拓展型舒适干预结合认知行为疗法对宫颈癌静脉输液港化疗患者的影响

谭舒文; 陈燕; 邹美英; 朱晨静; 刘星星

doi:10.16766/j.cnki.issn.1674-4152.004271

拓展型舒适干预结合认知行为疗法对宫颈癌静脉输液港化疗患者的影响

doi: 10.16766/j.cnki.issn.1674-4152.004271

江苏省肿瘤医院妇放科，江苏南京 210000

基金项目:

国家自然科学基金项目 82102850

详细信息

通讯作者:
刘星星，E-mail：1589765851@qq.com

中图分类号: R737.33 R473.73
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- 文章访问数: 2
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出版历程
- 收稿日期: 2024-12-16
- 网络出版日期: 2026-01-07

The effect of extended comfort intervention combined with cognitive behavioral therapy on patients with cervical cancer undergoing intravenous infusion port chemotherapy

Department of Gynecology Radiotherapy, Jiangsu Cancer Hospital, Nanjing, Jiangsu 210000, China

摘要

摘要: 目的分析拓展型舒适干预结合认知行为疗法对宫颈癌同步放疗和静脉输液港化疗患者的影响。方法纳入2021年6月—2024年6月江苏省肿瘤医院收治的123例同步放疗和静脉输液港化疗的宫颈癌患者，采用随机数字表法分为观察组(拓展型舒适干预结合认知行为疗法，62例)及对照组(常规护理干预，61例)。比较2组患者并发症、护理质量、护理满意度、癌因性疲乏[Piper疲乏修正量表(RPFS)]、生活质量[国际肿瘤患者生命质量测定表(QOL-C30)]。结果观察组并发症发生率为19.35%(12/62)，明显低于对照组[44.26%(27/61), P < 0.01]；观察组护理质量评分水平、护理满意度评分水平均明显高于对照组(P < 0.01)；干预后，观察组癌因性疲乏程度较对照组显著减轻(P < 0.05)；干预后，观察组QOL-C30各维度评分均高于干预前及对照组干预后(P < 0.01)。结论拓展型舒适干预结合认知行为疗法可降低宫颈癌同步放疗和静脉输液港化疗患者并发症发生风险，减轻癌因性疲乏，提升护理质量、护理满意度和生活质量。
- 宫颈癌 /
- 拓展型舒适干预 /
- 认知行为 /
- 同步放化疗 /
- 静脉输液港 /
- 并发症
Abstract: Objective To study the effects of extended comfort intervention combined with cognitive behavioral therapy on cervical cancer patients with concurrent radiotherapy and intravenous infusion port chemotherapy. Methods A total of 123 patients with cervical cancer who received concurrent radiotherapy and intravenous infusion port chemotherapy in Jiangsu Cancer Hospital from June 2021 to June 2024 were included and divided into the observation group (extended comfort intervention combined with cognitive behavioral therapy, n=62) and the control group (routine nursing intervention, n=61) by random number table method. Complications, quality of care, satisfaction with care, cancer-related fatigue [revised piper fatigue scale (RPFS)], and quality of life (QOL-C30) were compared between the two groups. Results The observation group had lower complication rate [19.35% (12/62) vs. 44.26% (27/61), P < 0.01]; The observation group had significantly higher nursing quality score and nursing satisfaction score (P < 0.01); After intervention, the degree of cancer-related fatigue in the observation group was significantly reduced compared with that in the control group, while QOL-C30 scores were higher than those before intervention and the control group after intervention (P < 0.01). Conclusion Extended comfort intervention combined with cognitive behavioral therapy can reduce the risk of complications and cancer-related fatigue in patients treated with concurrent radiotherapy and intravenous infusion port chemotherapy for cervical cancer, and improve the quality of care, nursing satisfaction, and quality of life.
- Cervical cancer /
- Extended comfort intervention /
- Cognitive behavior /
- Concurrent radiotherapy /
- Intravenous infusion port /
- Complications

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表 1 2组宫颈癌患者并发症发生率比较[例(%)]

