循证护理对乳腺癌患者术后化疗期间不良反应的作用观察

The Effect of Evidence-based Nursing Measures on the Adverse Reactions of Post-surgical Breast Cancer Patients during Chemotherapy

目的探讨循证护理对乳腺癌患者术后化疗期间不良反应的影响,提高乳腺癌患者的护理质量。方法选择2010年6月～2012年6月我院收治的乳腺癌术后患者146例作为研究对象,随机分为循证护理组和常规护理组(对照组),每组73例,观察和比较两组患者不良反应的发生情况和护理质量。结果循证护理组的生活量表各因子得分均高于对照组(P<0.05),循证护理组患者恶心呕吐、静脉炎、脱发和焦虑的发生率均显著低于对照组(P<0.05),而患者的满意度显著高于对照组(P<0.05)。结论循证护理能有效降低乳腺癌患者术后化疗不良反应的发生率,提高患者满意度,促进患者早日康复。

Objective To explore the effect of evidence-based nursing measures on the adverse reactions of breast cancer patients who got chemotherapy after operation, so as to improve the quality of nursing for breast cancer patients. Methods 146 breast cancer patients treated by chemotherapy after operation from June 2010 to June 2012 in our hospital were chosen and randomly divided into the evidence-based nursing group and conventional nursing group （control group）. 73 cases were in each group. Results The factor scores in life scale of evidence-based nursing group were higher than that of control group （P〈 0.05）. The incidence rates of nausea and vomiting, phlebitis, alopecia and anxiety were significantly lower in evidence- based nursing group than in the control group （P〈0.05）. The satisfaction rate was significantly higher in evidence-based nursing group than in the control group （P〈0.05）. Conclusion Evidence-based nursing could effectively reduce the incidence rates of adverse reactions, improve the patients＇ satisfaction, and promote the recovery of breast cancer patients treated by chemotherapy after operation.