综合干预方案对接受放疗的头颈部癌症患者生活质量、疲劳、自我效能和心理社会困扰的影响。

Effectiveness of Comprehensive Intervention Programme on Quality of life, fatigue, self-efficacy, and psychosocial distress among head and neck cancer patients receiving radiotherapy.

机构信息

Medical Surgical Nursing, Manipal College of Nursing, Manipal Academy of Higher Education, Manipal, Karnataka, India.

Radiotherapy & Oncology, KS Hegde Medical Academy, Nitte (Deemed to Be University), Mangalore, Karnataka, India.

出版信息

Support Care Cancer. 2024 Mar 7;32(4):216. doi: 10.1007/s00520-024-08381-x.

DOI:10.1007/s00520-024-08381-x

PMID:38448712

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10917822/

Abstract

PURPOSE

The study aimed at evaluating the Effectiveness of Comprehensive Intervention Programme (CIP) on Quality of life (QOL), fatigue, self-efficacy, and psychosocial distress among Head and Neck Cancer (HNC) patients receiving radiotherapy treatment.

METHODS

Single-centre non-RCT time series study was conducted among 134 HNC patients (67 observed, followed by 67 subjected to CIP). FACT- H&N, FACT-F, Cancer Behavior Inventory and psychosocial distress scales were used to assess QOL, fatigue, self-efficacy, and psychosocial distress respectively. CIP was provided to the intervention arm twice a week during the course of radiation therapy along with the standard care; the control arm received only standard care. Data were collected before commencing radiotherapy, and post-test assessments were carried out at the end of radiotherapy treatment, and at 3 and 6 months after completion of radiotherapy.

RESULTS

Repeated measures ANOVA revealed a statistically significant improvement with CIP in QOL (F (1.917) = 454.103, p = 0.001), fatigue (F (2.106) = 183.775, p = 0.001), self-efficacy (F (2.429) = 190.861, p = 0.001), and psychosocial distress (F (2.288) = 290.105, p = 0.001) in the intervention arm.

CONCLUSION

The CIP implemented to address multitude of issues in HNC patients receiving radiotherapy, proved to be effective in reducing the impact of treatment on QOL, fatigue, self-efficacy and psychosocial distress in HNC patients receiving radiotherapy.

摘要

目的

本研究旨在评估综合干预方案（CIP）对接受放射治疗的头颈部癌症（HNC）患者的生活质量（QOL）、疲劳、自我效能和心理社会困扰的影响。

方法

对 134 名 HNC 患者（67 例观察，67 例接受 CIP）进行单中心非随机对照时间序列研究。采用 FACT-H&N、FACT-F、癌症行为量表和心理社会困扰量表分别评估 QOL、疲劳、自我效能和心理社会困扰。CIP 在放射治疗过程中每周提供两次，并结合标准护理；对照组仅接受标准护理。在开始放射治疗前收集数据，并在放射治疗结束时、放射治疗结束后 3 个月和 6 个月进行测试评估。

结果

重复测量方差分析显示，CIP 组在 QOL（F（1.917）= 454.103，p = 0.001）、疲劳（F（2.106）= 183.775，p = 0.001）、自我效能（F（2.429）= 190.861，p = 0.001）和心理社会困扰（F（2.288）= 290.105，p = 0.001）方面均有显著改善。