基于希望理论的护理干预对乳腺癌术后化疗患者症状困扰与生活质量的影响  

Effect of nursing intervention based on hope theory on symptom distress and quality of life of patients with breast cancer after chemotherapy

作　　者：孙修侠[1] 彭永强[1] 王晓东[1] SUN Xiuxia;PENG Yongqiang;WANG Xiaodong(Department of Nail and Breast Surgery,Bozhou People’s Hospital,Anhui Province,Bozhou236800,China)

机构地区：[1]安徽省亳州市人民医院甲乳外科,安徽亳州236800

出　　处：《中国医药导报》2022年第21期181-184,共4页China Medical Herald

摘　　要：目的探讨根据希望理论制订干预方案应用于乳腺癌患者化疗期间护理的效果。方法选取安徽省亳州市人民医院甲乳外科2020年1月至2021年6月收治的乳腺癌化疗患者80例,采用随机数字表法将其分为希望护理组(40例,根据希望理论制订干预方案)与常规组(40例,仅给予常规护理)。比较两组化疗毒副作用发生率、症状困扰、希望水平与生活质量。结果希望护理组恶心呕吐、腹泻发生率低于常规组(P<0.05)。干预后,希望护理组症状困扰低于干预前,常规组症状困扰高于干预前,且希望护理组症状困扰低于常规组(P<0.05)。干预后,两组Herth希望量表(HHI)评分均高于干预前,希望护理组癌症治疗功能评价量表(FACT-G)评分高于干预前,且希望护理组HHI、FACT-G量表评分高于常规组(P<0.05)。结论根据希望理论制订干预方案对乳腺癌化疗患者进行护理,能够减轻化疗引起的症状,改善生活质量。Objective To explore the effect of intervention plan based on hope theory applied to breast cancer patients during chemotherapy.Methods A total of 80 breast cancer patients undergoing chemotherapy were selected from the Department of Nail and Breast Surgery,Bozhou People’s Hospital from January 2020 to Jun 2021,and they were divided into hope nursing group(40 cases,nursing intervention based on hope theory)and routine group(40 cases,routine nursing only)by random number table method.The incidence of chemotherapy toxicity,symptom distress,hope level and quality of life were compared between the two groups.Results The incidence of nausea vomiting and diarrhea in nursing group was lower than that in conventional group(P<0.05).After intervention,symptom distress in the hope nursing group was lower than before intervention,symptom distress in the conventional group was higher than before intervention,and symptom distress in the hope nursing group was lower than the conventional group(P<0.05).After intervention,Herth hope index(HHI)scores in both groups were higher than those before intervention,functional assessment cancerthrapy(FACT-G)scale scores in hope nursing group were higher than those before intervention,HHI and FACt-G scale scores in hope nursing group were higher than those in conventional group(P<0.05).Conclusion The intervention plan based on hope theory can relieve the symptoms caused by chemotherapy and improve the quality of life of breast cancer patients.

关 键 词：希望理论 症状困扰 乳腺癌 化疗 生活质量 

分 类 号：R47[医药卫生—护理学]