摘要
目的 探讨护患协同护理联合阶段式认知干预对食管癌化疗患者负性情绪、癌因性疲乏及生活质量的影响。方法 回顾性选择2021年6月至2022年8月医院采取常规干预的30例食管癌化疗患者作为研究对象,将其纳入对照组;另选取2022年9月至2023年10月医院采取护患协同护理联合阶段式认知干预的30例食管癌化疗患者作为研究对象,将其纳入观察组,两组均干预6周。比较两组干预前、干预6周负性情绪[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD-17)]、癌因性疲乏程度[Piper疲乏修订量表(PFS-R)]、生活质量水平[生活质量调查量表(EORTC QLQ-C30)]。结果 干预6周,两组HAMA、HAMD-17评分低于治疗前。观察组HAMA评分为(10.25±2.14)分,HAMD-17评分为(11.25±2.45)分,均低于对照组(13.65±2.48)分和(14.75±2.18)分(P<0.05);干预6周,两组PFS-R总分均低于治疗前,观察组(3.84±1.43)分低于对照组(5.73±1.51)分(P<0.05);治疗后两组生活质量水平高于治疗前,观察组(73.65±12.25)分高于对照组(58.25±12.89)分(P<0.05)。结论 护患协同护理联合阶段式认知干预可以有效减轻食管癌化疗患者的负性情绪,改善癌因性疲乏,提高生活质量。
Objective Analyze the impact of nurse patient collaborative nursing combined with staged cognitive intervention on negative emotions,cancer-related fatigue,and quality of life in esophageal cancer chemotherapy patients.Method Retrospective selection of 30 esophageal cancer chemotherapy patients who underwent routine intervention in hospitals from June 2021 to August 2022 as the study subjects,and their inclusion in the control group;Another 30 esophagea cancer chemotherapy patients who underwent nurse patient collaborative nursing combined with phased cognitive intervention in hospitals from September 2022 to October 2023 were selected as the study subjects and included in the observation group,with both groups receiving a 6-week intervention.Compare negative emotions between two groups before and after 6 weeks of intervention(Hamilton Anxiety Scale,HAMA).(Hamilton Depression Scale,HAMD-17),cancer-related fatigue level(Piper Fatigue Revised Scale,PFS-R),and quality of life level(Quality of Life Survey Scale,EORTC QLQ-C30).Result After 6 weeks of intervention,the HAMA and HAMD-17 scores of the two groups were lower than those before treatment,and the observation group(10.25±2.14)points and(11.25±2.45)points were lower than the control group (13. 65±2. 48) points and (14. 75±2. 18) points (P<0. 05);After 6 weeks of intervention, the total scores of PFS-R in the two groups were lower than those before treatment,and the observation group (3. 84± 1. 43)points was lower than the control group (5. 73±1. 51) points (P<0. 05);The quality of life of two groups were higher than those before treatment. The observation group (73. 65±12. 25) scored higher than those in the control group (58. 25±12. 89) (P<0. 05). Conclusion The combination of nurse patient collaborative nursing and staged cognitive intervention can effectively alleviate negative emotions in esophageal cancer chemotherapy patients,improve cancer-related fatigue,and improve quality of life.
作者
吴亚楠
柳杰
王静
WU Yanan;LIU Jie;WANG Jing(Department of Oncology,Kaifeng Central Hospital,Kaifeng 475000,China;Department of Nursing,Kaifeng Central Hospital,Kaifeng 475000,China)
出处
《济宁医学院学报》
2025年第1期66-70,共5页
Journal of Jining Medical University
基金
开封市科技计划项目(2303076)。
关键词
食管癌化疗
护患协同护理
阶段式认知干预
负性情绪
癌因性疲乏
生活质量
Chemotherapy for esophageal cancer
Collaborative nursing care between nurses and patients
Stage based cognitive intervention
Negative emotions
Cancer induced fatigue
Quality of life
作者简介
通信作者:王静,Email:315413675@qq.com。
