综合性护理干预对乳腺癌患者术后行化疗的心理状态及生存质量的影响.docVIP

综合性护理干预对乳腺癌患者术后行化疗的心理状态及生存质量的影响 　　[摘要] 目的 探讨综合性护理干预对乳腺癌患者术后行化疗的心理状态及生存质量的影响。方法 72例乳腺癌患者随机分为干预组和对照组，各36例，对照组根据患者临床症状采取随机对症护理，干预组着重实施综合性系统的护理干预，包括心理护理、化疗药物外渗的处理、化疗反应干预、饮食护理、 行为干预、毒副反应的护理。比较两组患者的心理状态改善情况、生存质量各项评分、护理满意度、临床症状改善情况。结果 干预组患者心理状态改善情况有效率达91.7%，明显高于对照组75.0%（P0.05）。干预组患者化疗期间出现疲倦12例、恶心呕吐10例、疼痛8例、呼吸困难3例、失眠16例、食欲丧失13例、腹泻11例、便秘6例，分别明显少于对照组（P0.05）。干预组患者的各项生存质量评分均高于对照组（P0.05）。干预组的出院时护理满意度评价为91.67%，明显高于对照组的72.22%（P0.05）。结论 对乳腺癌术后行化疗患者实施综合性护理干预措施，如心理护理、饮食护理、 行为干预、化疗毒副反应等多方面的护理干预，可以明显提高治疗效果，改善患者的负性心理状态，提高护理满意度，提高患者的生存质量。 　　[关键词] 乳腺癌；术后化疗；心理状态；生活质量；综合性护理 　　[中图分类号] R473.73 [文献标识码] B [文章编号] 1673-9701（2013）36-0086-03 　　The impact on psychological state and quality of life of nursing intervention on postoperative chemotherapy in breast cancer patients 　　PAN Weiqin1 YE Xinqing2 YE Hong2 　　1.Wuyi County Second People’s Hospital of Jinhua City in Zhejiang Province，Wuyi 321203，China；2.Breast Surgery，Guangxi Medical University Affiliateed Tumor Hospital， 530021，China 　　[Abstract] Objective To investigate the comprehensive nursing intervention on postoperative chemotherapy in patients with breast cancer and the psychological state of quality of life. Methods Seventy-two cases were randomly divided nursing intervention group and the control group，36 cases in each group， control group according to randomized clinical symptoms in patients symptomatic care， the intervention group focused on the implementation of an integrated system of care interventions， including psychological care，chemotherapy extravasation treatment， chemotherapy intervention， diet care， behavioral interventions，toxicity of care. The patients mental state parity groups to improve the situation， the quality of life scores， nursing satisfaction， clinical symptoms. Results The intervention group patients mental state to improve the situation the effective rate was 91.7%， significantly higher than the comtrol group 75.0%（P 　　[Key words] Breast cancer； Postoperative chemotherapy； Psychological status； Quali