目的：探讨优质护理改善非小细胞肺癌患者癌因性疲乏及其生活质量的作用。方法将纳入的110例非小细胞肺癌患者随机分为干预组和对照组各55例，两组均给予肺癌化疗常规护理，干预组在此基础上给予优质护理干预，采用Piper疲乏自评修正量表(RPFS)、安德森症状评估量表(MDASI)、癌症患者生活质量评估量表(EORTC QLQ-C30)评价两组干预前后状态。结果干预后干预组躯体、行为、情感、认知及RPFS总分与干预前比较，差异均有统计学意义(P<0.05)，且与对照组比较，差异均有统计学意义(P<0.05)，干预后干预组MDASI量表疲劳、睡眠、恶心、苦恼、悲伤、麻木感、一般活动、人际关系、生活乐趣评分与对照组比较，差异均有统计学意义(P<0.05)。干预后干预组EORTC QLQ-C30量表躯体功能、角色功能、情绪功能、认知功能、社会功能、总体健康状况评分与对照组比较，差异均有统计学意义(P<0.05)。结论优质护理可有效缓解非小细胞肺癌患者癌因性疲乏，改善癌症相关症状，提高生活质量。%Objective To investigate the role of quality care to improve the non-small cell lung cancer related fatigue in patients with cancer and quality of life. Methods A total of 110 cases of non-small cell lung cancer patients were randomly divided into intervention group and control group,each of 55 cases, two groups were given conventional can-cer chemotherapy treatments, the intervention group received quality care interventions on this basis, used self-assess-ment amendment Piper fatigue scale (RPFS), Anderson symptom assessment scale (MDASI), the quality of life of cancer patients before and after assessment scale(EORTC QLQ-C30) evaluated two interventions state. Results The differences of emotional, cognitive and RPFS scores and intervention were statistically significant between before and after inter-vention in the intervention group(P<0.05), and compared with the control group, the differences were statistically sig nificant (P<0.05), the differences of MDASI scale fatigue, sleep, nausea, anguish, sadness, numbness, general activities, relationships, enjoyment of life scores between the intervention group and control group after the intervention, were sta-tistically significant (P<0.05). The differences of EORTC QLQ-C30 scale physical function, role function, emotional function, cognitive function, social function, overall health score between intervention group and control group after in-tervention were statistically significant (P<0.05). Conclusion Quality care could relieve patients with non-small cell lung cancer-related fatigue and improve cancer-related symptoms and quality of life.
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