乳腺癌化疗患者症状群调查分析及循证护理对策  

Investigation and Evidence-based Research on Symptom Clusters of Breast Cancer Chemotherapy Patients

作　　者：蒋蕾[1] 邱岚茜 张丽琴[1] 王琼波[1] 邱燕[1] 杨卓林[1] 渠凤凤[1] 蒋妮[1] Jiang Lei;Qiu Lanqian;Zhang Liqin(Yunnan Cancer Hospital,Kunming Yunnan 650118,China)

机构地区：[1]云南省肿瘤医院,云南昆明650118

出　　处：《齐鲁护理杂志》2018年第17期17-20,共4页Journal of Qilu Nursing

基　　金：云南省卫生科技计划项目(编号:2017NS186)

摘　　要：目的:调查乳腺癌化疗患者存在的症状群,针对存在的症状群进行循证护理。方法:采用中文版安德森症状评估量表对164例乳腺癌化疗患者进行症状调查,经过统计分析得出乳腺癌化疗患者的症状群分类,运用循证思维的方法对症状群进行寻求证据,评价证据后确定最佳临床证据。结果:通过调查得出乳腺癌化疗患者存在的症状群为情绪心理症状群和消化道症状群,结合两个症状群的特点,制定出科学的护理对策。结论:乳腺癌化疗患者存在的症状群,根据循证依据制定出科学审慎、有针对性的护理对策,在症状管理过程中可以做到有的放矢,从而减轻患者的症状负担及经济负担,节约医疗成本及人力资源。Objective： To investigate the symptom groups of breast cancer patients undergoing chemotherapy,and to conduct evidencebased nursing for symptomatic groups. Methods： The Chinese version of Anderson Symptom Assessment Scale was used to investigate the symptoms of 164 breast cancer patients undergoing chemotherapy. After statistical analysis,the symptoms of breast cancer patients undergoing chemotherapy were classified. Evidence-based thinking was used to seek evidence for the symptoms,and the best clinical evidence was determined after evaluating the evidence. Results： Through investigation,it is concluded that the symptom group of breast cancer chemotherapy patients is emotional and psychological symptom group and gastrointestinal symptom group,combined with the characteristics of two symptom groups,and scientific nursing countermeasures are formulated. Conclusion： The symptoms of breast cancer patients with chemotherapy group,according to evidence-based basis to develop a scientific and prudent,targeted nursing measures,in the process of symptom management can be targeted,thus reducing the burden of symptoms and economic burden of patients,saving medical costs and human resources.

关 键 词：乳腺癌 症状群 调查 循证护理 

分 类 号：R473.73[医药卫生—护理学]