Effects of multi-role collaborative palliative care on cancer-related fatigue and self-perceived burden in elderly patients with advanced nasopharyngeal cancer
Objective To observe the effects of multi-role collaborative palliative care on cancer-related fatigue and self-perceived burden in elderly patients with advanced nasopharyngeal cancer.Methods 120 elderly patients with advanced nasopharyngeal cancer admitted to Cancer Hospital of Jiangsu Province from January 2021 to January 2024 were included in the study.They were divided into routine group and combination group according to random envelope method,with 60 cases in each group.The routine group received routine nursing for advanced nasopharyngeal cancer,and the combination group re-ceived multi-role cooperative palliative care+routine nursing.The nursing time of both groups was 1 month.The pain degree[Visual Analogue Scale(VAS)],breathing status(Borg dyspnea score),psychological status[Connor-Davidson Resilience Scale(CD-RISC)],cancer-related fatigue[Brief Fatigue Inventory(BFI)],self-perceived burden[Self-Perceived Burden Scale(SPBS)],quality of life[Quality of Life Scale-35(QOL-35)]and nutritional status(serum albumin,hemoglobin)were compared between the two groups before and after intervention.Results After intervention,the scores of VAS and Borg dyspnea in the combination group were lower than those in the routine group(P＜0.05),and the difference values of the above scores before and after intervention were greater than those in the routine group(P＜0.05).CD-RISC score in the com-bination group was higher than that in the routine group,BFI score was lower than that in the routine group,and the difference values of the above scores before and after intervention were greater than those in the routine group(P＜0.05).SPBS score in the combination group was lower than that in the routine group,QOL-35 score was higher than that in the routine group,and the difference values of the above scores before and after intervention were greater than those in the routine group(P＜0.05).The levels of serum albumin and hemoglobin in the combination group were higher than those in the routine group,and the difference values of the above indexes before and after intervention were greater than those in routine group(P＜0.05).Conclusion Multi-role collaborative palliative care can effectively relieve cancer pain and dyspnea symptoms in elderly pa-tients with advanced nasopharyngeal cancer.It is beneficial to improve psychological status of patients,reduce cancer-related fatigue and self-perceived burden,and improve nutritional status and quality of life.
万方数据
维普
