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目的 :本研究旨在探讨“知识-技能-支持”症状管理方案对癌症化疗患者消化道症状群的干预效果。方法 :将2014年7-12月收集的病例设为对照组,2015年4-9月收集的病例设为实验组,对照组采用常规指导,实验组采用“知识-技能-支持”症状管理方案,使用记忆症状量表、患者生活质量测评量表、卡式功能状态量表测评两组患者在入院时、化疗后1周、化疗后1个月、化疗后3个月4个时间点的消化道症状、生活质量和功能状态,采用双因素重复测量方差分析比较两组各指标的变化趋势。结果 :在干预和时间共同作用下,癌症患者消化道症状体验(F=4.817,P=0.036)、功能状态(F=2.829,P=0.049)、生活质量(F=15.372,P<0.001)的差异均有统计学意义。结论 :“知识-技能-支持”症状管理方案可有效改善癌症化疗患者消化道症状情况,提升功能状态和生活质量。
OBJECTIVE: The aim of this study was to investigate the intervention effect of the “knowledge-skill-supportive” symptom management program on gastrointestinal symptoms in patients with cancer chemotherapy. Methods: The cases collected from July to December in 2014 were set as the control group. The cases collected from April to September in 2015 were set as the experimental group. The control group was given routine instruction. The experimental group adopted the “knowledge - skills - supportive” symptom Management program, using memory symptom scale, patient quality of life evaluation scale, card function state scale to evaluate the two groups of patients at admission, 1 week after chemotherapy, 1 month after chemotherapy, 3 months after chemotherapy 4 time points Of gastrointestinal symptoms, quality of life and functional status, using two-factor repeated measures analysis of variance to compare the trend of the two groups of indicators. Results: The gastrointestinal symptoms (F = 4.817, P = 0.036), functional status (F = 2.829, P = 0.049) and quality of life (F = 15.372, P <0.001) The differences were statistically significant. Conclusion: “Knowledge - Skills - Support ” symptom management program can effectively improve the gastrointestinal symptoms of patients with cancer chemotherapy, improve functional status and quality of life.