Table 1. Comparison of complication incidence between the two groups of patients with cervical cancer [cases (%)]

组别	例数	导管相关感染	堵管	导管异位	港体外露	导管相关血栓形成	合计
观察组	62	3(4.84)	1(1.61)	2(3.23)	3(4.84)	3(4.84)	12(19.35)
对照组	61	7(11.48)	2(3.28)	4(6.56)	6(9.84)	8(13.11)	27(44.26)
注：2组并发症总发生率比较，χ²=8.809，P=0.003。

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表 2 2组宫颈癌患者护理质量比较(x±s，分)

Table 2. Comparison of nursing quality between the two groups of patients with cervical cancer (x±s, points)

组别	例数	基础护理	安全护理	病房管理	感染控制	风险意识
观察组	62	88.14±4.28	89.23±5.36	89.12±4.19	86.72±4.79	84.78±5.10
对照组	61	83.76±4.71	85.02±5.09	84.61±5.32	83.91±4.15	81.08±4.80
t值		5.399	4.465	5.228	3.475	4.142
P值		< 0.001	< 0.001	< 0.001	< 0.001	< 0.001

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表 3 2组宫颈癌患者护理满意度比较(x±s，分)

Table 3. Comparison of nursing satisfaction between the two groups of patients with cervical cancer (x±s, points)

组别	例数	护患沟通	护理制度	护理服务	护理环境
观察组	62	4.47±0.26	4.34±0.33	4.51±0.24	4.30±0.35
对照组	61	4.08±0.46	3.98±0.51	4.07±0.46	4.01±0.49
t值		5.800	4.655	6.666	3.782
P值		< 0.001	< 0.001	< 0.001	< 0.001

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表 4 2组宫颈癌患者癌因性疲乏情况比较[例(%)]

Table 4. Comparison of cancer-related fatigue between the two groups of patients with cervical cancer [cases (%)]

组别	例数	无疲乏	轻度疲乏	中度疲乏	重度疲乏
观察组	62	3(4.84)	32(51.61)	27(43.55)	0
对照组	61	0	24(39.34)	31(50.82)	6(9.84)
注：2组癌因性疲乏情况比较，Z=2.487，P=0.013。

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表 5 2组宫颈癌患者干预前后QOL-C30评分水平比较(x±s，分)

Table 5. Comparison of QOL-C30 scores between the two groups before and after intervention (x±s, points)

组别	例数	躯体功能		t值	P值	角色功能		t值	P值	认知功能		t值	P值
组别	例数	干预前	干预后	t值	P值	干预前	干预后	t值	P值	干预前	干预后	t值	P值
观察组	62	59.53±6.92	66.61±6.12	8.220	< 0.001	61.70±5.67	68.71±6.19	9.308	< 0.001	56.37±6.37	62.95±6.64	7.965	< 0.001
对照组	61	60.01±6.69	60.47±6.55	0.543	0.588	61.13±5.94	62.26±5.92	1.489	0.139	56.70±6.41	57.01±6.12	0.386	0.700
统计量		0.391^a	4.799^b			0.544^a	5.114^b			0.286^a	4.450^b
P值		0.697	< 0.001			0.587	< 0.001			0.775	< 0.001

组别	例数	情绪功能		t值	P值	社会功能		t值	P值	整体生命质量		t值	P值
组别	例数	干预前	干预后	t值	P值	干预前	干预后	t值	P值	干预前	干预后	t值	P值
观察组	62	59.95±6.46	66.19±6.03	7.868	< 0.001	64.58±5.94	70.01±6.59	6.825	< 0.001	60.53±6.57	67.51±6.74	8.259	< 0.001
对照组	61	60.40±6.09	61.12±6.85	0.869	0.387	64.81±5.59	65.24±6.82	0.541	0.590	60.41±6.92	61.19±6.27	0.924	0.357
统计量		0.397^a	3.717^b			0.221^a	3.245^b			0.099^a	4.536^b
P值		0.692	< 0.001			0.825	< 0.001			0.922	< 0.001
注：^a为t值，^b为F值。

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