肺癌患者癌因性疲乏和生命质量相关性研究及其护理对策.docVIP

肺癌患者癌因性疲乏和生命质量相关性研究及其护理对策 　　[摘要] 目的 研究肺癌患者癌因性疲乏与生命质量的相关性，探讨相关护理对策。 方法 对2013年2月～2015年2月就诊于中国医科大学附属盛京医院胸外科的172例肺癌患者进行一般资料及临床情况调查，对患者进行癌因性疲乏评价及生命质量评价。采用SPSS软件及Pearson相关性检验分析患者癌因性疲乏与生命质量的相关性。 结果 172例患者癌因性疲乏总分为（5.52±2.34）分，各维度得分由高到低依次为行为维度、情感维度、感觉维度和认知情绪维度。肺癌患者中重度癌因性疲乏者所占比例较高，达74.4%。轻、中、重度癌因性疲乏患者生命质量功能领域及症状领域评分比较差异有统计学意义（P 0.05）。相关性分析显示，肺癌患者癌因性疲乏总分及各维度与生命质量功能领域各条目呈负相关（P 0.05），与症状领域各条目呈正相关（P 0.05）。 结论 肺癌患者癌因性疲乏水平属于中度疲乏，中重度疲乏患者比例高，患者生命质量较差，且疲乏水平与生命质量功能领域和症状领域条目相关。临床中应采取针对性的护理措施缓解患者癌因性疲乏。 　　[关键词] 肺癌；癌因性疲乏；生命质量；护理 　　[中图分类号] R730.6 [文献标识码] A [文章编号] 1673-7210（2016）08（b）-0106-04 　　[Abstract] Objective To study the correlation of cancer-related fatigue and life quality in lung cancer patients， and discuss the relevant nursing countermeasures. Methods From February 2013 to February 2015， 172 patients with lung cancer in Department of Thoracic Surgery of Shengjing Hospital Affiliated to China Medical University were investigated by general data and clinical situations， Piper fatigue scale and EORTC QLQ-C30. SPSS software was used and the correlation of cancer-related fatigue and life quality was analyzed by Pearson correlation analysis. Results Among 172 cases of patients， the total score of cancer-related fatigue was （5.52±2.34） points， scores from high to low in each dimension were behavior dimension， emotional dimension， feeling dimension and cognitive emotional dimension. The proportion of moderate-severe cancer-related fatigue was 74.4%. The differences of scores of functional field and symptoms field of life quality were statistically significant among mild， moderate， severe cancer-related fatigue degrees （P 0.05）. Correlation analysis showed that the total score and each dimension scores of cancer-related fatigue were negatively related with functional field scores of life quality and positively related with symptoms field scores of life quality （P 0.05）. Conclusion The level of cancer-related fatigue in patients with lung cancer is moderate， the proportion of mod