健康行为整合理论指导的护理措施对结直肠癌化疗患者睡眠质量及癌因性疲乏程度的影响

Effects of Nursing Measures Guided By Integrated Health Behavior Theory on Sleep Quality and Degree of Cancer-related Fatigue in Patients with Colorectal Cancer Undergoing Chemotherapy

郭璇 ¹林爱苹¹

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作者信息

1. 厦门大学附属第一医院,厦门,361003
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摘要

目的:探究在结直肠癌化疗患者护理时开展基于健康行为整合理论(ITHBC)指导的护理干预对患者睡眠质量以及癌因性疲乏程度的影响.方法:选取2022年3月至2023年10月厦门大学附属第一医院收治的结直肠癌化疗患者68例作为研究对象,按照随机数字表法分为对照组和观察组,每组34例.对照组给予常规护理干预,观察组给予ITHBC指导的护理干预.采用匹兹堡睡眠质量指数(PSQI)比较2组患者干预前后睡眠质量的差异,采用生命质量测定量表(QLQ-C70)比较2组患者干预前后生命质量的变化,采用癌因性疲乏量表(PFRS)比较2组患者干预前后癌因性疲乏程度.结果:干预后,观察组PSQI评分、PFRS评分均显著低于对照组,观察组QLQ-C70评分显著高于对照组,差异均有统计学意义(均P＜0.05).结论:在对结直肠癌化疗患者护理时开展ITHBC指导的护理措施,可以有效提升患者睡眠质量,改善生命质量,降低患者癌因性疲乏程度,值得临床推广应用.

Abstract

Objective:To explore the effects of Integrated Health Behavior Theory(ITHBC)guided nursing intervention on sleep quality and cancer-related fatigue in patients with colorectal cancer undergoing chemotherapy.Methods:A total of 68 patients with colorectal cancer treated with chemotherapy in the First Affiliated Hospital of Xiamen University from March 2022 to October 2023 were selected as the study objects,and were divided into control group and observation group according to random number table method,with 34 cases in each group.The control group was given routine nursing intervention,and the observation group was given ITHBC guided nursing intervention.Pittsburgh Sleep Quality Index(PSQI)was used to compare the difference of sleep quality be-tween the two groups before and after the intervention,QLQ-C70 was used to compare the change of life quality between the two groups before and after the intervention,and PFRS was used to compare the degree of cancer fatigue between the two groups before and after the intervention.Results:After intervention,PSQI score and PFRS score in the observation group were significantly lower than those in the control group,and QLQ-C70 score in the observation group was significantly higher than that in the control group,with statistical significance between the two groups(P＜0.05).Conclusion:ITHBC-guided nursing measures can effective-ly improve patients'sleep quality,improve patients'life quality,and reduce patients'cancer-related fatigue degree during the nursing of patients with colorectal cancer chemotherapy,which is worthy of clinical application.

关键词

ITHBC指导/护理措施/结直肠癌/化疗/睡眠质量/癌因性疲乏程度/生命质量

Key words

ITHBC guidance/Nursing measures/Colorectal cancer/Chemotherapy/Sleep quality/Degree of cancer-related fa-tigue/Quality of life

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出版年

2024

世界睡眠医学杂志

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参考文献量20

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