[1]穆 悦.运动-心理-睡眠护理干预对肺癌化疗患者癌因性疲乏和化疗症状的护理效果[J].医学信息,2023,36(03):169-172.[doi:10.3969/j.issn.1006-1959.2023.03.037]
　MU Yue.Nursing Effect of Exercise-psychology-sleep Nursing Intervention on Cancer-related Fatigue and Chemotherapy Symptoms in Patients with Lung Cancer Undergoing Chemotherapy[J].Journal of Medical Information,2023,36(03):169-172.[doi:10.3969/j.issn.1006-1959.2023.03.037]
点击复制

运动-心理-睡眠护理干预对肺癌化疗患者癌因性疲乏和化疗症状的护理效果()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年03期
页码:
169-172
栏目:
护理研究
出版日期:
2023-02-01

文章信息/Info

Title:
Nursing Effect of Exercise-psychology-sleep Nursing Intervention on Cancer-related Fatigue and Chemotherapy Symptoms in Patients with Lung Cancer Undergoing Chemotherapy
文章编号:
1006-1959（2023）03-0169-04
作者:
穆 悦
（天津市胸科医院呼吸与危重症医学科五病区，天津 300222）
Author(s):
MU Yue
(The Fifth Ward of Respiratory and Critical Care Medicine Department,Tianjin Chest Hospital,Tianjin 300222,China)
关键词:
肺癌; 化疗; 运动-心理-睡眠护理; 癌因性疲乏; 化疗症状
Keywords:
Lung cancer; Chemotherapy; Exercise-psychological-sleep nursing; Cancer-related fatigue; Chemotherapy symptoms
分类号:
R473.73
DOI:
10.3969/j.issn.1006-1959.2023.03.037
文献标志码:
A
摘要:
目的 研究运动-心理-睡眠护理干预对肺癌化疗患者癌因性疲乏和化疗症状的影响。方法 选取2022年1月1日-6月17日于我院接受化疗的50例肺癌患者，采用随机数字表法分为对照组（25例）和观察组（25例）。对照组进行常规护理干预，观察组在其基础上应用运动-心理-睡眠护理干预，比较两组癌因性疲乏[Piper疲乏量表（PFS）]、化疗症状、运动耐量[6分钟步行试验（6MWT）]、睡眠质量[匹兹堡睡眠质量指数（PSQI）]、生存质量[世界卫生组织生活质量测定表简表（WHOQOL-BREF）]。结果 观察组护理后PFS评分（行为、情感、感觉、认知）低于对照组（P＜0.05）；观察组化疗症状发生率小于对照组（P＜0.05）；观察组护理后6MWT结果大于对照组，PSQI分数低于对照组（P＜0.05）；观察组护理后WHOQOL-BREF评分（生理、心理、社会关系、环境）高于对照组（P＜0.05）。结论 运动-心理-睡眠护理干预可缓解肺癌化疗患者的癌因性疲乏，减少化疗症状的出现，改善其运动耐量及睡眠质量，提升生存质量。
Abstract:
Objective To study the effect of exercise-psychology-sleep nursing intervention on cancer-related fatigue and chemotherapy symptoms in patients with lung cancer undergoing chemotherapy.Methods Fifty patients with lung cancer who received chemotherapy in our hospital from January 1, 2022 to June 17, 2022 were randomly divided into control group (25 cases) and observation group (25 cases). The control group was given routine nursing intervention, and the observation group was given exercise-psychological-sleep nursing intervention on the basis of the control group. The cancer-related fatigue [Piper Fatigue Scale (PFS)], chemotherapy symptoms, exercise tolerance [6-minute walking test (6MWT)], sleep quality [Pittsburgh sleep quality index (PSQI)], quality of life [World Health Organization Quality of Life Measurement Scale Brief Version (WHOQOL-BREF)] were compared between the two groups.Results The PFS score (behavior, emotion, sensation, cognition) of the observation group was lower than that of the control group (P<0.05). The incidence of chemotherapy symptoms in the observation group was lower than that in the control group (P<0.05). The 6MWT results of the observation group after nursing were higher than those of the control group, and the PSQI score was lower than that of the control group (P<0.05). The WHOQOL-BREF score (physiological, psychological, social relations, environment) of the observation group after nursing was higher than that of the control group (P<0.05).Conclusion Exercise-psychological-sleep nursing intervention can alleviate cancer-related fatigue in patients with lung cancer chemotherapy, reduce the occurrence of chemotherapy symptoms, improve their exercise tolerance and sleep quality, and improve their quality of life.

