早期综合护理干预对乳腺癌患者希望水平及生存质量的影响
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摘要
目的:分析融入康复志愿者早期访视的综合护理干预对诊断期乳腺癌患者希望水平和生存质量的影响。方法:于2015年1月至2017年9月招募368例乳腺癌患者,在接受常规综合护理干预的基础上增加1次康复志愿者早期访视。分别于干预前和确诊后30天时采用Herth希望指数量表和乳腺癌患者生存质量测定量表对患者的心理状态、生存质量进行评价。结果:确诊后30天时,患者的希望指数和生存质量总分较干预前均提高,差异有统计学意义(P<0.05)。结论:早期综合护理干预有助于乳腺癌患者希望水平和生存质量的提高。
Objective: To explore the effects of early comprehensive nursing intervention combined with early visits by volunteers for patients with breast cancer. Methods: A total of 368 breast cancer patients were recruited from Jan. 2015 to Sept. 2017, and one additional early visit by rehabilitation volunteers were implemented on the basis of routine health education. The Herth Hope Index and the Functional Assessment of Cancer Therapy-Breast were assessed before intervention and in 30 days of being diagnosed. Results: The scores of hope and quality of life of patients in 30 days of being diagnosed were significantly improved compared with the score before the intervention(P<0.05). Conclusion: Early comprehensive nursing intervention benefits the improvement of hope and quality of life of patients with breast cancer.
Objective: To explore the effects of early comprehensive nursing intervention combined with early visits by volunteers for patients with breast cancer. Methods: A total of 368 breast cancer patients were recruited from Jan. 2015 to Sept. 2017, and one additional early visit by rehabilitation volunteers were implemented on the basis of routine health education. The Herth Hope Index and the Functional Assessment of Cancer Therapy-Breast were assessed before intervention and in 30 days of being diagnosed. Results: The scores of hope and quality of life of patients in 30 days of being diagnosed were significantly improved compared with the score before the intervention(P<0.05). Conclusion: Early comprehensive nursing intervention benefits the improvement of hope and quality of life of patients with breast cancer.
引文
[1]Fan L,Strasser-Weippl K,Li JJ,et al.Breast cancer in China.Lancet Oncol,2014,15(7):e279-e289.
[2]Schmid-Buchi S,Halfens RJ,Dassen T,et al.Psychosocial problems and needs of posttreatment patients with breast cancer and their relatives.Eur J Oncol Nurs,2011,15(3):260-266.
[3]Quintard B,Constant A,Lakdja F,et al.Factors predicting sexual functioning in patients3 months after surgical procedures for breast cancer:the role of the sense of coherence.Eur JOncol Nurs,2014,18(1):41.
[4]陈静,刘均娥,苏娅丽,等.住院乳腺癌患者心理痛苦及其相关因素调查.护理管理杂志,2012,12(3):158-161.Chen J,Liu JE,Su YL,et al.Psychological distress and its relevant factors among inpatients with breast cancer.Journal of Nursing Administration,2012,12(3):158-161.
[5]Mitchell AJ,Kaar S,Coggan C,et al.Acceptability of common screening methods used to detect distress and related mood disorderspreferences of cancer specialists and nonspecialists.Psychooncology,2008,17(3):226-236.
[6]狄岩,洪雷,姜达.社会支持在乳腺癌发生发展中的作用.中国全科医学,2005,8(9):734-735.Di Y,Hong L,Jiang D.The effect of social support in the development of breast cancer.General Practice in China,2005,8(9):734-735.
[7]赵海平,王健.血液透析病人的社会支持和希望.中华护理杂志,2000,35(5):306-208.Zhao HP,Wang J.Social support and hope of hemodialysis patients.Chinese Journal of Nursing,2000,35(5):306-208.
[8]Cella DF,Tulsky DS,Gray G,et al.The Functional Assessment of Cancer Therapy scale:development and validation of the general measure.Journal of Clinical Oncology,1993,11(3):570-579.
