多学科合作延续护理对乳腺癌患者心理状态和生活质量的影响  

Effects of multidisciplinary cooperative continuous nursingon psychological state and life quality of patients with breast cancer

作　　者：张新春[1] 王义海 葛玉红[3] 卢健[4] 武璇[5] 陈玲[6] 

机构地区：[1]新疆医科大学附属肿瘤医院综合内科二病区,乌鲁木齐830011 [2]新疆医科大学附属肿瘤医院乳腺放疗科,乌鲁木齐830011 [3]新疆医科大学附属肿瘤医院头颈放疗科,乌鲁木齐830011 [4]新疆医科大学附属肿瘤医院宁养院,乌鲁木齐830011 [5]新疆医科大学附属肿瘤医院营养科,乌鲁木齐830011 [6]新疆医科大学附属肿瘤医院护理部,乌鲁木齐830011

出　　处：《中华现代护理杂志》2018年第2期199-202,共4页Chinese Journal of Modern Nursing

基　　金：新疆医科大学人文社会科学基金项目（2014XYDSK66）

摘　　要：目的 探讨多学科合作延续护理对乳腺癌患者心理状态和生活质量的影响.方法 选取2016年2—6月即将出院的乳腺癌患者105例,随机分为对照组51例和观察组54例.对照组给予常规出院健康指导护理.观察组由护士、医生、心理师、营养师组成多学科合作团队,利用微信、QQ平台、电话、病友俱乐部给予延续护理.随访12周后,采用SAS、SDS及乳腺癌患者特异量表（FACT-B）评价两组干预效果.结果 观察组SAS和SDS评分分别为（34.18±5.34）、（35.73±4.26）分,对照组分别为（56.35±7.12）、（49.36±6.32）分,两组比较差异有统计学意义（t值分别为21.890、18.340;P〈0.01）;观察组患者生活质量总分（87.21±6.53）分,对照组为（82.65±5.34）分,差异有统计学意义（t=3.330,P〈0.01）.结论 对乳腺癌患者实施多学科合作延续护理可减轻焦虑、抑郁程度,改善患者心理状态,提高患者生活质量.Objective To explore the effects of multidisciplinary cooperative continuous nursing on psychological state and life quality of patients with breast cancer. Methods A total of 105 patients with breast cancer who were to be discharged within February to June 2016 were selected and divided into observation group （n=54） and control group （n=51） randomly. The control group received only routine discharge health education, while the observation group received the multidisciplinary cooperation continuous nursing performed by nurses, doctors, psychologists and nutritionist through wechat, QQ software, telephone interview and patients＇ clubs. After follow-up for 12 weeks, patients of the two groups were evaluated by self-rating anxiety scale （SAS）, self-rating depression scale （SDS） and function assessment of cancer therapy-breast cancer （FACT-B）. Results The scores of SAS and SDS in the observation group were （34.18±5.34）, （35.73±4.26）, and （56.35±7.12）, （49.36±6.32） in the control group respectively. The differences were statistically significant （t=21.890,18.340; P〈0.01）. The total score of life quality of the observation group and the control group was （87.21±6.53） and （82.65±5.34） respectively, with statistical significance （t=3.330, P〈 0.01）. Conclusions Implementing of multidisciplinary cooperative continuous nursing in patients with breast cancer can reduce anxiety and depression, improve patients＇ psychological state and quality of life.

关 键 词：乳腺肿瘤 生活质量 延续护理 多学科合作 心理状态 

分 类 号：R473.73[医药卫生—护理学]