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观察延伸舒适护理对肺癌化疗患者癌因性疲乏的影响。

Observation of the Effects of Extended Comfort Nursing on Cancer-Related Fatigue in Patients with Lung Cancer Undergoing Chemotherapy.

出版信息

Altern Ther Health Med. 2023 Nov;29(8):376-383.

Abstract

OBJECTIVE

This study aimed to evaluate the clinical effects of providing extended comfort care to lung cancer patients undergoing chemotherapy and its impact on cancer-related fatigue levels.

METHODS

Using a retrospective data analysis approach, a total of 88 lung cancer patients receiving chemotherapy at our hospital from March 2021 to March 2022 were selected as research participants. They were divided into an observation group and a control group based on different nursing methods, with 44 patients in each group. The observation group received extended comfort nursing interventions, while the control group received routine nursing care. Patients' comfort levels in both groups were compared, and changes in cancer-related fatigue, self-efficacy, psychological state, coping style, sleep quality, and overall life quality were assessed.

RESULTS

Following the nursing interventions, patients in the observation group exhibited better physical, psychological, spiritual, sociocultural, and environmental well-being compared to the control group (P < .05). The observation group also showed lower scores for emotional exhaustion, physical exhaustion, cognitive exhaustion, and overall exhaustion compared to the control group (P < .05). Moreover, patients in the observation group demonstrated higher levels of self-efficacy on the health promotion strategy questionnaire (Supph) (P < .05) and lower scores on the self-rating anxiety and depressive symptoms scales (P < .05) after receiving nursing care. In terms of coping style, patients in the observation group exhibited lower avoidance and yield scores but higher face scores than the control group (P < .05). The observation group also reported higher overall life quality scale item grades (P < .05) and lower Pittsburgh Sleep Quality Index (PSQI) scores (P < .05) compared to the control group.

CONCLUSIONS

Extended comfort care for lung cancer patients during chemotherapy improves emotional and physical comfort and effectively reduces cancer-related fatigue levels. These findings have significant implications for clinical practice.

摘要

目的

本研究旨在评估为接受化疗的肺癌患者提供延伸舒适护理的临床效果及其对癌因性疲乏水平的影响。

方法

采用回顾性数据分析方法,选取我院 2021 年 3 月至 2022 年 3 月期间收治的 88 例接受化疗的肺癌患者作为研究对象。根据护理方法的不同将其分为观察组和对照组,每组 44 例。观察组患者接受延伸舒适护理干预,对照组患者接受常规护理。比较两组患者的舒适程度,并评估癌因性疲劳、自我效能感、心理状态、应对方式、睡眠质量和总体生活质量的变化。

结果

护理干预后,观察组患者在身体、心理、精神、社会文化和环境等方面的健康状况明显优于对照组(P<0.05)。观察组患者的情感衰竭、身体衰竭、认知衰竭和总衰竭评分均低于对照组(P<0.05)。此外,观察组患者在健康促进策略问卷(Supph)中的自我效能感评分较高(P<0.05),而在焦虑自评量表和抑郁自评量表上的评分较低(P<0.05)。在应对方式方面,观察组患者的回避和屈服评分较低,而面对评分较高,与对照组相比差异有统计学意义(P<0.05)。观察组患者的总体生活质量量表各项目评分较高(P<0.05),匹兹堡睡眠质量指数(PSQI)评分较低(P<0.05)。

结论

为接受化疗的肺癌患者提供延伸舒适护理可提高患者的情绪和身体舒适度,并有效降低癌因性疲乏水平。这些发现对临床实践具有重要意义。

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