【摘要】 目的观察治疗后的乳腺癌患者应用整体护理干预对于患者疲乏及生活质量的影响;方法选择我院的2013年7月至2014年1月就诊的乳腺癌患者中需要进行放化疗的94例患者作为研究对象,通过随机数字表法将患者分为观察组和对照组各47例,观察组应用整体护理干预,对照组采用常规放化疗护理,对比两组患者放化疗后疲乏及生活质量变化,以国际通用的癌症疲乏量表(CFS量表)和中国癌症病人生活质量(QOL)调查问卷进行评分,对患者跟踪回访6个月,根据护理前后两组患者评定结果进行分析;结果两组患者放化疗CFS评分和QOL评分比较无显著差异,(P>0.05)患者的疲乏情况严重及生活质量属于中等偏下水平;观察组患者疲乏总分为(26.52±5.24)明显低于对照组(49.96±6.79);同时总分比较两组均较治疗前有所下降,但是观察组比较对照组更为明显,躯体疲乏方面评分为(15.09±3.28)、情感疲乏方面评分为(4.26±1.25)、认知疲乏为(6.98±3.27)与对照组评分均有显著差异(P<0.01);观察组患者治疗后生活质量总分为(160.37±16.28)明显高于对照组(120.49±17.16);同时总分比较两组均较治疗前有所提高,但是观察组比较对照组更为显著,躯体功能方面评分为(46.24±5.21)、心理功能方面评分为58.41±1.26、社会功能评分为(49.56±4.28)、物质生活评分为(37.25±5.28)与对照组评分均有显著差异(P<0.05);结论对于放化疗后的乳腺癌患者应用整体护理有助于提高患者的治疗后生活质量及降低癌因性疲乏的效果,可以在临床护理中进行大量应用。更多还原

【Abstract】 Objective to observe the application of overall nursing intervention in patients with breast cancer after treatment for patients with fatigue and quality of life; Methods from July 2013 to January 2014 hospitalized patients need chemoradiotherapy in patients with breast cancer of 94 patients as the research object, through the random number table method divided the patients into observation group and control group(n = 47), to observe the application of overall nursing intervention group and control group using conventional rehabilitation care, compared two groups of patients with radiation and chemotherapy after fatigue and quality of life changes, and with international general cancer fatigue scale scale(CFS) and the Chinese cancer patients quality of life(QOL) questionnaire to rate, on patients 6 months follow up, according to the results of two groups of patients before and after nursing evaluation is analyzed; Resultsof two groups of patients with radiation and chemotherapy CFS score and QOL score was no significant difference,(P> 0.05) in patients with fatigue and quality of life belongs to the severe cases below average level; Observation group of fatigue in patients with total score was(26.52 ± 5.24) significantly lower than the control group(49.96 ±6.79); At the same time comparing two groups was decreased the total score, but the observation group compared the control group is more apparent, body fatigue aspect score of(15.09 ±3.28),(4.26-1.25) for emotional fatigue aspect score, cognitive fatigue grade(6.98 ± 3.27) and the control group, were significantly different(P < 0.01); Observation group of patients quality of life scores after treatment for(160.37 ± 16.28) is significantly higher than control group(120.49 ±17.16); And total score compare two groups was improved, the observation group is more significant, however, for body function score(46.24 ±5.21), the psychological function score was 58.41 ±1.26, social function score of(49.56 ± 4.28),(37.25-5.28) for material life score score had significant difference with control group(P< 0.05); Conclusion for patients with breast cancer after radiation and chemotherapy after application of overall nursing helps to improve the treatment of patients with the effect of quality of life and reduce cancer-related fatigue, can extensive application in clinical nursing.更多还原