基于奥马哈系统的连续护理对肺癌化疗患者癌因性疲乏的影响：一项随机对照试验。
Effect of continuous nursing based on the Omaha System on cancer-related fatigue in patients with lung cancer undergoing chemotherapy: a randomized controlled trial.
机构信息
School of Nursing, Naval Medical University, Shanghai, China; Nursing Department, Hangzhou First People's Hospital, Hangzhou, China.
School of Nursing, Naval Medical University, Shanghai, China; School of Nursing, Fudan University, Shanghai, China. Email:
出版信息
Ann Palliat Med. 2021 Jan;10(1):323-332. doi: 10.21037/apm-20-2542.
BACKGROUND
As one of the important treatments for lung cancer, chemotherapy not only brings hope for the survival of patients, but also influences their body and mind. Most patients have different degrees of fatigue during chemotherapy and after chemotherapy, and the occurrence and aggravation of fatigue do not necessarily occur during hospitalization, there is a lag, mostly occurs in the interval after chemotherapy, therefore, continuous nursing care is very important for patients with lung cancer undergoing chemotherapy. The purpose of this study was to explore the effect of continuous nursing, based on Omaha System theory, on cancer-related fatigue in patients with lung cancer receiving chemotherapy.
METHODS
From April 2018 to May 2019, a total of 102 inpatients with lung cancer at a cancer hospital in Hangzhou, China were selected for chemotherapy. A total of 7patients were lost to follow-up during the intervention, leaving 46 and 49 patients randomly assigned to the experimental and control groups, respectively. Participants in the control group received routine nursing after discharge, while those in the experimental group were nursed according to the Omaha System model.
RESULTS
After 4 cycles of chemotherapy, scores for total, physical, cognitive, and emotional fatigue were significantly lower in the intervention group than those in the control group (P<0.05). Repeated analysis of variance (ANOVA) showed that there were significant differences in the time-dependent (<0.001) and intervention-dependent (P<0.001) effects on fatigue score, as well as a significant interaction between time and intervention (P<0.001).
CONCLUSIONS
Continuous nursing based on Omaha System theory can ameliorate cancer fatigue in patients with lung cancer undergoing chemotherapy.
背景
作为肺癌的重要治疗方法之一，化疗不仅为患者的生存带来了希望，也影响了他们的身心。大多数患者在化疗期间和化疗后都会出现不同程度的疲劳，且疲劳的发生和加重并不一定发生在住院期间，存在滞后，大多发生在化疗间歇期，因此，对接受化疗的肺癌患者进行连续护理非常重要。本研究旨在探讨基于奥马哈系统理论的连续护理对肺癌化疗患者癌因性疲劳的影响。
方法
2018 年 4 月至 2019 年 5 月，选取杭州市某肿瘤医院 102 例接受化疗的肺癌住院患者。在干预过程中，共有 7 例患者失访，最终随机分配 46 例和 49 例患者进入实验组和对照组。对照组患者出院后接受常规护理，实验组患者则按照奥马哈系统模式进行护理。
结果
在 4 个化疗周期后，实验组患者的总疲劳、身体疲劳、认知疲劳和情绪疲劳评分均显著低于对照组（P<0.05）。重复方差分析（ANOVA）显示，疲劳评分存在时间依赖性（<0.001）和干预依赖性（P<0.001）的显著差异，以及时间和干预之间的显著交互作用（P<0.001）。
结论
基于奥马哈系统理论的连续护理可以改善肺癌化疗患者的癌因性疲劳。
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