首页|分段式护理结合个体化康复训练对改善乳腺癌化疗患者不良反应及预后的效果研究

分段式护理结合个体化康复训练对改善乳腺癌化疗患者不良反应及预后的效果研究

Study on the Effect of Segmental Nursing Combined with Individual Rehabilitation Training on Improving the Ad-verse Reaction and Prognosis of Breast Cancer Patients Undergoing Chemotherapy

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目的:观察分段式护理结合个体化康复训练在改善乳腺癌化疗患者不良反应及预后的应用效果.方法:选取2020年1月-2022年1月商丘市第一人民医院接受化疗的150例乳腺癌患者作为研究对象,采用抽签法将患者随机分为干预组和常规组,每组各75例.常规组化疗期间实施基础护理,干预组化疗期间实施分段式护理结合个体化康复训练,比较两组患者护理前后的心理状态、生理状态改善情况,对患者开展为期6个月的短期随访,统计并对比两组患者不良反应发生情况以及生存情况.结果:护理后,干预组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均低于常规组,差异有统计学意义(t=3.097、2.784,P<0.05);护理后,干预组患者安德森症状量表(MDASI)各维度评分均低于常规组,差异有统计学意义(t=2.856、2.423,P<0.05);随访期间,干预组患者不良反应发生率低于常规组,差异有统计学意义(x2=5.975,P<0.05);随访期间,干预组患者生命治疗测定量表(FACT-B)各维度评分均低于常规组,差异有统计学意义(t=3.359、3.344、2.878、3.127、3.446,P<0.05).结论:对乳腺癌化疗患者实施分段式护理结合个体化康复训练可促进其心理、生理状态改善,可在降低患者不良反应发生情况同时显著提高其生存质量.
Objective:To observe the application effect of segmented nursing combined with individualized rehabilitation training in improving the adverse reactions and prognosis of breast cancer patients undergoing chemotherapy.Methods:Taking 150 patients with breast cancer who received chemotherapy in the hospital from January 2020 to January 2022 as the research object,the patients were randomly divided into the intervention group and the conventional group,with 75 cases in each group.Basic nursing was carried out in the conventional group during chemotherapy,and segmented nursing combined with individualized rehabilitation training was carried out in the intervention group during chemotherapy.The patients were followed up for 6 months,and the adverse reactions and survival of the two groups were statistically compared.Results:After nursing,the SAS,SDS and MDASI scores in the intervention group were lower than those in the conventional group,with statistically significant difference(t=3.097,2.784;P<0.05).After nursing,the MDASI scores of the intervention group were lower than those of the conventional group,and the difference was statistically significant(t=2.856,2.423;P<0.05).During the follow-up,the incidence of adverse reactions in the intervention group was lower than that in the conventional group,and the difference was statistically significant(x2=5.975;P<0.05).During the follow-up period,the FACT-B scores of all dimensions in the intervention group were lower than those in the conventional group,and the differences were statistically significant(t=3.359,3.344,2.878,3.127,3.446;P<0.05).Conclusion:Segmental nursing combined with individualized rehabilitation training for chemotherapy patients with breast cancer can improve their psychological and physiological status,reduce the incidence of chemotherapy related side effects and significantly improve their quality of life.

Breast cancerSegmental nursingIndividualized rehabilitation trainingChemotherapyAdverse reactionsPrognosis

窦帆、王小盼

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商丘市第一人民医院肿瘤科,河南 商丘 476000

乳腺癌 分段式护理 个体化康复训练 化疗 不良反应 预后情况

河南省医学教育研究项目

LHGJ202202123

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(13)