追踪管理模式对乳腺癌患者心理状态、自我管理能力及生活质量的影响  

Effect of tracer methodology-based management on the psychological state,selfmanagement ability and quality of life of patients with breast cancer

作　　者：马艳梅[1] 吕慧敏[1] 张留敏 MAYanmei;LYU Huimin;ZHANG Liumin(Department of Breast Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,He’nan,China)

机构地区：[1]郑州大学第一附属医院乳腺外科,郑州4500520

出　　处：《癌症进展》2020年第7期748-751,共4页Oncology Progress

摘　　要：目的探讨追踪管理模式对乳腺癌患者心理状态、自我管理能力及生活质量的影响。方法根据干预方法的不同,将100例乳腺癌化疗患者分为追踪管理组和常规对照组,每组50例。常规对照组患者予以常规干预措施,追踪管理组患者在常规对照组的基础上予以追踪管理模式干预。比较两组患者的心理状态、自我管理能力及生活质量。结果干预后,追踪管理组患者的焦虑自评量表(SAS)和抑郁自评量表(SDS)评分均低于常规对照组,运动锻炼、认知性症状管理实施、与医师沟通评分均高于常规对照组,躯体功能、角色功能、情绪功能、认知功能、社会功能及总体健康状况评分均高于常规对照组,差异均有统计学意义(P﹤0.05)。结论追踪管理模式能够缓解乳腺癌患者的焦虑、抑郁情绪,提高其自我管理能力及生活质量。Objective To explore the effect of tracer methodology-based management on the psychological state,selfmanagement ability and quality of life of patients with breast cancer.Method A total of 100 breast cancer patients undergoing chemotherapy were included in the analysis and stratified as tracer methodology-based management group(n=50)and routine control group(n=50)according to the respective follow-up management administered.Patients in routine control group were administered with routine interventions,and those in tracer methodology-based management group were followed-up as per tracer methodology management mode in addition to routine care.The psychological state,self-management ability and quality of life were compared between the two groups.Result After intervention,the scores of selfrating anxiety scale(SAS)and self-rating depression scale(SDS)in tracer methodology-based management group were significantly lower than those in the routine control group(P<0.05),with significantly higher scores of exercise,cognitive symptom management and communication,scores of physical function,role function,emotional function,cognitive function,social function and overall health status in the tracer methodology-based management group compared to those in routine control group(P<0.05).Conclusion The nursing care based on tracer methodology can alleviate the anxiety and depression of breast cancer patients,and thus improving their ability of self-management and quality of life.

关 键 词：追踪管理模式 乳腺癌 自我管理 生活质量 

分 类 号：R737.9[医药卫生—肿瘤]