乳腺癌患者化疗间歇期症状的变化趋势  

Tendency of diapause symptoms in breast cancer patients receiving chemotherapy

作　　者：张佳媛[1] 周郁秋[1] 张全志[1] 薛萍[2] 霍桂霞 

机构地区：[1]哈尔滨医科大学大庆校区护理学院,黑龙江大庆163000 [2]哈尔滨医科大学附属肿瘤医院,黑龙江哈尔滨150036 [3]唐山市曹妃甸区医院,河北唐山063500

出　　处：《现代临床护理》2015年第2期1-5,共5页Modern Clinical Nursing

基　　金：黑龙江省教育厅科研项目;项目编号为12531404

摘　　要：目的了解乳腺癌术后患者化疗间歇期症状变化趋势。方法采用匹兹堡睡眠质量指数量表(Pittsburgh sleep quality index,PSQI)、癌症疲乏量表(cancer fatigue scale,CFS)、焦虑自评量表(self-rating anxiety scale,SAS)和抑郁自评量表(self-rating depression scale,SDS)对64例术后化疗的乳腺癌患者进行调查。测量时间在患者第2次至第6次化疗开始的第1天内进行。结果乳腺癌患者化疗期出现的疲乏、睡眠障碍、焦虑、抑郁相关症状随化疗间歇期的推移而发生变化,第4次化疗间歇期患者睡眠质量最差、疲乏和抑郁症状最为严重;第3次化疗间歇期时焦虑程度达到高峰。结论医护人员应重视化疗过程带给患者的身心困扰,加强化疗间歇期心身症状观察,在相关症状达到高峰期前给予有效的和积极的干预,降低患者负性情绪的发生,提高患者睡眠质量,进而提高患者的生活质量。Objective To investigate the tendency of diapause symptoms in breast cancer patients during their chemotherapy. Method Sixty-four breast cancer patients with chemotherapy participated in the study by using Pittsburgh sleep quality index （PSQI）, the cancer fatigue scale （CFS）, the self-rating anxiety scale （SAS） and the self-rating depression scale （SDS） to assess their sleep, fatigue, anxiety and depression at every first day from the second course to sixth one of chemotherapy. Results The diapause symptoms including fatigue, sleep disorders, anxiety and depression varied with the therapeutic course progressing. The conditions in sleep quality, fatigue and depression were the poorest at the diapause of the fourth course and the condition of anxiety was the poorest at the diapause of the third course. Conclusion The medical staff should attach importance to the patients＇physical and mental problems brought by the process of chemotherapy, strengthen the regulation of psychosomatic symptoms during chemotherapic diapause, and give reasonable control and intervention before the symptoms deteriorating.

关 键 词：乳腺癌 睡眠质量 癌症疲乏 焦虑 抑郁 变化趋势 

分 类 号：R473.73[医药卫生—护理学]