TheEffect of Incentive Based Combined with Early Warning Based Nursing Intervention on Fatigue Level and Self-perceived Burden in Colorectal Cancer Patients Undergoing Radiotherapy and Chemotherapy/ZHOU Yu.//Medical Innovation of China，2025，22（16）： 099-103

[Abstract]Objective： To analyze the impact of incentive based combined with early warning based nursing intervention on fatigue level and self perceived burden in colorectal cancer patients undergoing radiotherapy and chemotherapy.Method： Eighty-six colorectal cancer radiotherapy and chemotherapy patients admitted to Guizhou Provincial People's Hospital from January to August 2O22 were selectedand divided into two groups of 43 cases each using a random number table method.The control group used early warning based nursing intervention; the observation group used incentive based nursing on this nursing programme;both groups were continuously intervened for 8 weeks;the fatigue level，self-perceived burden anduncertainty of disease beforeand after the intervention were compared between the two groups.Result：The score of the simple fatigue inventory in the observation group was lower than that in the control group，the difference was statistically significant （ P lt;0.05）. After inervention，the scores of self-perceived burden scale （economic burden，emotional burdenand physical burden）and Misheluncertainty in ilness scale （uncertainty，lack of information，unpredictabilityand complexity） in the observation group were lower than those in the control group，the diferences were statisticallysignificant （ P lt;0.05）.Conclusion： The use of incentive based combined with early warning based nursing intervention for patientsundergoing radiotherapyand chemotherapy for colorectal cancer is beneficial to reduce the fatigue and self-perceived burden of patients.

[Key Words] Incentive based nursingEarly warning based nursing intervention Colorectal cancer Radiotherapy and chemotherapy

First-author's address： Department of Oncology， Guizhou Provincial People's Hospital， Guiyang 550002， China

doi：10.3969/j.issn.1674-4985.2025.16.024

结直肠癌是临床高发性恶性肿瘤，据相关统计，至2020年起，全球结直肠癌死亡率已居于全球恶性肿瘤全因死亡的第二位，因其死亡人数将达到93万[。当前，对于结直肠癌的首选治疗方案为手术联合放化疗的综合治疗方案，旨在提高治疗效果，降低肿瘤复发率，改善患者预后[]。但患者放化疗期间，因各种不良反应会降低患者耐受性，使多数患者中断治疗；同时放化疗期间身体改变，心理生理改变，癌因性疲乏、对疾病的不确定感及自我感受负担加重等，均会影响患者治疗效果，降低其治疗依从性[3]。因此对患者实施合理、有效的护理干预，对改善患者治疗效果有重要意义。预警式护理干预是以前瞻性、预见性、风险性理论作为基础，旨在提前采用针对性护理降低治疗过程中的风险性，提高患者恢复安全性[。但对于患者心理问题，该护理方案应对效果不佳。激励式护理是基于积极心理学发展而来，旨在提高患者治疗信心，使其获得良好、轻松的身心健康状态[5。因此，对结直肠癌放化疗患者采用激励式护理，是否能取得理想的应用效果，值得临床探索。基于此，研究以结直肠癌放化疗患者为例，分析激励式结合预警式护理干预的应用效果，报道如下。

1资料与方法

1.1一般资料

选取贵州省人民医院2022年1—8月收治的86例结直肠癌放化疗患者。纳人标准：（1）符合结直肠癌的判定标准[；（2）均在本院进行放化疗；（3）意识清晰，生命体征稳定；（4）预期生存时间⩾3 个月。排除标准：（1）合并其他肿瘤；……