摘要
目的探讨系统护理干预对乳腺癌患者术后生存质量的影响。方法将110例乳腺癌行手术治疗的患者随机分为实验组及对照组,各55例。对照组患者采用常规的护理措施,实验组在常规的护理基础上实施心理干预、认知干预、行为干预,干预前后分别采用QLQ-C30量表进行评定,观察患者生存质量的变化情况。结果干预后两组患者生存质量的5个功能领域、3个症状领域和整体生存质量得分比较,差异具有统计学意义(P<0.05或P<0.01);实验组护理干预后较干预前生存质量有明显改善。结论对乳腺癌术后患者在常规的护理基础上,配合以心理干预、认知干预、行为干预等系统护理干预措施,可以改善患者心理障碍,提高患者的生存质量。
Objective To evaluate the influence of system nursing intervention on quality of life of breast cancer patients. Methods There were 110 breast cancer patients, randomly divided into experimental group with 55 and control group with 55. All patients was accepted the routine nursing care, and experimental group was implemented of psychological intervention, cognitive intervention and behavior intervention on the basis of routine nursing care. Before and after the intervention, changes in the quality of life of patients were assessed by the gauge of QLQ-C30 scales. Results Five functional areas, three symptom domains and overall quality of life scores were compared between the two groups, and difference was significant （P〈0.05 or P〈0.01 ）. Quality of life of breast cancer patients was improved significantly after the intervention. Conclusion Routine care treatment with system nursing intervention such as psychological intervention, cognitive intervention and behavior intervention can improve the mental disorders and quality of life of breast cancer patients.
关键词
乳腺癌
心理干预
认知干预
行为干预
生活质量
breast cancer
psychological intervention
cognitive intervention
behavior intervention
quality of life
