基于结构式家庭疗法的随访管理对乳腺癌术后化疗患者癌因性疲乏的影响  

Effect of flow-up management based on Structural Family Therapy for Cancer-Related Fatigue for patients with breast cancer during postoperative chemotherapy period

作　　者：陈和月 肖艳玲[1] 杨娇弟[1] 蔡希[2] 

机构地区：[1]温州医科大学附属第一医院移植科,浙江省325000 [2]温州医科大学附属第二医院肝胆外科

出　　处：《中国护理管理》2016年第3期322-326,共5页Chinese Nursing Management

摘　　要：目的 :评价基于结构式家庭疗法的随访管理对乳腺癌术后化疗患者癌因性疲乏的效果。方法 :将乳腺癌术后化疗患者按数字随机分为对照组(=75)和干预组(=79),对照组化疗期间实施常规随访,干预组实施以结构式家庭疗法为指导的随访,比较干预后两组患者的癌因性疲乏水平。结果:干预后,干预组患者的躯体疲乏(13.29±4.84)分、情感疲乏(8.65±3.01)分、认知疲乏(9.06±3.12)分和癌因性疲乏总分(31.20±11.02)分均低于对照组患者(15.00±4.25、10.04±3.24、10.26±3.08、35.30±10.26),差异有统计学意义(P<0.05)。结论 :基于结构式家庭疗法的随访管理能够有效降低乳腺癌术后化疗患者癌因性疲乏水平。Objective： To discuss the effect of flow-up management based on Structural Family Therapy for CancerRelated Fatigue for patients with breast cancer during postoperative chemotherapy period. Methods： Patients with breast cancer during postoperative chemotherapy period were randomly assigned into control group（n=75） and intervention group（n=79）. The control group received routine follow-up during chemotherapy period and the intervention group received follow-up based on Structural Family Therapy. Patients＇ levels of Cancer-Related Fatigue were compared at the end of the study. Results： After intervention, the score of physical fatigue（13.29±4.84）, emotional fatigue（8.65±3.01）, cognitive fatigue（9.06±3.12） and the total score of Cancer Fatigue Scale（31.20±11.02） were all lower than those of the control group（15.00±4.25, 10.04±3.24, 10.26±3.08, and 35.30±10.26） with statistically significant differences（P〈0.05）. Conclusion： The flow-up management based on Structural Family Therapy can effectively decrease the level of Cancer-Related Fatigue for patients with breast cancer during postoperative chemotherapy period.

关 键 词：结构式家庭疗法 随访 癌因性疲乏 乳腺癌 

分 类 号：R47[医药卫生—护理学]