修改后 个体化护理配合参麦注射液对姑息治疗的肺癌患者癌因性疲乏的改善作用.docxVIP

个体化护理配合参麦注射液对姑息治疗的肺癌患者癌因性疲乏的改善作用摘要 目的 探讨个体化护理配合参麦注射液对姑息治疗的肺癌患者癌因性疲乏的改善效果，为临床治疗提供参考依据。方法 将2011年3月-2013年6月期间在我院进行姑息治疗的94例肺癌患者通过简单随机化分组的方法分为观察组（n=47）和对照组（n=47）。对照组给予参麦注射液及常规护理，观察组给予参麦注射液及个体化护理，观察两组治疗后的疲乏状况及生活质量情况。结果 两组患者治疗后在感觉、认知、情绪、行为四个维度及总体疲乏程度均较治疗前改善（P0.05）；观察组治疗后各维度疲乏评分及总体疲乏评分（感觉3.07±1.41、认知2.89±1.24、情绪3.15±1.44、行为3.25±1.27、总体评分3.18±1.34）较对照下降显著（感觉4.57±1.37、认知4.05±1.31、情绪4.31±1.39、行为4.51±1.40、总体评分4.42±1.36），差异具有统计学意义（P0.05）；治疗后观察组患者生活质量各个维度及总体健康评分均高于对照组，除角色功能方面比较差异无统计学意义外（P＞0.05），其余方面比较均具有统计学意义（P 0.05）。结论 对于姑息治疗的肺癌患者运用参麦注射液联合个体化护理能有效的改善其疲乏症状，提高患者的生活质量。关键词 个体化护理；参麦注射液；姑息治疗；肺癌；癌因性疲乏Improvement of individualized nursing combined shenmai injection on the cancer related fatigue of palliative treatment patients with lung cancer【Abstract】Objective: To explore the Improvement of individualized nursing combined shenmai injection on the cancer related fatigue of palliative treatment patient with lung cancer, provide reference for clinical treatment. Methods：March 2011- June 2013, 94 palliative care patients with lung cancer were divided into observer group (n = 47) and control group (n = 47). The control group received Shen Mai injection with routine care, the observer group received Shen Mai injection with individualized care, fatigue condition and quality of life was observed in the two groups after treatment. Results: Two groups of patients after treatment in sensory, cognitive, emotional, behavioral four dimensions and overall were improved in the degree of fatigue than before treatment (P 0.05); after treatment each dimension scores and overall fatigue fatigue score of the observer group (feeling 3.07 ± 1.41, cognitive 2.89 ± 1.24, emotional 3.15 ± 1.44, the behavior of 3.25 ± 1.27, Overall score 3.18 ± 1.34) was significantly decreased compared with the control (feeling 4.57 ± 1.37, cognitive 4.05 ± 1.31, emotional 4.31 ± 1.39, behavioral 4.51 ± 1.40, overall score 4.42 ± 1.36), the difference was statistically significant (P 0.05); after treatment ,the various dimensi