摘要
Abstract
Objective:To explore the intervention effect of energy conservation on cancer-related fatigue(CRF)in patients with cervical cancer undergoing concurrent chemoradiotherapy.Methods:108 patients with cervical cancer who were hospitalized in radiotherapy ward of the First Affiliated Hospital of Xi'an Jiao Tong University were selected as subjects by convenient sampling method from April to December 2018.They were divided into control group and intervention group based on their admission time,with 54 patients in each group.The control group received routine nursing care in radiotherapy department,while the intervention group received intervention with energy conservation on the basis of routine nursing care in radiotherapy department.The Chinese version of The Revised Piper Fatigue Scale(RPFS)was used to evaluate severity of CRF in patients before treatment,after 5 rounds of radiotherapy,after 10 rounds of radiotherapy,after 15 rounds of radiotherapy,after 20 rounds of radiotherapy,and after 25 rounds of radiotherapy.Results:During the intervention period,there were 3 patients lost in control group and 4 patients lost in intervention group.Finally,51 patients in control group completed the study,and 50 patients in intervention group completed the study.The intervention main effect and time main effect of total score of the Chinese version of RPFS and its 4 dimensional scores with behavioral fatigue,emotional fatigue,perceived fatigue,and cognitive fatigue had statistically significant(P<0.05).The total score of the Chinese version of RPFS and its each dimensional scores between control group and intervention group had not statistically significant difference(P>0.05)at two time points that before treatment and after 5 rounds of radiotherapy.The total score of the Chinese version of RPFS and its each dimensional scores between control group and intervention group had statistically significant difference(P<0.05)at four time points that after 10 rounds of radiotherapy,after 15 rounds of radiotherapy,after 20 rounds of radiotherapy,and after 25 rounds of radiotherapy.The median scores of total score of the Chinese version of RPFS and its each dimensional scores in control group were higher than or egual to those in intervention group.Conclusions:The level of CRF in patients with cervical cancer undergoing concurrent chemoradiotherapy increases during treatment period.The energy conservation can effectively reduce level of CRF in patients with cervical cancer undergoing concurrent chemoradiotherapy at each time points.关键词
宫颈癌/癌因性疲乏(CRF)/节约体能法/放疗/化疗/护理Key words
cervical cancer/cancer-related fatigue,CRF/energy conservation/radiotherapy/chemotherapy/nursing
