护理干预提高乳腺癌术后放疗患者生活质量的研究  被引量:30

Study of Nursing Intervention in Improving the Quality of Life of Breast Cancer Patients Receiving Radiotherapy after Mastectomy

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作  者:张健华[1] 吴碧娟[1] 郑香[1] 

机构地区:[1]中国 广东省汕头大学医学院附属肿瘤医院放疗科 ,515031

出  处:《中国健康心理学杂志》2014年第4期516-518,共3页China Journal of Health Psychology

基  金:广东省汕头市重点科技计划项目(汕府科[2012]113号)

摘  要:目的探讨护理干预对乳腺癌术后放疗患者生活质量的影响。方法将82例乳腺癌术后放疗患者随机分成干预组和对照组各41例。对照组给予常规的治疗和护理,干预组在常规治疗和护理的基础上进行放疗前、放疗中及放疗后全面系统的护理干预,比较两组患者的生活质量指标,对两组患者进行生活质量核心量表(QOL-C30)测评。结果干预组干预前躯体功能、心理功能、社会功能及物质生活4个维度评分低,与对照组比较无显著性差异;干预组干预后躯体功能、心理功能、社会功能及物质生活维度4个维度评分高,生活质量明显提高,与对照组比较有显著性差异(t=3.132,P<0.01;t=3.526,3.637,4.754;P<0.05)。结论对乳腺癌术后放疗患者进行全面系统的护理干预,能有效提高乳腺癌患者的生活质量。Objective To discuss nursing intervention in improving the quality of life of patients receiving radiotherapy after mastec- tomy. Methods Breast cancer patients (n = 82) receiving radiotherapy after mastectomy were divided into two groups randomly. Patients ( n = 41 ) in control group were adopted routine treatment and nursing. Patients ( n = 41 ) in intervention group were adopted systematical nursing intervention before, during and after radiotherapy based on the routine treatment and nursing. The quality of life of the patients in the two groups were compared using QOL - C30. Results The scores of the bodily function, mental function, social function and material life dimensions in intervention group before intervention were low, and there were no significant differences compared with the control group( t = 1. 121,1. 355,1. 254,1. 421 ; P 〉 0.05 ). The 4 dimensions became higher after intervention in intervention group, and there were significant differences compared with the control group( t = 3. 132,3. 526,3. 637,4.754 ;P 〈 0.05 ). Conclusion The systematical nursing intervention can improve the quality of life of breast cancer patients receiving radiotherapy after mastectomy.

关 键 词:乳腺癌患者 护理干预 放疗 生活质量 心身医学 

分 类 号:B849.1[哲学宗教—应用心理学] R395.6[哲学宗教—心理学]

 

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