摘要
目的探讨基于智谋理论的临床干预对乳腺癌术后化疗患者营养状态、不良反应和疾病获益感的影响。方法将98例乳腺癌术后化疗患者根据化疗期间干预方式的不同分为对照组和观察组,每组49例。对照组患者给予常规干预,观察组患者给予基于智谋理论的临床干预,比较两组患者营养状态、不良反应、症状自评量表(SCL-90)评分、特异性疾病获益感量表(BFS)评分。结果观察组患者营养不良发生率、不良反应总发生率均低于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者SCL-90各维度评分及总分均降低,且观察组患者SCL-90各维度评分及总分均低于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者BFS各维度评分及总分均升高,且观察组患者BFS各维度评分及总分均高于对照组,差异均有统计学意义(P﹤0.05)。结论乳腺癌术后化疗期间给予基于智谋理论的临床干预可改善患者营养状态,减少化疗所致的不良反应,在改善疾病症状的基础上,提升疾病获益感,促进康复,改善预后,临床应用价值较高。
Objective To explore the effect of clinical intervention based on resourcefulness theory on nutrition,ad-verse reactions and disease benefit finding for chemotherapeutic patients after breast cancer surgery.Method A total of 98 breast cancer patients undergoing chemotherapy after surgery were divide into the control group(n=49,received rou-tine intervention)and the observation group(n=49,received intervention based on resourcefulness theory).The nutrition,adverse reactions,scores of symptom check list-90(SCL-90),and scores of benefit finding scale(BFS)were compared between the two groups.Result The incidence of malnutrition and total adverse reactions in the observation group were significantly lower than those in the control group(P<0.05).After intervention,the dimensional and total scores of SCL-90 in both groups decreased,with lower scores in observation group than those in the control group(P<0.05).Af-ter intervention,the dimensional and total scores of BFS in both groups increased,with higher scores in observation group than those in the control group(P<0.05).Conclusion Clinical intervention based on resourcefulness theory during chemotherapy after breast cancer surgery can improve nutrition of patients,reduce adverse reactions caused by chemother-apy,enhance the disease benefit finding based on improvement of symptoms,promote recovery,and improve the progno-sis with high clinical application value.
作者
李楠楠
王静
马亚松
陈亚琴
LI Nannan;WANG Jing;MA Yasong;CHEN Yaqin(Second Ward,Department of Breast Cancer,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,He’nan,China)
出处
《癌症进展》
2022年第11期1137-1140,共4页
Oncology Progress
关键词
智谋理论
乳腺癌
化疗
疾病获益感
营养水平
resourcefulness theory
breast cancer
chemotherapy
disease benefit finding
nutrition
