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延续护理在乳腺癌化疗患者居家管理中的应用
引用本文:陈丽明,向川江,谢柳艳,周文娟,黄洁. 延续护理在乳腺癌化疗患者居家管理中的应用[J]. 妇幼护理, 2022, 2(23): 5335-5338
作者姓名:陈丽明  向川江  谢柳艳  周文娟  黄洁
作者单位:柳州市人民医院乳腺甲状腺外科一病区 广西柳州 545006
基金项目:广西壮族自治区卫生健康委员会科研课题,合同编号:Z20200115
摘    要:目的:探究延续护理在乳腺癌化疗患者居家管理中的应用。方法:选择时间为2020年7月至2022年6月,我院收治的乳腺癌患者100例,依据不同护理方式划分成观察组(延续护理干预的方式),病程(6~40)个月,平均(26.70±2.15)个月,年龄(31~55)岁,平均(40.44±2.06)岁,均为女性;对照组(常规护理),病程(6~38)个月,平均(26.67±2.13)个月,均为女性,年龄(32~56)岁,平均(40.38±2.02)岁,各50例。比较分析两组间的心理状态、生活质量评分、护理满意度、自理能力等。结果:观察组的焦虑、抑郁评分均低于对照组,差异有统计学意义(P<0.05);观察组社会、环境、躯体、心理均明显高于对照组,差异有统计学意义(P<0.05);观察组中患者对护理总满意率48例(96.00%)高于对照组的34例(68.00%),差异有统计学意义(P<0.05);观察组的自护技能、健康知识水平、责任感和自护概念评分均明显高于对照组,差异有统计学意义(P<0.05)。结论:针对乳腺癌患者,通过采用延续护理干预模式,对患者临床疗效的提升、心理状态指标的改善、生活质量的提升意义重大,同时能够提升患者对护理的满意程度,适合应用于临床推广。

关 键 词:乳腺癌  化疗  延续护理  居家管理
收稿时间:2022-12-22
修稿时间:2023-01-05

Application of continuous nursing in home management of breast cancer patients undergoing chemotherapy
Abstract:Objective: To explore the application of extended nursing in home management of breast cancer patients undergoing chemotherapy. Methods: From July 2020 to June 2022, 100 patients with breast cancer in our hospital were divided into observation group (continuous nursing intervention) according to different nursing methods. The course of disease was (6-40) months, with an average of (26.70 2.15) months and an average age of (31-55) years (40. Control group (routine nursing), the course of disease was (6 ~ 38) months, with an average of (26.67 2.13) months, all of them were female, with an average age of (40.38 2.02) years, 50 cases in each group. The psychological state, quality of life score, nursing satisfaction and self-care ability between the two groups were compared. Results: The scores of anxiety and depression in the observation group were lower than those in the control group (P < 0.05). The social, environmental, physical and psychological levels of the observation group were significantly higher than those of the control group (P < 0.05). The total satisfaction rate of 48 patients in the observation group (96.00%) was higher than that of 34 patients in the control group (68.00%), and the difference was statistically significant (P < 0.05). The scores of self-care skills, health knowledge level, sense of responsibility and self-care concept in the observation group were significantly higher than those in the control group (P < 0.05). Conclusion: For breast cancer patients, the adoption of continuous nursing intervention mode is of great significance to the improvement of clinical curative effect, psychological state index and quality of life of patients, and at the same time, it can improve patients" satisfaction with nursing, and is suitable for clinical promotion.
Keywords:: breast cancer   Chemotherapy   Continuing nursing   Home management
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