首页|以精准医疗框架为指导的康复护理模式对乳腺癌根治术后放疗患者康复效果的影响

以精准医疗框架为指导的康复护理模式对乳腺癌根治术后放疗患者康复效果的影响

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目的 探讨以精准医疗框架为指导的康复护理模式对乳腺癌根治术后放疗患者康复效果的影响.方法 选取2021年6月至2023年6月于江苏省淮安市第一人民医院收治的89例乳腺癌根治术后放疗患者为研究对象,按分层随机抽样法分为对照组(44例)和研究组(45例).对照组接受常规康复护理,研究组接受以精准医疗为框架的康复护理模式,两组均干预6个放疗周期.比较两组干预前后心理状态、肩关节功能、症状困扰及生活质量.结果 干预后,两组心理健康连续体量表简版、上肢功能评定量表评分均低于干预前,且研究组低于对照组,差异有统计学意义(P<0.05).干预后,对照组记忆症状评估量表各维度评分均高于干预前,研究组记忆症状评估量表各维度评分均低于干预前及对照组,差异有统计学意义(P<0.05).干预后,两组欧洲癌症研究与治疗组织生活质量测定表各维度评分均高于干预前,且研究组高于对照组,差异有统计学意义(P<0.05).结论 以精准医疗框架为指导的康复护理模式可改善乳腺癌根治术后放疗患者肩关节功能,减轻症状困扰,提升心理健康及生活质量.
Effect of rehabilitation nursing model guided by precision medicine framework on rehabilitation effect in radiotherapy patients after radical mastectomy
Objective To investigate the effect of rehabilitation nursing model guided by precision medicine framework on rehabilitation effect in radiotherapy patients after radical mastectomy.Methods A total of 89 radiotherapy patients after radical mastectomy in Huaian First People's Hospi-tal of Jiangsu Province from June 2021 to June 2023 were selected as research objects,and they were divided into the control group(44 cases)and the study group(45 cases)according to stratified random sampling method.The control group received routine rehabilitation nursing,while the study group received rehabilitation nursing model guided by precision medicine framework,both groups were intervened for six radiotherapy cy-cles.Psychological status,shoulder joint function,symptom distress,and quality of life before and after intervention between the two groups were compared.Results After intervention,mental health continuum-short form scores and shoulder and hand scores of the two groups were lower than before intervention,and those in the study group were lower than those in the control group,the differences were statistically significant(P<0.05).After intervention,the scores of all dimensions of memory symptom assessment scale in the control group were higher than before intervention,while the scores of all dimensions of memory symptom assessment scale in the study group were lower than before intervention and those in the control group,the differences were statistically significant(P<0.05).After intervention,the scores of all dimensions of European Organization for Research and Treatment of Cancer quality of life questionnaire-core 30 in both groups were higher than before intervention,and those in the study group were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion Rehabilitation nursing model guided by precision medicine framework can improve shoulder joint function,alleviate symptoms,and improve mental health and quality of life for radiothera-py patients after radical mastectomy.

Breast cancerRehabilitation nursingPrecision medicineRadiotherapyShoulder joint functionSymptom distress

左菊萍、张叶环、孙艳娟

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江苏省淮安市第一人民医院放疗科,江苏淮安 223300

乳腺癌 康复护理 精准医疗 放疗 肩关节功能 症状困扰

江苏省卫生健康委员会医学科研基金重点项目

ZDB2020022

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(18)
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