Pay attention to and explain the improvement effect of therapy combined with nursing intervention on cancer-related fatigue in NSCLC patients
关注和解释疗法联合护理干预对NSCLC患者癌因性疲乏的改善作用

摘要

目的 探讨关注和解释疗法联合护理干预对非小细胞肺癌（NSCLC）患者癌因性疲乏的改善效果。方法 本研究选取2023年6月至2024年10月收治的74例存在癌因性疲乏的NSCLC患者作为研究对象，随机分为干预组（n=37）与对照组（n=37）。干预组在常规护理基础上接受系统性关注和解释疗法联合护理干预，对照组仅接受常规护理。采用癌症疲乏量表（CFS）等工具评估干预前后两组患者的疲乏程度。结果 干预后，干预组患者CFS疲乏总评分及各维度（躯体疲乏、情感疲乏、认知疲乏）评分的降低幅度均显著大于对照组；同时，干预组疲乏改善的总有效率高于对照组（P<0.05）。结论 关注和解释疗法联合护理干预能有效减轻NSCLC患者的癌因性疲乏。该联合模式可作为缓解NSCLC患者癌因性疲乏的推荐临床护理方案。

Abstract

Objective To investigate the efficacy of attention and explanation therapy plus nursing intervention in ameliorating cancer-related fatigue (CRF) among non-small cell lung cancer (NSCLC) patients.
Methods A total of 74 NSCLC patients with CRF admitted between June 2023 and October 2024 were randomized into an intervention group (n=37) and a control group (n=37). The intervention group received routine care plus systematic attention-explanation therapy and nursing intervention, while the control group only received routine care. The Cancer Fatigue Scale (CFS) was used to evaluate fatigue levels pre- and post-intervention.
Results Post-intervention, the intervention group exhibited significantly lower total CFS scores and scores across all dimensions (physical, emotional, cognitive fatigue) than the control group; additionally, the overall effective rate of fatigue improvement in the intervention group was notably higher (P<0.05).
Conclusion   The combination of attention and explanation therapy with nursing intervention can effectively relieve CRF in NSCLC patients and is worthy of recommendation as a clinical nursing strategy for managing CRF in this population.