综合护理对复发转移乳腺癌患者癌痛及生活质量的影响  

The influence of comprehensive nursing on the cancer pain and life quality of patients with recurrent and metastatic breast cancer

作　　者：周毅娟[1] 刘慧[1] 杜慧莹[1] 任红艳[2] 

机构地区：[1]河南省肿瘤医院(郑州大学附属肿瘤医院)乳腺科,郑州450008 [2]河南省肿瘤医院鹤壁分院,郑州450008

出　　处：《国际护理学杂志》2016年第17期2325-2328,共4页international journal of nursing

基　　金：河南省重点科技攻关计划项目（142102310129）

摘　　要：目的探讨综合护理对复发转移乳腺癌患者癌痛及生活质量的影响。方法选取2013年5月至2015年6月我院收治的复发转移乳腺癌女性患者122例，随机法分为综合组和常规组各61例，常规组行常规护理干预，综合组给予综合护理干预，观察两种护理模式对患者癌痛程度、焦虑和抑郁情绪及生活质量改善情况的影响。结果综合组护理后癌痛总改善率85．2％显著高于常规组63．9％，差异有统计学意义（P〈0．05）。两组患者护理后SAS、SDS、QLQ-52评分均明显降低，与护理前比较差异有统计学意义（P〈O．05）；综合组护理后SAS、SDS、QLQ-52评分均显著低于常规组，差异有统计学意义（P〈O．05）。结论综合护理能显著改善复发转移乳腺癌患者癌痛程度，提高其生活质量。Objective To discuss the influence of comprehensive nursing on the cancer pain and life quality of patients with recurrent and metastatic breast cancer. Methods A total of 122 cases of patients with recurrent and meta- static breast cancer treated in our hospital from May 2013 to june 2015 were selected and were randomly divided into comprehensive group and general group, 61 cases in each group. Patients of the general group were given regular nursing intervention, while patients of the comprehensive group were given comprehensive nursing intervention. The influence of the two methods on the degree of cancer pain, anxiety, depression emotions and the improvement conditions of life quality of the two groups were compared. Results After comprehensive nursing, the total cancer pain improvement rate of the comprehensive group was 85.2%, which was obviously higher than that of the general group＇s 63.9%. The differ- ence showed a statistical significance （P〈0. 05 ） . The SAS, SDS and QLQ-52 scores of the two groups after nursing were obviously lower than that before nursing. The difference showed a statistical significance （ P〈0. 05 ） . After nursing, the SAS, SDS and QLQ-52 scores of the comprehensive group were obviously lower than that of the general group. The difference showed a statistical significance （P〈0. 05） . Conclusions Comprehensive nursing can significantly improve the cancer pain degrees for patients with recurrent and metastatic breast cancer and can improve the patients＂ life quali- ty.

关 键 词：综合护理 转移乳腺癌 复发 癌痛 生活质量 

分 类 号：R473.73[医药卫生—护理学]