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
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 interven-tion,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.
Esophageal cancerChemotherapyCancer-related fatigueNutritional status