乳腺癌放射治疗后个性化健康管理效果评价

目的 探讨个性化健康管理对乳腺癌放射治疗后患者生存质量的影响.方法 选取2011年10月～2012年10月在中国医科大学附属第一医院放疗科进行放疗的乳腺癌患者74例,分为观察组（40例）及常规组（34例）,观察组由健康管理团队管理者根据评估结果进行个性化健康管理,常规组放射治疗后采用常规健康指导.采用EORTC QLQ-C30量表对两组患者出院前及出院后3个月的生存质量进行测定并比较.结果 两组出院前EORTC QLQ-C30量表中15个领域得分差异均无统计学意义（P＞0.05）.出院后3个月观察组患者EORTC QLQ-C30量表中躯体领域（56.08±15.51）分]、认知领域（64.86±28.06）分]、社会功能领域（58.63±19.97）分]、角色领域（61.53±24.41）分]和总体健康状况（59.13±19.51）分]得分均显著优于常规组（t=2.313、2.274、2.546、2.062、2.776,均P＜ 0.05）;观察组食欲丧失症状（47.31±21.98）分]、失眠症状（49.85±27.96）分]和疼痛症状（33.46±19.47）分]得分均显著低于常规组,差异均有统计学意义（t=2.615、-2.144、-3.127,P＜ 0.05）.观察组患者情绪领域、疲劳症状、恶性呕吐症状、气促症状、便秘症状、腹泻症状和经济方面得分与常规组比较,差异无统计学意义（t=1.102、-0.349、0.228、-0.217、-0.248、0.139、-0.698,P＞0.05）.结论 个性化健康管理可有效改善乳腺癌放疗后的生命质量,是可以推广的健康管理模式.

Individualized health management effect evaluation after breast cancer radiotherapy

Objective To explore the influence of individualized health management of radiotherapy on quality of life in patients with breast cancer.Methods 74 breast cancer patients with radiotherapy from October 2011 to October 2012 in Department of Radiation Oncology,the First Hospital of China Medical University were selected and divided into observation group （40 cases） and control group （34 cases）.The observation group was provided with personalized health management according to the result of assessment by the health management team managers.The control group was provided with conventional health guidance.EORTC QLQ-C30 scale was used to assess and compare the life quality in the two groups before the and 3 months after the discharge.Results The quality of life of EORTC QLQ-C30 scale between the two groups before the discharge were not statistically significant （P ＞ 0.05）.The EORTC QLQ-C30 scale scores of PF,CF,SF,RF,QL in observation group 3 months after the discharge （56.08±15.51）,（64.86±28.06）,（58.63±19.97）,（61.53±24.41）,（59.13±19.51） points] were all better than those in control group,the differences were statistically significant （t =2.313,2.274,2.546,2.062,2.776,P ＜ 0.05）; the AP,SL,PA,in observation group （47.31±21.98）,（49.85±27.96）,（33.46±19.47） points] were all lower than those in control group,the differences were statistically significant （t =2.615,-2.144,-3.127,P ＜ 0.05）.The differences of EF,FA,NV,DY,CO,DI,FI between the two groups were not statistically significant （t =1.102,-0.349,0.228,-0.217,-0.248,0.139,-0.698,P ＞ 0.05）.Conclusion The personalized health management can improve the quality of life effectively for breast cancer after radiotherapy.It is an effective health management.