摘要
目的探讨基于配偶支持的护理干预对乳腺癌术后患者心理状态、化疗依从性及生命质量的的影响。方法选择某基层医院2012年6月—2017年6月期间,接受以蒽环类、紫杉醇类为基础的方案进行化疗的106例乳腺癌术后患者作为研究对象,入选者均为45岁以下,按入院时间先后分为观察组和对照组,每组各53例。所有患者均采取术后化疗常规护理,观察组联合开展基于配偶支持的护理干预。采用焦虑(SAS)、抑郁(SDS)评分量表、化疗依从性和简明中文版生命质量量表(QLQ-C30)评估干预效果。结果干预后,观察组SAS评分和SDS评分均显著低于对照组,下降程度较对照组更为显著,比较差异均有统计学意义(t=3.183～3.273,P<0.05)。观察组患者化疗依从率显著高于对照组(96.23%vs 84.91%,χ2=3.975,P<0.05)。随访6个月与干预前比较,观察组QLQ-C30量表中,认知功能、躯体功能、社会角色功能及整体健康状况评分差值均明显高于对照组(t=3.984～14.524,P<0.05)。结论基于配偶支持的护理干预可改善乳腺癌术后化疗患者的负性情绪,提高化疗依从性,进而提高患者的生命质量。
Objective To discuss the influence of nurse intervention based on spouse support on the patients following breast cancer surgery about their psychological status,chemotherapy compliance and life quality. Methods 106 breast cancer patients hospitalized in a primary hospital from June,2012 to June,2017,who received chemotherapy based on the anthracycline and taxanes following surgery were included in our study.Patients were under 45 and divided into observation group and control group according to the order of admission,with 53 cases in each group.All patients received usual care of chemotherapy following surgery.For the observation group,nursing intervention based on spouse support in addition were carried out.Intervention effect was evaluated by self-rating anxiety scale(SAS),self-rating depression scale(SDS),chemotherapy compliance and Concise Chinese Version of the Survival Quality Scale(QLQ-C30). Results After intervention,the SAS scores and SDS scores differences of observation group were significantly lower than that of control group( t =3.183~3.273, P <0.05).The chemotherapy compliance of observation group was significantly higher than control group(96.23% vs 84.91%,χ^2=3.975, P <0.05).Comparing results after 6 month-follow-up and pre-intervention,the score difference of cognitive function,physical function,social function and general health condition in QLQ-C30 scale of observation group were significantly higher than control group( t =3.984~14.524, P <0.05). Conclusion The nurse intervention based on spouse support can improve the negative emotion and chemotherapy compliance of breast cancer patients treated with chemotherapy after the operation,and then enhance their life quality.
作者
周异华
吴玲
曹宇
方继锋
ZHOU Yihua;WU Ling;FANG Jifeng(Xiaonan District Community Health Service Center,Xiaogan,Hubei,432100,China)
出处
《中国社会医学杂志》
2019年第2期154-157,共4页
Chinese Journal of Social Medicine
基金
国家自然科学基金项目(81772830)
关键词
配偶支持
乳腺癌术后
化疗依从性
生命质量
Spouse support
Postoperative breast cancer
Chemotherapy compliance
Life quality
