肺癌患者治疗相关性症状及自我护理方法调查
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女,博士,主管护师

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2019年湖北省自然科学基金一般面上项目(2019CFB492);华中科技大学同济医学院附属协和医院2017年药剂护专项(02.03.2017-250)


Therapy-related symptoms and self-care practices among lung cancer patients
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    目的 调查肺癌患者放化疗引起的各种症状及有效缓解各种症状的自我护理方法。 方法 采用治疗相关性症状列表及缓解症状的自理方法量表调查302例肺癌患者。 结果 患者自评发生率前5位的治疗相关性症状依次为感觉疲乏(94.70%)、食欲下降(91.39%)、恶心(78.48%)、脱发(74.17%)和呕吐(69.21%);患者还承受29种其他症状困扰。共收集400多种患者认为有效缓解各种症状的自我护理方法,可归纳为饮食/营养/生活方式改变,心境/身体控制,生物治疗,中医治疗,处方药及其他6类。 结论 肺癌患者承受着较严重的治疗相关性症状负担,多种自我护理方法可缓解肺癌患者治疗引起的症状。护士应基于循证收集各类缓解症状的替代疗法,以有效管理症状,减轻患者的症状困扰。

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    Objective To investigate chemotherapy and radiotherapy induced symptoms among lung cancer patients and to describe their self-care practices on alleviating the symptoms. Methods Totally, 302 lung cancer patients were investigated using Therapy-related Symptoms Checklist (TRSC) and Symptom Alleviation: Self-care Methods tool (SA:SCM). Results The top five self-reported symptoms were fatigue(94.70%), loss appetite(91.39%), nausea(78.48%), hair loss(74.17%) and vomiting(69.21%); the lung cancer patients also experienced other 29 symptoms besides the 25 symptoms in TRSC. More than 400 symptom alleviation self-care methods were collected, which were classified into 6 aspects includingdiet/nutrition/lifestyle change, mood/body control, biological treatment, herbal treatment, prescribed medicine and others. Conclusion Lung cancer patients encounter serious therapy-related symptoms, and some self-care methods could alleviate the symptoms. Nurses should collect complementary and alternative methods for symptom alleviation based on evidence, so as to manage symptoms effectively, and reduce patients′ symptom distress.

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韩燕红,许珂,柳丽娜,吴晓燕.肺癌患者治疗相关性症状及自我护理方法调查[J].护理学杂志,2020,35(5):23-27

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  • 收稿日期:2019-10-02
  • 最后修改日期:2019-12-16
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  • 在线发布日期: 2022-09-06