刘旻 任中贤 姚丽萍 杜晓燕 周勤学

[摘要] 目的 探讨患者微信群结合奥马哈系统模式的延续护理对肺癌患者癌因性疲乏的影响。 方法 选取我院2016年2月～2017年1月收治肺癌患者80例，随机将其分配至观察组与对照组，观察组实施为期3周的患者微信群结合奥马哈系统的延续性护理模式，对照组实施常规护理措施，比较两组患者癌因性疲乏评分与焦虑、抑郁量表评分。 结果 干预后，观察组患者癌因性疲乏评分与焦虑、抑郁量表评分较对照组明显缓解，差异有统计学差异（P<0.05）。 结论 采用患者微信群结合奥马哈系统模式护理有助于改善肺癌患者癌因性疲乏，消除患者不良情绪，建立持续治疗信心，具有较好的应用前景。

[关键词] 奥马哈系统；延续护理；肺癌；癌因性疲乏

[中图分类号] R473.73 [文献标识码] B [文章编号] 1673-9701（2018）15-0149-04

Effect of extended care of WeChat group in combination with omaha system model on cancer-related fatigue in lung cancer

LIU Min REN Zhongxian YAO Liping DU Xiaoyan ZHOU Qinxue

Respiratory Medicine Department，Huzhou First People's Hospital in Zhejiang Province，Huzhou 313000，China

[Abstract] Objective To explore the effect of extended care with WeChat group combined with Omaha system on cancer-related fatigue in patients with lung cancer. Methods 80 patients with lung cancer who were admitted to our hospital from February 2016 to January 2017 were randomly assigned to the observation group and the control group. The observation group was treated with a 3-week extended care of WeChat group combined with Omaha system. The control group received usual care. Cancer-related fatigue score， anxiety and depression scale score were compared between the two groups. Results The score of cancer-related fatigue， anxiety and depression scale in observation group were significantly lower than control group after intervention（P<0.05）. Conclusion Using the WeChat group combined with the Omaha system for care can help to relieve cancer-related fatigue， eliminate adverse emotions and establish confidence in continuous treatment in patients with lung cancer， which has a good prospect of application.

[Key words] Omaha system； Extended care； Lung cancer； Cancer-related fatigue

癌因性疲乏（CRF）是一种主观上的、痛苦的、关于躯体、情感或认知上的持续疲乏感或疲惫感，与日常活动量不符，与癌症或癌症的治疗有关。超过75%的肿瘤患者经受着癌因性疲乏的折磨，妨碍日常功能，生活质量受到严重影响[1]。CRF需得到积极、有效的治疗，根据筛查、初步评估、干预、再评估的相关证据进行系统检索、汇总，及时识别癌症患者的疲乏。奥马哈系统（The Omaha System）源自20世纪70年代的美国，是经北美护理协会（ANA）认可的一种标准化护理程序运作系统，目前已广泛应用于社区护理、延续护理、临床护理、护理教育等多个领域[2-4]，通过问题分类、干预系统及结局评价，给予患者个性化、专业化的护理，有效提升患者的生活质量。我科基于奥马哈系统，对癌因性疲乏患者进行延续性护理，改善患者生活质量，缓解患者疾病疲乏程度，消除患者不良情绪，树立信心，取得较满意的效果，现报道如下。……