| 李娜.基于缓和医疗的护患共同管理模式对食管癌化疗患者癌因性疲乏及营养状况的影响[J].济宁医学院学报,2024,47(4):328-332 |
| 基于缓和医疗的护患共同管理模式对食管癌化疗患者癌因性疲乏及营养状况的影响 |
| Effects of the nurse-patient co-management model based on palliative care cancer-related fatigue and nutritional status in patients with esophageal cancer undergoing chemotherapy |
| 投稿时间：2024-03-25 |
| DOI：10.3969/j.issn.1000-9760.2024.04.013 |
| 中文关键词: 食管癌;化疗;癌因性疲乏;营养状况 |
| 英文关键词: Esophageal cancer;Chemotherapy;Cancer-related fatigue;Nutritional status |
| 基金项目:河南省医学科技攻关计划(LHGJ20190742) |
| 作者 | 单位 | | 李娜 | 河南省胸科医院胸外科, 郑州 450000 |
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| 中文摘要: |
| 目的 回顾性分析基于缓和医疗的护患共同管理模式在食管癌化疗患者中的临床应用价值。方法 选取2020年3月至2023年3月我院84例食管癌化疗患者,随机分为缓和医疗组(n=42)、对照组(n=42),对照组行常规护理,缓和医疗组在此基础上行基于缓和医疗的护患共同管理模式。比较2组营养状况[红蛋白(Hb)、清蛋白(ALB)、转铁蛋白(TRF)水平]、癌因性疲乏、自我护理能力[自我护理能力量表(ESCA)评分]、生活质量[食管癌专用量表(QLQ-OES18)评分]。结果 与干预前相比,干预后各组ALB、Hb、TRF指标水平明显升高,其中缓和医疗组改善更为显著,差异有统计学意义(P＜0.05);干预后缓和医疗组认知疲乏、躯体疲乏、心理疲乏、疲乏对生活的影响等癌因性疲乏评分低于对照组,差异有统计学意义(P＜0.05);干预后缓和医疗组自我护理技能、健康知识水平、自我责任感、自我概念等ESCA评分高于对照组,差异有统计学意义(P＜0.05);干预后缓和医疗组QLQ-OES18评分降低幅度大于对照组,差异有统计学意义(P＜0.05)。结论 对食管癌化疗患者实施基于缓和医疗的护患共同管理模式,能改善营养状况,减轻癌因性疲乏,提高自我护理能力、生活质量。 |
| 英文摘要: |
| Objective To retrospectively analyze the clinical application value of palliative care based nurse-patient co-management model in patients with esophageal cancer undergoing chemotherapy. Methods A total of 84 patients with esophageal cancer receiving chemotherapy in our hospital from March 2020 to March 2023 were selected and randomly divided into palliative care group (n=42) and control group (n=42).The control group received routine nursing,and the palliative care group received a co-management mode based on palliative care.Nutritional status (Hb),albumin (ALB),transferrin (TRF) levels,cancer-related fatigue,self-care ability (ESCA) and quality of life (QLQ-OES18) of the two groups were compared. Results Compared with before intervention,the levels of ALB,Hb,and TRF indicators in each group after intervention increased significantly,with more significant improvement in the palliative care group,and the differences were statistically significant (P＜0.05).After intervention,the cancer-related fatigue scores of cognitive fatigue,physical fatigue,psychological fatigue,and the impact of fatigue on life in the palliative care group were lower than those in the control group,and the differences were statistically significant (P＜0.05).After intervention,the ESCA scores of self-care skills,health knowledge level,self-responsibility,self-concept,etc.in the palliative care group were higher than those in the control group,and the differences were statistically significant (P＜0.05).After intervention,the QLQ-OES18 score of the palliative care group decreased more than that of the control group,and the difference was statistically significant (P＜0.05). Conclusion The nursing and patient co-management model based on palliative care can improve nutritional status,reduce cancer-related fatigue,improve self-care ability and quality of life in patients with esophageal cancer chemotherapy. |
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