参考文献/References:

[1]王凡,韩凤,刘芳,等.正念癌症康复训练对术后化疗期肺癌患者癌因性疲乏的影响[J].护理学杂志,2021,36(16):73-74,91.[2]Song J,Fan X,Zhao Z,et al.125I brachytherapy of locally advanced non-small-cell lung cancer after one cycle of first-line chemotherapy: a comparison with best supportive care[J].OncoTargets and Therapy,2017,10:1345-1352.[3]江海涛,曲丽丽,宋桂芳.尊严护理联合阻力呼吸训练在肺癌化疗患者中的应用效果[J].中国医药导报,2021,18(21):181-184.[4]王立丽.肺癌化疗患者心理弹性和应对方式对生存质量的影响研究[J].护士进修杂志,2017,32(24):2227-2229,2267.[5]刁卓,王成,刘晓超,等.参莲胶囊联合曲妥珠单抗对人表皮生长因子受体2阳性晚期胃癌化疗患者毒副作用及临床疗效的影响[J].国际中医中药杂志,2018,40(11):1020-1024.[6]马莉丹.综合性护理干预对肺癌化疗患者自护能力和睡眠质量的影响[J].山西医药杂志,2021,50(6):1046-1048.[7]冯莎莎,唐瑞红,樊聪智.综合护理措施对晚期非小细胞肺癌化疗患者癌性疲乏与生活质量的影响[J].中国肿瘤临床与康复,2020,27(4):482-485.[8]中国抗癌协会癌症康复与姑息治疗专业委员会,中国临床肿瘤学会肿瘤支持与康复治疗专家委员会.癌症相关性疲乏诊断与治疗中国专家共识[J].中华医学杂志,2022,102(3):180-189.[9]吴林珂,张琦婉,吕利杰,等.肺癌化疗期患者癌因性疲乏与希望水平的相关性及其它影响因素研究[J].护士进修杂志,2020,35(2):97-100.[10]张萌,牛爱华,孙艳红.正念行为训练联合共情护理对肺癌化疗患者应对方式及生活质量的影响[J].医学临床研究,2021,38(8):1163-1165,1169.[11]丁雅琴,嵇冰,曹美丽.综合护理对非小细胞肺癌化疗患者自我护理能力及生活质量的影响[J].重庆医学,2019,48(13):2335-2337.[12]颜雯晶,刘艳萍,丁茹蕾,等.肺癌化疗患者疲乏-负性情绪-疼痛-睡眠障碍症状群及其影响因素[J].解放军护理杂志,2019,36(6):44-47.[13]王娟,李向丽,杜巧红.整体性护理干预在非小细胞肺癌晚期化疗患者中的应用观察[J].中国药物与临床,2019,19(6):1023-1025.[14]随意,邢凤梅,朱亮,等.中晚期肺癌化疗患者营养状况及影响因素研究[J].护理管理杂志,2018,18(11):799-803.[15]任晓梅.综合护理干预措施在老年肺癌放化疗患者中的应用效果分析[J].河北医药,2018,40(10):1580-1582,1585.[16]胡若男,高琼.综合护理干预在晚期非小细胞肺癌放化疗中的效果[J].实用临床医药杂志,2017,21(22):32-34.[17]刘雅静,明帮春.综合护理干预措施在非小细胞肺癌放化疗患者中的应用效果[J].中华全科医学,2017,15(9):1605-1608.[18]吕岩,吴宇殊,高峰.呼吸训练对中晚期化疗肺癌患者呼吸功能及生活质量的影响研究[J].实用临床医药杂志,2017,21(6):33-35.[19]屈卓军,王菁,张阳阳.基于PERMA模式的心理护理对肺癌化疗患者的干预效果[J].海南医学,2021,32(24):3261-3264.[20]Suesada MM,Carvalho H,Albuquerque A,et al.Impact of thoracic radiotherapy on respiratory function and exercise capacity in patients with breast cancer[J].Jornal Brasileiro De Pneumologia,2018,44(6):469-476.[21]王小梅,张红娟,杨蓉,等.肺癌化疗患者癌因性疲乏与生活质量的相关性及运动睡眠心理三联护理干预对策[J].中国肿瘤临床与康复,2020,27(2):247-250.

相似文献/References:

