多角色协同安宁疗护对老年晚期鼻咽癌患者癌因性疲乏情况及自我感受负担的影响观察

Effects of multi-role collaborative palliative care on cancer-related fatigue and self-perceived burden in elderly patients with advanced nasopharyngeal cancer

中文关键词: 老年, 晚期鼻咽癌, 安宁疗护, 多角色协同护理, 癌因性疲乏, 自我感受负担

英文关键词: elderly  advanced nasopharyngeal cancer  palliative care  multi-role collaborative nursing  cancer-related fatigue  self-perceived burden

中文摘要:

      目的 观察多角色协同安宁疗护对老年晚期鼻咽癌患者癌因性疲乏情况及自我感受负担的影响.方法 将2021年1月-2024年1月江苏省肿瘤医院收治的120例老年晚期鼻咽癌患者纳入研究,使用随机信封法将患者分为联合组和常规组,每组60例.常规组接受鼻咽癌晚期常规护理,联合组接受多角色协同安宁疗护+常规护理,2组护理时间均为1个月.对比2组干预前后的疼痛程度[采用模拟视觉评分量表(VAS)评估]、呼吸状态(采用Borg呼吸困难评分)、心理状态[采用中文版心理弹性量表(CD-RISC)评估]、癌因性疲乏程度[采用简短疲乏量表(BFI)评估]、自我感受负担[采用自我感受负担(SPBS)评估]、生活质量[采用生活质量调查问卷-35(QOL-35)评估]、营养状态(血清白蛋白、血红蛋白).结果 干预后,联合组VAS评分和Borg呼吸困难评分均低于常规组(P＜0.05),VAS、Borg呼吸困难评分干预前后评分差值均大于常规组(P＜0.05);联合组CD-RISC评分高于常规组,BFI评分低于常规组,CD-RISC、BFI干预前后评分差值均高于常规组(P＜0.05);联合组SPBS评分低于常规组,QOL-35高于常规组,SPBS、QOL-35干预前后评分差值均高于常规组,差异均有统计学意义(P＜0.05);联合组血清白蛋白、血红蛋白水平均高于常规组(P＜0.05),血清白蛋白、血红蛋白干预前后水平差值均高于常规组(P＜0.05).结论 多角色协同安宁疗护可有效缓解老年晚期鼻咽癌患者的癌症疼痛和呼吸困难症状,有助于改善患者心理状态,降低癌因性疲乏和自我感受负担,提高营养状态和生活质量.

英文摘要:

      Objective To observe the effects of multi-role collaborative palliative care on cancer-related fatigue and self-perceived burden in elderly patients with advanced nasopharyngeal cancer.Methods 120 elderly patients with advanced nasopharyngeal cancer admitted to Cancer Hospital of Jiangsu Province from January 2021 to January 2024 were included in the study.They were divided into routine group and combination group according to random envelope method,with 60 cases in each group.The routine group received routine nursing for advanced nasopharyngeal cancer,and the combination group re-ceived multi-role cooperative palliative care+routine nursing.The nursing time of both groups was 1 month.The pain degree[Visual Analogue Scale(VAS)],breathing status(Borg dyspnea score),psychological status[Connor-Davidson Resilience Scale(CD-RISC)],cancer-related fatigue[Brief Fatigue Inventory(BFI)],self-perceived burden[Self-Perceived Burden Scale(SPBS)],quality of life[Quality of Life Scale-35(QOL-35)]and nutritional status(serum albumin,hemoglobin)were compared between the two groups before and after intervention.Results After intervention,the scores of VAS and Borg dyspnea in the combination group were lower than those in the routine group(P＜0.05),and the difference values of the above scores before and after intervention were greater than those in the routine group(P＜0.05).CD-RISC score in the com-bination group was higher than that in the routine group,BFI score was lower than that in the routine group,and the difference values of the above scores before and after intervention were greater than those in the routine group(P＜0.05).SPBS score in the combination group was lower than that in the routine group,QOL-35 score was higher than that in the routine group,and the difference values of the above scores before and after intervention were greater than those in the routine group(P＜0.05).The levels of serum albumin and hemoglobin in the combination group were higher than those in the routine group,and the difference values of the above indexes before and after intervention were greater than those in routine group(P＜0.05).Conclusion Multi-role collaborative palliative care can effectively relieve cancer pain and dyspnea symptoms in elderly pa-tients with advanced nasopharyngeal cancer.It is beneficial to improve psychological status of patients,reduce cancer-related fatigue and self-perceived burden,and improve nutritional status and quality of life.