[9]万崇华,张冬梅,汤学良,等.乳腺癌患者生命质量测定量表FACT-B中文版介绍.中国肿瘤,2002,11(6):10-12.Wan CH,Zhang DM,Tang XL,et al.Introduction on measurement scale of quality of life for patients with breast cancer:Chinese version of FACT-B.Bulletin of Chinese Cancer,2002,11(6):10-12.
[10]李艳敏.乳腺癌患者围手术期心理及其影响因素研究.蚌埠:蚌埠医学院,2012.Li YM.Study on the psychology and influencing factors of patients with breast cancer during perioperative period.Bengbu:Bengbu Medical College,2012.
[11]沈傲梅,强万敏,陈育红,等.乳腺癌患者诊断期心理体验的质性研究.天津护理,2016,24(6):471-474.Shen A M,Qiang W M,Chen Y H,et al.Qualitative research on psychological experiences of breast cancer patients during the period of diagnosis.Tianjin Journal of Nursing,2016,24(6):471-474.
[12]王艳华,阎成美.乳腺癌患者术后疾病不确定感与焦虑抑郁及应对方式相关性研究.护理管理杂志,2007,7(1):2-3.Wang YH,Yan CM.Study on the correlations between postoperative uncertainty in illness and anxiety,depression,coping mode in breast cancer patients.Journal of Nursing Administration,2007,7(1):2-3.
[13]张静,陈力,王萍,等.乳腺癌病人希望水平和焦虑抑郁情绪的相关性研究.中国实用外科杂志,2010,30(5):394.Zhang J,Chen L,Wang P,et al.A study on the correlation between the level of hope and anxiety and depression in breast cancer patients.Chinese Journal of Practical Surgery,2010,30(5):394.
[14]骆惠玉,林朝春,林云月,等.志愿者参与健康教育在乳腺癌患者康复中的作用.中华护理杂志,2012,47(7):650-652.Luo HY,Lin CC,Lin YY,et al.The role of volunteers in health education in the rehabilitation of breast cancer patients.Chinese Journal of Nursing,2012,47(7):650-652.
[15]李蓉,杜铠邺,孙玉巧,等.康复志愿者参与的小组健康教育形式对乳腺癌病人的影响.护理研究,2016,30(15):1820-1822.Li R,Du KY,Sun YQ,et al.Inf luence of rehabilitation volunteers participating in group health education on patients with breast cancer.Chinese Nursing Research,2016,30(15):1820-1822.
[16]孙红,郭红.信息支持对乳腺癌根治术患者疾病不确定感的影响.中华护理杂志,2004,39(4):244-246.Sun H,Guo H.Effects of informational support on uncertainty illness among mastectomy patients.Chinese Journal of Nursing,2004,39(4):244-246.
[17]黄晓燕,胡雁,陆箴琦,等.网络支持干预对乳腺癌术后患者疾病不确定感的影响.中华护理杂志,2010,45(1):13-16.Huang XY,Hu Y,Lu ZQ,et al.Effect of an internet support program on uncertainty in illness in breast cancer survivors.Chinese Journal of Nursing,2010,45(1):13-16.
[2]Schmid-Buchi S,Halfens RJ,Dassen T,et al.Psychosocial problems and needs of posttreatment patients with breast cancer and their relatives.Eur J Oncol Nurs,2011,15(3):260-266.
[3]Quintard B,Constant A,Lakdja F,et al.Factors predicting sexual functioning in patients3 months after surgical procedures for breast cancer:the role of the sense of coherence.Eur JOncol Nurs,2014,18(1):41.
[4]陈静,刘均娥,苏娅丽,等.住院乳腺癌患者心理痛苦及其相关因素调查.护理管理杂志,2012,12(3):158-161.Chen J,Liu JE,Su YL,et al.Psychological distress and its relevant factors among inpatients with breast cancer.Journal of Nursing Administration,2012,12(3):158-161.
