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目的探讨在化疗治疗中实施自我管理干预对胃癌患者癌因性疲乏症状的影响。方法将接诊化疗治疗胃癌患者48例根据入院顺序随机分为干预组与对照组各24例。对照组采取常规护理干预,干预组基于常规护理干预的基础上,同时进行自我管理干预模式的实施和强化。观测2组干预前后癌症疲乏量表(CFS)测评结果及癌症治疗功能评价量表(FACT-G)生存质量测评结果。结果 2组干预前CFS四项维度测评结果均无显著差异(P>0.05);对照组干预后躯体疲乏、认知疲乏及疲乏总分低于干预前;干预组干预后CFS四项维度均低于干预前及对照组,差异均有统计学意义(P<0.05)。干预后干预组FACT-G评分结果为(78.30±7.42)分明显高于对照组的(64.31±12.40)分,差异有统计学意义(P<0.05)。结论通过自我管理干预模式的应用,可更好地实现对化疗期胃癌患者癌因性疲乏症状的改善及生存质量的提升。
Objective To investigate the effects of self-management intervention on cancer-induced fatigue symptoms in patients with gastric cancer. Methods Forty-eight patients with gastric cancer admitted to chemotherapy were randomly divided into intervention group and control group according to the order of admission. The control group to take routine nursing intervention, intervention group based on routine nursing intervention, based on the self-management intervention at the same time the implementation and strengthening. Before and after intervention, the results of cancer fatigue test (CFS) and cancer treatment function evaluation (FACT-G) quality of life evaluation were observed. Results There was no significant difference in the four dimensions of CFS before intervention (P> 0.05). The body fatigue, cognitive fatigue and total fatigue scores in intervention group were lower than those before intervention; the four dimensions of CFS in intervention group were all low Before intervention and control group, the differences were statistically significant (P <0.05). The score of FACT-G in the intervention group after intervention was (78.30 ± 7.42) points higher than that in the control group (64.31 ± 12.40) points, the difference was statistically significant (P <0.05). Conclusion Through the application of self-management intervention model, we can better achieve improvement of cancer-related fatigue symptoms and quality of life in patients with gastric cancer during chemotherapy.