[1]宁尚波,杨东红,付 爽.选择性动脉灌注化疗在口腔癌治疗中的进展[J].医学信息,2018,31(03):28.[doi:10.3969/j.issn.1006-1959.2018.03.009]
　NING Shang-bo,YANG Dong-hong,FU Shuang.Progress of Selective Arterial infusion Chemotherapy in the Treatment of Oral Cancer[J].Journal of Medical Information,2018,31(03):28.[doi:10.3969/j.issn.1006-1959.2018.03.009]
[2]李杰萍,姜翠红,管树荣,等.化疗患者PICC置管前后心理体验的质性研究[J].医学信息,2018,31(05):164.[doi:10.3969/j.issn.1006-1959.2018.05.060]
　I Jie-ping,JIANG Cui-hong,GUAN Shu-rong,et al.Qualitative Study of Psychological Experience before and after PICC Catheterization in Patients undergoing Chemotherapy[J].Journal of Medical Information,2018,31(03):164.[doi:10.3969/j.issn.1006-1959.2018.05.060]
[3]尤 静.肺癌患者外周血CEA、NSE、CYFRA21-1联合检测的意义[J].医学信息,2018,31(06):149.[doi:10.3969/j.issn.1006-1959.2018.06.052]
　YOU Jing.Clinical Significance of Combined Detection of CEA,NSE,CYFRA21-1 in Peripheral Blood of Patients with Lung Cancer[J].Journal of Medical Information,2018,31(03):149.[doi:10.3969/j.issn.1006-1959.2018.06.052]
[4]戴 芳,曹晓美,王莉娜.肺癌患者疾病不确定感的影响因素与干预措施研究现状[J].医学信息,2018,31(08):35.[doi:10.3969/j.issn.1006-1959.2018.08.012]
　DAI Fang,CAO Xiao-mei,WANG Li-na.Research Status on Influencing Factors and Intervention Measures of Disease Uncertainty in Patients with Lung Cancer[J].Journal of Medical Information,2018,31(03):35.[doi:10.3969/j.issn.1006-1959.2018.08.012]
[5]庞小坤,韩 梅,江心灿,等.当归补血汤治疗肿瘤化疗不良反应随机对照临床试验的Meta分析[J].医学信息,2019,32(02):69.[doi:10.3969/j.issn.1006-1959.2019.02.021]
　Pang Xiao-kun,Han Mei,Jiang Xin-can,et al.Meta-analysis of a Randomized Controlled Clinical Trial of Angelica Buxue Decoction in the Treatment of Adverse Reactions to Chemotherapy[J].Journal of Medical Information,2019,32(03):69.[doi:10.3969/j.issn.1006-1959.2019.02.021]
[6]吴 倩,王一非.中西医结合治疗肺癌脑转移疗效与安全性的Meta分析[J].医学信息,2022,35(10):120.[doi:10.3969/j.issn.1006-1959.2022.10.029]
　WU Qian,WANG Yi-fei.Meta-analysis of Efficacy and Safety of Integrated Traditional Chinese and Western Medicine in the Treatment of Brain Metastasis of Lung Cancer[J].Journal of Medical Information,2022,35(03):120.[doi:10.3969/j.issn.1006-1959.2022.10.029]
[7]王晓军.以时间护理为基础的呼吸训练与排痰管理对肺癌手术患者康复的影响研究[J].医学信息,2022,35(11):180.[doi:10.3969/j.issn.1006-1959.2022.11.048]
　WANG Xiao-jun.Effect of Respiratory Training and Expectoration Management Based on Time Nursing on Rehabilitation of Patients with Lung Cancer Surgery[J].Journal of Medical Information,2022,35(03):180.[doi:10.3969/j.issn.1006-1959.2022.11.048]
[8]邢益辉,刘 曼,厉玛倩倩,等.快速康复对肺癌手术患者并发症发生及生活质量的影响研究[J].医学信息,2018,31(16):168.[doi:10.3969/j.issn.1006-1959.2018.16.054]
　XING Yi-hui,LIU Man,LIMA Qian-qian,et al.Effect of Rapid Rehabilitation on Complications and Quality of Life in Patients with Lung Cancer Surgery[J].Journal of Medical Information,2018,31(03):168.[doi:10.3969/j.issn.1006-1959.2018.16.054]
[9]朱晓晓,张 顺,蔡 挺.镍暴露相关的肺癌发生分子机制研究[J].医学信息,2018,31(17):4.[doi:10.3969/j.issn.1006-1959.2018.17.002]
　ZHU Xiao-xiao,ZHANG Shun,CAI Ting.Molecular Mechanism of Lung Cancer Related to Nickel Exposure[J].Journal of Medical Information,2018,31(03):4.[doi:10.3969/j.issn.1006-1959.2018.17.002]
[10]付云杰.肺癌患者血浆D-二聚体、NSE及CYFRA21-1联合检测的临床价值[J].医学信息,2018,31(23):161.[doi:10.3969/j.issn.1006-1959.2018.23.047]
　FU Yun-jie.Clinical Value of the Plasma D-dimer and Serum NSE,CYFRA21-1 Combined Detection in the Diagnosis of Lung Cancer[J].Journal of Medical Information,2018,31(03):161.[doi:10.3969/j.issn.1006-1959.2018.23.047]
[11]胡 微,郑文丽.针对性护理对改善肺癌患者化疗后胃肠道不良反应的效果[J].医学信息,2023,36(04):156.[doi:10.3969/j.issn.1006-1959.2023.04.033]
　HU Wei,ZHENG Wen-li.Effect of Targeted Nursing on Improving Gastrointestinal Adverse Reactions After Chemotherapy in Patients With Lung Cancer[J].Journal of Medical Information,2023,36(03):156.[doi:10.3969/j.issn.1006-1959.2023.04.033]

更新日期/Last Update: 1900-01-01