摘要
目的 探讨分阶段护理干预对乳腺癌术后化疗患者的心理困扰程度和生活质量的影响.方法 选取2019年1 月-2023 年 12 月医院收治的乳腺癌术后化疗患者 80 例作为研究对象,根据组间基线资料均衡可比原则分为对照组和观察组,每组各 40 例.对照组给予常规护理,观察组给予分阶段护理干预.比较两组患者心理困扰程度、焦虑自评量表(SAS)评分和生活质量评分.结果 护理干预前,两组患者心理困扰程度评分、SAS评分和 5 个维度的生活质量评分差异均无统计学意义(P>0.05);干预后,两组患者心理困扰程度评分和SAS评分均下降,但观察组患者各项评分均低于对照组,差异均有统计学意义(P<0.05);两组患者功能幸福感、社会/家庭幸福感、身体幸福感、情感幸福感和附加相关项目等 5 个维度的生活质量评分均升高,但观察组患者各项生活质量评分均高于对照组,差异均有统计学意义(P<0.05).结论 护理干预可以缓解患者的心理困扰,提高患者的生活质量.
Abstract
Objective To explore the effect of nursing intervention on psychological distress and quality of life of breast cancer patients undergoing chemotherapy after operation.Methods From January 2019 to December 2023,80 patients with postoperative chemotherapy of breast cancer admitted to the hospital were selected as the study subjects.According to the principle of balanced and comparable baseline data between groups,they were divided into the control group and the observation group,with 40 cases in each group.The control group received routine care,while the observation group received phased nursing intervention.Compare the level of psychological distress,SAS score,and quality of life between two groups of patients.Results Before the nursing intervention,there was no statistically significant difference in the psychological distress score,SAS score,and 5-dimensional quality of life score between the two groups of patients(P>0.05);After intervention,the psychological distress score and SAS score of both groups of patients decreased,but the scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05);The quality of life scores in five dimensions,including functional well-being,social/family well-being,physical well-being,emotional well-being,and additional related items,increased in both groups of patients.However,the observation group had higher quality of life scores than the control group,and the differences were statistically significant(P<0.05).Conclusion Nursing intervention can alleviate the psychological distress of patients and improve their quality of life.
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