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系统化护理干预对乳腺癌患者围手术期癌因性疲乏的影响研究

Effect of systematic nursing intervention on cancer-related fatigue in breast cancer patients during perioperative period

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【作者】 周丽芳陈述政徐民曾晓敏李琼

【Author】 ZHOU Lifang;CHEN Shuzheng;XU Min;ZENG Xiaomin;LI Qiong;Ward No.15,Lishui Central Hospital in Zhejiang Province;Department of Radiology,Lishui Central Hospital in Zhejiang Province;

【机构】 浙江省丽水市中心医院15病区浙江省丽水市中心医院放射科

【摘要】 目的观察系统化护理对乳腺癌患者围手术期癌因性疲乏程度产生的影响。方法选择我院2014年4月~2016年2月收治的乳腺癌患者117例作为研究对象;通过抽签将患者分为两组,观察组:一般常规护理+系统化护理干预;对照组:一般常规护理;观察比较两组乳腺癌患者的癌因性疲乏程度、护理满意度以及生活质量评分等。结果生活质量评分方面,包括躯体功能、心理健康、社会功能、物质生活,护理前后,均得到显著地改善,在护理后,观察组显著优于对照组(P<0.05);在癌因性疲乏程度评分方面,护理前,两组患者无显著性差异(P>0.05),护理后,观察组疲劳程度显著低于对照组(P<0.05);在护理满意度评分方面,观察组护理满意度评分为(92.25±1.76)分,对照组为(83.25±1.39)分,两组比较差异有统计学意义(P<0.05)。结论乳腺癌患者围手术期系统护理干预的顺利实施,能够使患者的癌因性疲乏程度获得明显减轻,证明乳腺癌患者围手术期护理过程中,值得系统护理干预广泛普及。

【Abstract】 Objective To investigate the effect of systemic nursing intervention on the degree of cancer-induced fatigue in the breast cancer patients during the perioperative period. Methods A total of 117 patients with breast cancer who were admitted to our hospital from April 2014 to February 2016 were selected as study subjects. All the patients with breast cancer were arranged to complete randomization by drawing lots. Observation group: regular routine nursing care+systematic nursing intervention; control group: regular routine nursing; cancer-related fatigue degree, nursing satisfaction score and quality of life score were observed and compared between the two groups of patients with breast cancer. Results The quality of life scores, including physical function, mental health, social function, material life, have been significantly improved before and after the nursing care. After the nursing care, the observation group was significantly better than the control group(P<0.05); There was no significant difference of the score of cancer-induced fatigue between the two groups before nursing(P>0.05). After the nursing care, the fatigue degree in the observation group was significantly lower than that in the control group(P<0.05); the score of nursing satisfaction was(92.25 ±1.76) in the observation group and(83.25±1.39) in control group, there was significant difference between the two groups(P<0.05).Conclusion For breast cancer patients, because of the successful implementation of perioperative systemic nursing intervention, the patient’s degree of cancer-related fatigue is significantly reduced, proving that for the patients with breast cancer during perioperative nursing care, it is worthy of universal popularization of systematic nursing intervention.

【基金】 浙江省医药卫生科学研究基金项目计划(2011KYA164)
  • 【文献出处】 中国现代医生 ,China Modern Doctor , 编辑部邮箱 ,2016年31期
  • 【分类号】R473.73
  • 【被引频次】10
  • 【下载频次】50
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