【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。更多还原

【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.更多还原