摘要
目的探讨乳腺癌患者化疗期进行综合性护理干预的必要性和有效性,从而为化疗期护理提供理论依据。方法将72例乳腺癌患者分为试验组和对照组,试验组患者及家属在化疗前即开始同期接受针对化疗反应的护理干预;对照组则只在化疗后进行护理干预。采用乳腺癌患者生存质量评价量表(QLQ-C30)对乳腺癌化疗期患者的生活质量进行评估。结果试验组患者在躯体功能、情绪功能、角色功能3方面的评分较对照组差异显著(P<0.05),在疲倦、恶心与呕吐、疼痛、失眠、食欲丧失和便秘方面的评分显著低于对照组(P<0.05)。对乳腺癌患者及家属同期进行护理干预后,患者化疗反应降低,生活质量较以往有了明显提高。结论综合性护理干预可以提高乳腺癌患者的认知能力并改善心境,是提高患者生活质量的有效措施。
Objective To explore the essentiality and effectiveness of comprehensive nursing intervention for chemotherapy period in the patients with breast cancer in order to provide theoretical foundation for nursing in the chemotherapy period.Methods 72 breast cancer patients were divided into experimental group and control group.The patients and their family members in the experimental group were conducted with chemotherapy-directed nursing intervention before chemotherapy,while the control group was conducted with nursing intervention only after chemotherapy.Quality of life in patients with chemotherapy was evaluated by using Quality of Life for Patients with Breast Cancer（QLQ-C30）.Results The scores of physical function,role function and emotional function in the experimental group were significantly higher than the control group（P＆lt;0.05）.The scores of fatigue,nausea and vomiting,pain,insomnia and loss of appetite in the experimental group were significantly lower than the control group（P＆lt;0.05）.After the synchronous nursing intervention for paitents and their family members,reactions to chemotherapy reduced,quality of life improve significantly.Conclusion Comprehensive nursing intervention can improve the patients’cognitive abilities and state of mind,which is an effective measure for improving quality of life of patients.
出处
《实用临床医药杂志》
CAS
2013年第4期6-9,共4页
Journal of Clinical Medicine in Practice
关键词
乳腺癌
化疗
生活质量
护理
breast cancer
chemotherapy
quality of life
nursing
