspnea , sleep disorders, diminished appetite, constipation, and diarrhea (P≤0.05)] of the quality of life of the intervention group increased significantly one and two months after running the integrated educational program.
CONCLUSION
integrated training causes improved symptoms and enhanced quality of life in cancer patients. Thus, it is recommended that integrated training be conducted alongside the routine care of cancer patients. This can improve the therapeutic outcomes, and also highlights the important role of nurses as well as nursing cares.
背景
癌症是全球最常见的死因之一。这种疾病的进程及其引发的并发症会降低癌症患者的生活质量。采取必要措施改善这些患者的生活质量似乎至关重要。本研究旨在调查综合教育计划对癌症患者生活质量的影响。
方法
在这项临床试验研究中，根据纳入标准选取了64名在伊朗阿瓦士贾undishapur医科大学附属专业癌症医院住院的患者。然后，通过区组随机化方法将他们分为干预组和对照组。干预组在四个60分钟的课程（每周一次）中接受必要的培训。本研究的数据收集包括人口统计学问卷和癌症患者生活质量问卷（QLQ-C30）。在培训前以及培训后1个月和2个月对生活质量进行检查。数据用SPSS 20进行分析。采用独立t检验比较研究组生活质量维度的均值。
结果
在实施综合教育计划1个月和2个月后，干预组生活质量的所有功能维度[身体、角色功能、情感、认知、社会（P≤0.05）]和症状维度[疲劳、恶心和呕吐、疼痛、呼吸困难、睡眠障碍、食欲减退、便秘和腹泻（P≤0.05）]均显著提高。
结论
综合培训可改善癌症患者的症状并提高生活质量。因此，建议在癌症患者的常规护理中同时进行综合培训。这可以改善治疗效果，也凸显了护士以及护理工作的重要作用。
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