共情式心灵沟通在乳腺癌患者化疗期间的应用效果分析  

Effect of empathetic communication in breast cancer patients during chemotherapy

作　　者：李君丽[1] 陈思妍[1] 谢振丽[1] 陈洁华[1] 王自梅 孙敏[1] Li Junli;Chen Siyan;Xie Zhenli;Chen Jiehua;Wang Zimei;Sun Min(Day Chemotherapy Center,the First Affiliated Hospital of Guangxi Medical University,Nanning 530021,China)

机构地区：[1]广西医科大学第一附属医院日间化疗中心,南宁530021

出　　处：《中国肿瘤临床与康复》2024年第2期100-105,共6页Chinese Journal of Clinical Oncology and Rehabilitation

基　　金：广西壮族自治区卫生健康委员会自筹课题(Z-A20230456)。

摘　　要：目的探讨共情式心灵沟通在乳腺癌患者化疗期间的应用效果。方法采用便利抽样法,选择2023年5月6日至2023年7月31日在广西医科大学第一附属医院日间化疗中心进行化疗的80例女性乳腺癌患者,其中2023年5月6日至2023年6月18日收治的乳腺癌患者为对照组(40例),2023年6月19日至2023年7月31日收治的乳腺癌患者为研究组(40例)。对照组患者采用常规护理,研究组患者采用共情式心灵沟通护理。4次化疗结束后,比较干预前后两组患者的焦虑情况以及并发症的发生情况。结果对照组患者干预前的焦虑得分为(57.55±6.62)分,研究组患者干预前的焦虑得分为(58.60±6.30)分,差异无统计学意义(t=-0.81,P=0.421)。4次化疗结束后,对照组患者的焦虑得分为(49.23±8.50)分,研究组患者的焦虑得分为(43.25±7.78)分,差异有统计学意义(t=3.11,P=0.004)。研究组与对照组患者发生便秘的情况差异无统计学意义(P>0.05),但研究组患者在恶心、呕吐、腹泻方面症状更轻(均P<0.05)。结论共情式心灵沟通能够减轻乳腺癌患者化疗期间的焦虑情绪,减轻化疗引起的恶心、呕吐和腹泻。Objective To evaluate the effect of empathetic communication in breast cancer patients during chemotherapy.Methods A convenient sampling method was used to select 80 female patients with breast cancer who received chemotherapy at the Daytime Chemotherapy Center of the First Affiliated Hospital of Guangxi Medical University from May 6,2023 to July 31,2023.Among them,40 patients receiving routine care from May 6,2023 to June 18,2023 were included in the control group,and 40 patients receiving empathetic communication care from June 19,2023 to July 31,2023 were included in the experimental group.After 4 rounds of chemotherapy,the anxiety level and incidence of complications were compared between the two groups of patients before and after intervention.Results The anxiety scores of patients before intervention in the control and experimental groups were respectively(57.55±6.62)and(58.60±6.30)points,with no statistically significant difference(t=-0.81,P=0.421).After four rounds of chemotherapy,the anxiety scores of patients in the control and experimental groups were respectively(49.23±8.50)points and(43.25±7.78)points,with a statistically significant difference(t=3.11,P=0.004).There was no statistically significant difference in the occurrence of constipation between the two groups(P>0.05),but the experimental group showed milder symptoms of nausea,vomiting,and diarrhea(all P<0.05).Conclusion Sympathetic communication can reduce anxiety of breast cancer patients during chemotherapy,and alleviate nausea,vomiting and diarrhea caused by chemotherapy.

关 键 词：乳腺肿瘤 共情式心灵沟通 化学疗法 焦虑 并发症 

分 类 号：R73[医药卫生—肿瘤]