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1、舒適護(hù)理對(duì)乳腺癌化療患者生活質(zhì)量的影響趙巧玉王麗【摘要】目的探討舒適護(hù)理對(duì)乳腺癌化療患者生活質(zhì)量的影響。方法采用方便抽樣法獲取乳腺癌改良根治術(shù)后住院化療患者80例作為研究對(duì)象,將其隨機(jī)分為干預(yù)組與對(duì)照組。對(duì)照組采用常規(guī)護(hù)理,干預(yù)組在此基礎(chǔ)上給予化療全程的舒適護(hù)理。采用歐洲癌癥研究和治療組織癌癥患者生活質(zhì)量問卷調(diào)查QLQ–C30、住院患者焦慮和抑郁評(píng)分表(HADS)和自編護(hù)理工作滿意度調(diào)查表定期對(duì)兩組患者進(jìn)行評(píng)定。結(jié)果干預(yù)前兩組病人的生活質(zhì)量比較差異無顯著性意義(P>0.05);干預(yù)后兩組病人的生活質(zhì)量比較有顯著性意義(P<0.05),干預(yù)后干預(yù)組的抑郁和焦慮的發(fā)生率明顯低于對(duì)照
2、組(P<0.05),對(duì)護(hù)理工作的滿意度明顯高于對(duì)照組(P<0.05)。結(jié)論舒適護(hù)理干預(yù)方法優(yōu)于傳統(tǒng)護(hù)理方法,能夠提高護(hù)理服務(wù)質(zhì)量,減少焦慮、抑郁狀態(tài)的發(fā)生,提高患者的生活質(zhì)量?!娟P(guān)鍵詞】舒適護(hù)理;乳腺癌;化療;生活質(zhì)量Thecomfortcareforbreastcancerpatientsundergoingchemotherapyaffectthequalityoflife/ZhaoQiaoyu【Abstract】ObjectiveToexplorewhethercomfortcareforbreastcancerpatientsundergoingchemotherapy
3、affectthequalityoflife.MethodsConveniencesamplingmethodaccessaftermodifiedradicalmastectomybreastcancerpatients80casesaschemotherapysubjectswererandomlydividedintoitsinterventiongroupandthecontrolgroup.Thecontrolgroupusingconventionalcare,intheinterventiongrouponthebasisofchemotherapytothewh
4、olecomfortcare.TheadoptionoftheEuropeanOrganizationforResearchonCancerandtreatmentofcancerpatientsqualityoflifesurveyC30,anxietyanddepressioninpatientsscoretable(HADS)andnursingjobsatisfactionquestionnaireinthetwogroupsonaregularbasistoassess.ResultsTherewasnosignificantdifferencebetweentwog
5、roupsbeforeinterventioninthequalityoflifeofpatients(P>0.05).Aftertheinterventiongroupcomparedthequalityoflifeofpatientstherewasasignificant(P<0.05),aftertheinterventionintheinterventiongrouptheincidenceofdepressionandanxietytheratewassignificantlylowerthanthecontrolgroup(P<0.01),thenursingjo
6、bsatisfactionwassignificantlyhigher(P<0.01).ConclusionComfortablenursinginterventionmethodissuperiortotraditionalcaremethods,toimprovethequalityofnursingservice,reduceanxietyanddepressioninthestate,improvingthequalityoflifeofpatients.【Keywords】Comfortcare;Breastcancer;Chemotherapy;Qualityofl
7、ife【Author’saddress】AffiliatedZhongshanHospitalofDalianUniversity,Dalian,Liaoning,116001隨著疾病診治技術(shù)的不斷提高,乳腺癌病人的5年生存率也在不斷提高。但是,醫(yī)院對(duì)乳腺癌病人在診治過程中的常規(guī)護(hù)理往往忽略病人的身心健康及其家庭、社會(huì)環(huán)境的因素,極大地影響了乳腺癌病人的生活質(zhì)量[1]。世界衛(wèi)生組織(WHO)將生活質(zhì)量定義為,不同的文化和價(jià)值體系中的個(gè)體對(duì)于他們的生活目標(biāo)、期望、標(biāo)準(zhǔn),以及所關(guān)心事情有關(guān)的生活