全面引导护理对乳腺癌放疗患者护理质量的影响

目的研究全面引导护理对乳腺癌放疗患者护理质量的影响。方法本文选取2015年4月—2017年4月吉林大学第一医院收治的乳腺癌放疗患者150例,采用数字随机法分成常规护理组和全面引导护理组,对2组患者干预前后的皮肤损伤症状评分进行比较,采用焦虑自评量表(self-rating anxiety scale,SAS)、抑郁自评量表(self-rating depression scale,SDS)对患者干预前后的心理状态进行评分比较,采用健康状况调查简表(SF-36)对患者干预前后的生活质量进行评分,最后统计2组患者的护理满意度。结果 2组患者在进行护理干预前的皮肤损伤程度症状评分比较差异无统计学意义(均P>0.05),护理干预后全面引导护理组的皮肤损伤程度症状评分明显低于常规护理组的症状评分(均P<0.05);2组患者护理后的SAS和SDS评分明显低于护理前,且全面引导护理组患者护理后的SAS和SDS评分显著低于常规护理组(均P<0.05);2组患者护理后的生活质量评分均高于护理前,且全面引导护理组的患者护理干预后生活质量评分明显高于常规护理组(P<0.05);全面引导护理组患者护理后的总满意度明显高于常规护理组(P<0.05)。结论全面引导护理能够降低乳腺癌患者放疗后的皮肤损伤程度,改善患者心理状态和生活质量,提高患者的护理满意度。

Effect of comprehensive guided nursing on skin injury and quality of life of patients with breast cancer treated by radiotherapy

Objective To study the effect of comprehensive guided nursing on nursing quality of breast cancer radiotherapy patients. Methods Total 150 cases of patients with breast cancer treated by radiotherapy were selected in our hospital from April 2015 April 2017. The patients were divided into the routine nursing and comprehensive guide nursing groups with digital method of random. The skin damage symptom score, mental state (using self-rating anxiety scale, SAS; self-rating depression scale, SDS), and life quality (using health status survey summary table, SF-36) on the patients in two groups were compared before and after intervention. Finally, the nursing satisfaction on the patients in two groups was calculated. Results There was no statistically significant difference in the skin injury degree symptom scores between the two groups before the nursing intervention (all P>0.05), and the skin injury degree symptom score of the comprehensive guidance nursing group after the nursing intervention was significantly lower than that of the conventional nursing group (all P<0.05). The SAS and SDS scores of patients in the two groups after nursing were significantly lower than those before nursing, and the SAS and SDS scores of patients in the comprehensive guidance nursing group after nursing were significantly lower than those in the conventional nursing group after nursing (all P<0.05). The quality of life scores of patients in both groups after nursing were higher than those before nursing, and the quality of life scores of patients in the comprehensive guidance nursing group after nursing intervention were significantly higher than those in the conventional nursing group (P<0.05). The overall satisfaction of patients in the comprehensive guidance nursing group was significantly higher than that in the conventional nursing group (P<0.05). Conclusion Comprehensive guidance nursing can reduce the degree of skin damage of breast cancer patients after radiotherapy, improve their psychological state and quality of life, and improve their nursing satisfaction.