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乳腺癌病人癌因性疲乏的系统化护理干预
引用本文:李亚玲,王耕,王明华,冯晓敏.乳腺癌病人癌因性疲乏的系统化护理干预[J].中华护理杂志,2005,40(5):335-338.
作者姓名:李亚玲  王耕  王明华  冯晓敏
作者单位:442000,十堰市,湖北省郧阳医学院附属太和医院内分泌血管外科
摘    要:目的探讨乳腺癌癌因性疲乏的护理干预方法及效果.方法将80例乳腺癌术后癌因性疲乏病人随机分为观察组和对照组各40例.对照组根据医嘱行乳腺癌病人常规护理;观察组除接受常规护理外,再进行系统的癌因性疲乏护理干预.应用简易疲乏评估表、欧洲癌症治疗与研究组织问卷(EORTc-QLQ-C30)和卡氏功能量表,分别在干预前、干预15d后对两组病人进行癌因性疲乏和生活质量及功能状况评估.结果干预前两组病人疲乏程度比较差异无显著性意义(u=0.9893,P>0.05);干预后两组病人的疲乏程度比较差异有显著性意义(u=3.0411,P<0.05);干预前两组生活质量和功能状况比较差异无显著性意义(t=0.53、0.90、1.25、0.60、0.63、1.10、0.50,P均>0.05);干预后两组生活质量和功能状况比较差异有显著性意义(t=4.84、6.98、4.11、6.83、3.02、2.24、2.74,P均<0.05).结论系统的护理干预方法优于传统护理方法,指导病人写疲乏日记,进行心理疏导、健康教育、有氧运动,提供药膳饮食,可以消除疲乏或缓解疲乏程度,提高病人的生活质量.

关 键 词:乳腺肿瘤  癌因性疲乏  护理
修稿时间:2004年10月26

Nursing intervention in breast neoplasm patients with cancer-related fatigue
LI Yaling,WANG Geng,WANG Minghua,et al.Nursing intervention in breast neoplasm patients with cancer-related fatigue[J].Chinese Journal of Nursing,2005,40(5):335-338.
Authors:LI Yaling  WANG Geng  WANG Minghua  
Institution:LI Yaling,WANG Geng,WANG Minghua,et al Department of Endocrine Vascular Surgery,Taihe Hospital,Yunyang Medical College,Shiyan,Hubei Province,442000
Abstract:Objective To investigate the effect of nursing intervention on breast cancer patients with cancer related fatigue (CRF).Methods 80 breast cancer patients with CRF were randomly divided into group A ( n =40) and group B ( n =40) after operation. Group A only received conventional nursing care and group B also received nursing intervention of CRF. Brief Fatigue Inventory, EPRTC QLQ C30,and KPS were used for evaluating the patients' Quality of Life (QOL) and functional condition separately 15 days pre and post intervention.Results There was no significant deference between degree of fatigue, QOL and functional condition before intervening. However, there was a significant difference between them 15 days after interference ( u =3.0411, P <0.05; t =0.53, 0.90, 1.25, 0.60, 0.63, 1.10, 0.50, P <0.05).Conclusions Interference nursing care is better than conventional measures only. Diary of fatigue, health education, aerobic exercise and herbal diet could alleviate fatigue and improve the patients' quality of life.
Keywords:Breast neoplasms  Cancer-related fatigue  Nursing care
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