居家认知行为疗法在多发性骨髓瘤化疗病人癌因性疲乏中的应用

目的 探讨居家认知行为疗法在多发性骨髓瘤(MM)化疗病人癌因性疲乏中的影响效果。 方法 选取2015年4月至2017年5月无锡市人民医院收治行常规护理的MM化疗病人124例,采用随机数字表法分为观察组和对照组。护理8周后,对比两组癌因性疲乏、生活质量及护理满意度。 结果 观察组护理8周后无疲乏率高于对照组,中度疲乏率低于对照组,差异有统计学意义(P＜0.05)。观察组护理8周后视觉模拟(VAS)评分相比于对照组更高,差异有统计学意义(P＜0.05)。观察组护理8周后社会功能(SF)、认知功能(CF)、情绪功能(EF)、角色功能(RF)、躯体功能(PF)评分均高于对照组,差异有统计学意义(P＜0.05)。观察组护理总满意率95.16%高于对照组77.42%,差异有统计学意义(P＜0.05)。 结论 居家认知行为疗法应用于MM化疗病人效果显著,可有效减轻癌因性疲乏,提高生活质量与护理满意度,值得推广。

Application of home cognitive behavior therapy on cancer-induced fatigue in patients with multiple myeloma chemotherapy

Objective To investigate the effect of home cognitive behavior therapy on cancer-induced fatigue in patients with multiple myeloma (MM) chemotherapy. Methods 124 patients with MM chemotherapy in our hospital from April 2015 to May 2017 were selected and divided into the observation group and the control group by the random digital table method.After 8 weeks of care,cancerous fatigue,quality of life and nursing satisfaction were compared between the two groups. Results After 8 weeks of treatment,the rate of fatigue of the observation group was lower than that of the control group,the moderate fatigue rate was lower than that of the control group,the difference was statistically significant (P<0.05).After 8 weeks of nursing in the observation group,the VAS score was higher than that of the control group,and the difference was statistically significant (P<0.05).The scores of SF,CF,EF,RF and PF were significantly higher in the observation group than those in the control group (P<0.05).The overall satisfaction rate of the observation group was higher than that of the control group (95.16% vs. 77.42%),the difference was statistically significant (P<0.05). Conclusion The effect of home cognitive behavior therapy on MM chemotherapy is significant.Home cognitive behavior therapy can effectively reduce the cancerous fatigue,improve the quality of life and nursing satisfaction,which is worth promoting.