基于症状管理的支持性干预对乳腺癌化疗患者自我效能感及生活质量的影响  

Effect of supportive intervention based on symptom management on self-efficacy and quality of life in patients with breast cancer undergoing chemotherapy

作　　者：侯凤兰[1] 李通 杨保枝[2] 刘亚辉 付莉 王翎宇 HOU Fenglan;LI Tong;YANG Baozhi;LIU Yahui;FU Li;WANG Lingyu(WardⅢ,Department of Breast Surgery,the Third Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,He’nan,China;WardⅡ,Department of Breast Surgery,the Third Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,He’nan,China)

机构地区：[1]郑州大学第三附属医院乳腺外科三病区,郑州450052 [2]郑州大学第三附属医院乳腺外科二病区,郑州450052

出　　处：《癌症进展》2025年第6期739-741,744,共4页Oncology Progress

摘　　要：目的探讨基于症状管理的支持性干预对乳腺癌化疗患者自我效能感及生活质量的影响。方法根据干预方式的不同将140例乳腺癌化疗患者分为对照组(n=69,常规干预)和观察组(n=71,基于症状管理的支持性干预)。比较两组患者的自我效能感[中文版癌症患者自我管理效能感量表(C-SUPPH)]、生活质量[生存质量核心量表(QLQ-30)]及不良反应发生情况。结果干预后,两组患者C-SUPPH各维度评分及总分均高于本组干预前,观察组患者C-SUPPH各维度评分及总分均高于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者生理状况、社会/家庭状况、情感状况、功能状况评分及总分均高于本组干预前,观察组患者生理状况、社会/家庭状况、情感状况、功能状况评分及总分均高于对照组,差异均有统计学意义(P﹤0.05)。观察组患者不良反应总发生率明显低于对照组,差异有统计学意义(P﹤0.01)。结论基于症状管理的支持性干预可提高乳腺癌化疗患者的自我效能感,降低不良反应发生率,进而提高患者的生活质量。Objective To explore effect of supportive intervention based on symptom management on self-efficacy and quality of life in patients with breast cancer undergoing chemotherapy.Method A total of 140 patients with breast cancer who underwent chemotherapy were divided into control group(n=69,conventional intervention)and observation group(n=71,supportive intervention based on symptom management)according to different intervention methods.The self-efficacy[Chinese-strategies used by people to promote health(C-SUPPH)],quality of life[quality of life questionnaire-core 30(QLQ-30)]and adverse reactions were compared between the two groups.Result After intervention,the dimensional scores and total scores of C-SUPPH in both groups were higher than those before intervention,and the dimensional scores and total score of C-SUPPH in observation group were higher than those in control group,and the differences were statistically significant(P<0.05).After intervention,the physiological status,social/family status,emotional status,functional status scores and total scores in both groups were higher than those before intervention,and the physiological status,social/family status,emotional status,functional status scores and total score in observation group were higher than those in control group,and the differences were statistically significant(P<0.05).The total incidence of adverse reactions in observation group was significantly lower than that in control group,the difference was statistically significant(P<0.01).Conclusion Supportive intervention based on symptom management can improve the self-efficacy of breast cancer patients undergoing chemotherapy,reduce the incidence of adverse reactions,and thereby improve the quality of life of patients.

关 键 词：基于症状管理的支持性干预 乳腺癌 自我效能感 生活质量 

分 类 号：R737.9[医药卫生—肿瘤]