心理护理干预对胶质瘤术后癌因性疲乏与生活质量影响.docVIP

心理护理干预对胶质瘤术后癌因性疲乏与生活质量影响 　　【摘要】目的探讨心理护理干预对胶质瘤术后癌因性疲乏与生活质量的影响。方法将72例胶质瘤术后患者随机分成观察组与对照组, 每组36例, 对照组实施常规护理, 观察组在常规护理基础上实施心理护理干预, 评估两组患者癌因性疲乏与生活质量情况。结果观察组癌因性疲乏程度评分(34.98±1.54)显著低于对照组；生活质量评分(10.64±1.61)显著高于对照组(P0.01)。结论对胶质瘤术后患者实施心理护理干预, 有助于减轻癌因性疲乏, 提高生活质量。 　　【关键词】心理护理干预；胶质瘤；术后；癌因性疲乏；生活质量 　　 　　Influence of psychological nursing intervention on postoperative glioma cancer related fatigue and quality of life LIN Yu-min, CHEN Rong-jiao. Department of Neurosurgery, First Affiliated Hospital of Shantou University Medical College, Shantou 342200, China 　　【Abstract】#8195;Objective#8195;To investigate the effect of psychological nursing intervention on postoperative glioma cancer related fatigue and quality of life. Methods#8195;Dividing 72 patients with glioma randomly into observation group and control group, 36 cases in each group, patients in control group received routine nursing, patients in observation group received psychological intervention on the basis of routine nursing, assess cancer related fatigue and quality of life situations. Results#8195;The level of cancer-related fatigue score (34.98±1.54) of observation group was significantly lower than that in the control group. Quality of life score (10.64±1.61) was significantly higher than control group(P0.01). Conclusion#8195;The implementation of psychological nursing intervention in glioma patients helps reduce cancer related fatigue and improve quality of life. 　　【Key words】#8195;Psychological nursing intervention; Glioma; Postoperation; Cancer related fatigue; Quality of life 胶质瘤是临床常见的中枢神经系统恶性肿瘤, 手术治疗是首选的治疗手段, 其中Ⅲ、Ⅳ级胶质瘤恶性程度较高, 术后易复发, 故术后必须配合放化疗治疗才能提高治疗效果, 延缓复发。无论是癌症本身的恶性刺激、手术对机体的损伤还是放化疗药物的强烈副作用, 都会给患者身心带来极大痛苦, 并伴发一系列身心不适症状, 其中癌因性疲乏是肿瘤患者常见的症状, 持续时间长且不易缓解, 降低了患者的生活质量［1］。为有效缓解胶质瘤术后患者癌因性疲乏程度并提高生活质量, 本研究对36例胶质瘤术后患者实施心理护理干预, 取得良好效果, 现报告如下。 　　1资料与方法 　　1. 1临床资料72例均为2011年1月~2013年12月在本院行手术治疗的胶质瘤患者, 均符合2007年WHO制定的中枢神经系统肿瘤诊断［2］及病理分类为Ⅲ级及Ⅳ级胶质瘤者, 术后均需配合放疗或化疗。随机分成观察组与对照组, 每组36例, 观察组男21例, 女15例, 年龄24~72岁, 平均(57.3±8.4)岁, 对照组