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针对性干预对肺癌化疗伴癌因性疲乏患者的影响

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目的:探讨针对性干预对肺癌化疗伴癌因性疲乏患者的影响.方法:选择 2021 年 3 月—2023 年 3 月江西省肿瘤医院胸内一病区接收的肺癌化疗伴癌因性疲乏患者 80 例作为研究对象,按随机数字表法将其分为对照组与观察组,各 40 例.对照组给予常规干预措施,观察组在对照组的基础上给予针对性干预,比较两组癌因性疲乏程度、心理状态、社会适应性、希望水平、睡眠质量、生存质量.结果:干预后观察组癌因性疲乏程度轻于对照组,差异有统计学意义(P<0.05).干预后观察组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均低于对照组,差异均有统计学意义(P<0.05).干预后观察组社会适应性量表的心理弹性、心理能量、人际适应性、控制倾向维度评分均高于对照组,差异均有统计学意义(P<0.05).干预后,观察组希望水平、生存质量评分均高于对照组,睡眠质量评分低于对照组,差异均有统计学意义(P<0.05).结论:对肺癌化疗伴癌因性疲乏患者实施针对性干预可进一步疏解负面情绪,改善癌因性疲乏症状,并增强患者的社会适应性,提高希望水平,恢复良好的睡眠质量和生存质量.
Effect of Targeted Intervention on Patients with Lung Cancer Chemotherapy and Cancer-related Fatigue
Objective:To investigate the effect of targeted intervention on lung cancer chemotherapy patients with cancer-related fatigue.Method:A total of 80 lung cancer chemotherapy patients with cancer-related fatigue who received chemotherapy in the First Ward of the Thoracic Department of Jiangxi Cancer Hospital from March 2021 to March 2023 were selected as the study objects,and were divided into control group and observation group according to random number table method,with 40 cases in each group.The control group was given routine intervention measures,and the observation group was given targeted intervention on the basis of the control group.The degree of cancer-related fatigue,psychological state,social adaptability,hope level,sleep quality and quality of life of the two groups were compared.Result:After intervention,the degree of cancer-induced fatigue in the observation group was less than that in the control group,the difference was statistically significant(P<0.05).After intervention,the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).After intervention,the scores of psychological resilience,psychological energy,interpersonal adaptability and control tendency in the social adaptability scale of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).After intervention,hope level and quality of life score of observation group were higher than those of control group,sleep quality score was lower than that of control group,the differences were statistically significant(P<0.05).Conclusion:Targeted intervention for lung cancer chemotherapy patients with cancer-related fatigue can further relieve negative emotions,improve symptoms of cancer-related fatigue,enhance patients'social adaptability,improve the level of hope,and restore good sleep quality and quality of life.

Lung cancerChemotherapyCancer-related fatigueTargeted interventionMental stateHope level

曾小燕、刘清霞、周冬莲

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江西省肿瘤医院胸内一病区 江西 南昌 330029

肺癌 化疗 癌因性疲乏 针对性干预 心理状态 希望水平

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(11)
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