心理护理对乳腺癌患者化疗依从性影响的研究

发布时间：2018-06-10 17:04

本文选题：心理护理 + 乳腺癌　；参考：《中国当代医药》2016年04期

【摘要】：目的探讨心理护理干预对乳腺癌患者化疗依从性的影响。方法选取2014年1月~2015年1月我院收治的110例乳腺癌术后化疗的患者作为研究对象,采用随机数字表法将其分为研究组和对照组,各55例,研究组采用针对性心理护理干预,对照组采用常规护理,使用焦虑自评量表(SAS)及抑郁自评量表(SDS)评价心理状态,使用生活质量核心量表(QLQ-C30)评分评价生活质量,综合比较两组患者化疗期间心理状态、化疗依从性及生活质量评分的差异。结果护理后研究组SAS、SDS评分分别为(42.63±5.51)、(47.55±6.41)分,均低于对照组的(48.37±6.12)、(53.26±7.42)分(P0.05);研究组治疗依从性优良率为94.5%,高于对照组的78.2%(P0.05);治疗后研究组在躯体功能、角色功能、认知功能、情感功能及社会功能等方面的生活质量各项评分均优于对照组(P0.05)。结论对乳腺癌化疗患者实施针对性心理护理干预效果确切,可明显改善患者的不良情绪,提高治疗依从性,优于常规护理措施。
[Abstract]:Objective to explore the effect of psychological nursing intervention on chemotherapeutic compliance of breast cancer patients. Methods 110 breast cancer patients treated in our hospital from January 2014 to January 2015 were randomly divided into study group (55 cases) and control group (55 cases). In the control group, routine nursing care was used to evaluate the psychological status of the patients with SAS and SDS, and the core quality of life scale (QLQ-C30) was used to evaluate the quality of life. The psychological status of the two groups during chemotherapy was compared. The difference of chemotherapeutic compliance and quality of life score. Results after nursing, the scores of SAS SDS in the study group were 42.63 卤5.51 卤6.41, respectively, which were lower than those in the control group (48.37 卤6.12) and 53.26 卤7.42, respectively (P 0.05), the excellent and good rate of treatment compliance in the study group was 94.5, which was higher than that in the control group (78.2%). The scores of affective function and social function were better than that of control group (P 0.05). Conclusion the effect of psychological nursing intervention on patients with breast cancer chemotherapy is effective, which can obviously improve patients' bad mood and therapeutic compliance, and is superior to routine nursing measures.
【作者单位】：桂林医学院附属医院普外二科;
【分类号】：R473.73

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