Title：Effect of mindfulness based narrative nursing on cancer-related fatigue in patients with nasopharyngeal carcinoma during radiotherapy
作者：曾满萍,郭晓萍,彭丽华,欧利芳,陈庆丽
关键词：鼻咽癌,正念干预,叙事护理,癌因性疲乏,生命质量
论文类型：期刊论文
论文来源：湘南学院学报(医学版) 2019
摘要：目的探讨正念叙事护理对鼻咽癌放疗患者癌症相关疲劳的影响。方法将80例鼻咽癌患者按入院顺序和数字表法随机分为对照组和干预组。每组40例。两组放化疗方案相同。对照组根据鼻咽癌的常规护理进行放化疗教育和心理咨询。干预组在常规护理的基础上，采用正念干预+叙事护理。干预前后采用癌症疲劳量表（CFS）和生命质量核心量表（QLQ-C30）进行评定。结果干预后，干预组的CFS总分及各维度得分均显著低于对照组（P<；0.01）；生活质量方面，干预组的CFS总分及各维度得分均显著低于对照组（P<；0.01），干预组QLQ-C30功能区和整体健康区评分均显著高于对照组（P<；0.01）。结论基于正念的叙述式护理能有效缓解鼻咽癌放疗患者的疲劳，提高生活质量。
Abstract：Objective to explore the effect of mindfulness based narrative nursing on cancer-related fatigue in patients with nasopharyngeal carcinoma during radiotherapy. Methods 80 patients with nasopharynx cancer were randomly enrolled into the control group and the intervention group according to the admission sequence and digital table method. Each group had 40 patients. The two groups had the same radiotherapy and chemotherapy program. The control group received radiotherapy and chemotherapy education and psychological counseling according to the routine nursing of nasopharynx cancer. The intervention group adopted mindfulness intervention + narrative nursing on the basis of routine nursing. Before and after the intervention, cancer fatigue scale (CFS) and quality of life core scale (QLQ-C30) were used for evaluation. Results after intervention, the total CFS score and every dimension score of the intervention group were significantly lower than that of the control group before and at the same time (P & lt; 0.01); in terms of quality of life, the scores of QLQ-C30 functional area and overall health area in the intervention group were significantly higher than that of the control group before and at the same time (P & lt; 0.01). Conclusion the narrative nursing based on mindfulness can effectively alleviate the fatigue of NPC patients during radiotherapy and improve the quality of life.
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