食管癌开胸术后癌因性疲乏的护理干预

发布时间：2018-03-06 16:24

本文选题：食管癌　切入点：开胸　出处：《临床与病理杂志》2017年02期 　论文类型：期刊论文

【摘要】：目的:研究食管癌开胸术后癌因性疲乏的有效护理对策。方法:将我院82例开胸食管癌根治术患者为研究对象,随机分为观察组(n=41)与对照组(n=41),观察组行综合护理,对照组采取术后常规护理,比较两组护理前及护理后1月疲乏分级变化,记录护理后1月Piper疲乏量表评分,并随访3月观察两组生活质量差异。结果:两组护理前疲乏程度比较差异无统计学意义(P0.05),护理后两组疲乏程度均呈降低趋势,组间比较观察组疲乏程度显著较低(P0.05);与护理前比较观察组情感、感觉、认知及情绪评分显著降低(P0.05),对照组认知及情绪评分显著降低(P0.05),组间比较观察组情感、感觉、认知及情绪评分显著低于对照组(P0.05);与护理前比较观察组除社会功能外其他维度均显著高于护理前(P0.05),组间比较观察组情绪功能、总体健康评分显著高于对照组,差异有统计学意义(P0.05)。结论:针对开胸食管癌根治术后癌因性疲乏特征开展心理、饮食、放松等一系列综合护理可降低患者疲乏程度,改善患者生活质量,临床价值较高。
[Abstract]:Objective: to study the effective nursing strategies for patients with cancer fatigue after thoracotomy. Methods: 82 patients undergoing radical resection of esophageal carcinoma were randomly divided into two groups: observation group (n = 41) and control group (n = 41). In the control group, routine postoperative nursing was used to compare the changes of fatigue grading before and after nursing care in the two groups on January. The scores of Piper fatigue scale on January after nursing were recorded. The difference of quality of life between the two groups was observed on March. Results: there was no significant difference in the degree of pre-nursing fatigue between the two groups (P 0.05), and the fatigue degree of the two groups decreased after nursing care. Compared with before nursing, the scores of emotion, sensation, cognition and emotion in the observation group decreased significantly (P 0.05), the scores of cognition and emotion in the control group decreased significantly (P 0.05), and the emotion and feeling in the observation group were compared between the two groups. The scores of cognition and emotion were significantly lower than those of the control group (P 0.05), the other dimensions except social function of the observation group were significantly higher than those of the pre-nursing group (P 0.05), the emotional function of the observation group was significantly higher than that of the control group, and the overall health score of the observation group was significantly higher than that of the control group. Conclusion: a series of comprehensive nursing care, such as psychological, diet, relaxation and so on, can reduce the degree of fatigue, improve the quality of life of patients, and have a high clinical value.
【作者单位】：南通市肿瘤医院胸外科;
【分类号】：R473.73

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