[5]Mitchell AJ,Kaar S,Coggan C,et al.Acceptability of common screening methods used to detect distress and related mood disorderspreferences of cancer specialists and nonspecialists.Psychooncology,2008,17(3):226-236.
[6]狄岩,洪雷,姜达.社会支持在乳腺癌发生发展中的作用.中国全科医学,2005,8(9):734-735.Di Y,Hong L,Jiang D.The effect of social support in the development of breast cancer.General Practice in China,2005,8(9):734-735.
[7]赵海平,王健.血液透析病人的社会支持和希望.中华护理杂志,2000,35(5):306-208.Zhao HP,Wang J.Social support and hope of hemodialysis patients.Chinese Journal of Nursing,2000,35(5):306-208.
[8]Cella DF,Tulsky DS,Gray G,et al.The Functional Assessment of Cancer Therapy scale:development and validation of the general measure.Journal of Clinical Oncology,1993,11(3):570-579.
[9]万崇华,张冬梅,汤学良,等.乳腺癌患者生命质量测定量表FACT-B中文版介绍.中国肿瘤,2002,11(6):10-12.Wan CH,Zhang DM,Tang XL,et al.Introduction on measurement scale of quality of life for patients with breast cancer:Chinese version of FACT-B.Bulletin of Chinese Cancer,2002,11(6):10-12.
[10]李艳敏.乳腺癌患者围手术期心理及其影响因素研究.蚌埠:蚌埠医学院,2012.Li YM.Study on the psychology and influencing factors of patients with breast cancer during perioperative period.Bengbu:Bengbu Medical College,2012.
[11]沈傲梅,强万敏,陈育红,等.乳腺癌患者诊断期心理体验的质性研究.天津护理,2016,24(6):471-474.Shen A M,Qiang W M,Chen Y H,et al.Qualitative research on psychological experiences of breast cancer patients during the period of diagnosis.Tianjin Journal of Nursing,2016,24(6):471-474.
[12]王艳华,阎成美.乳腺癌患者术后疾病不确定感与焦虑抑郁及应对方式相关性研究.护理管理杂志,2007,7(1):2-3.Wang YH,Yan CM.Study on the correlations between postoperative uncertainty in illness and anxiety,depression,coping mode in breast cancer patients.Journal of Nursing Administration,2007,7(1):2-3.
[13]张静,陈力,王萍,等.乳腺癌病人希望水平和焦虑抑郁情绪的相关性研究.中国实用外科杂志,2010,30(5):394.Zhang J,Chen L,Wang P,et al.A study on the correlation between the level of hope and anxiety and depression in breast cancer patients.Chinese Journal of Practical Surgery,2010,30(5):394.
[14]骆惠玉,林朝春,林云月,等.志愿者参与健康教育在乳腺癌患者康复中的作用.中华护理杂志,2012,47(7):650-652.Luo HY,Lin CC,Lin YY,et al.The role of volunteers in health education in the rehabilitation of breast cancer patients.Chinese Journal of Nursing,2012,47(7):650-652.
[15]李蓉,杜铠邺,孙玉巧,等.康复志愿者参与的小组健康教育形式对乳腺癌病人的影响.护理研究,2016,30(15):1820-1822.Li R,Du KY,Sun YQ,et al.Inf luence of rehabilitation volunteers participating in group health education on patients with breast cancer.Chinese Nursing Research,2016,30(15):1820-1822.
[16]孙红,郭红.信息支持对乳腺癌根治术患者疾病不确定感的影响.中华护理杂志,2004,39(4):244-246.Sun H,Guo H.Effects of informational support on uncertainty illness among mastectomy patients.Chinese Journal of Nursing,2004,39(4):244-246.
[17]黄晓燕,胡雁,陆箴琦,等.网络支持干预对乳腺癌术后患者疾病不确定感的影响.中华护理杂志,2010,45(1):13-16.Huang XY,Hu Y,Lu ZQ,et al.Effect of an internet support program on uncertainty in illness in breast cancer survivors.Chinese Journal of Nursing,2010,45(1):13-16.