护理干预对卵巢癌化疗患者生活质量的影响

Efficacy of nursing intervention to improve quality of life in patients with ovarian cancer after chemotherapy

目的探讨全程系统化护理干预对卵巢癌化疗患者生活质量的影响。方法将84例卵巢癌术后化疗患者随机分为干预组(41例)和对照组(43例),对照组行常规护理,干预组实施全程系统化护理干预,化疗前和化疗后3个月使用焦虑自评量表(SAS)、抑郁自评量表(SDS)及生活质量核心量表(EORTC QLQ-C30)评定患者的生活质量。结果干预组的整体生活质量、躯体功能、情绪功能、社会功能得分高于对照组,症状维度和单项问题中疲倦、恶心呕吐、失眠、食欲下降得分低于对照组,两组差异均有统计学意义(P<0.05)。结论对卵巢癌化疗患者实施全程系统化护理,可改善患者的焦虑、抑郁情绪,提高生活质量。

Objective To explore the influence of holistic nursing intervention on the quality of life of patients with ovarian cancer after chemotherapy. Methods A total of 84 patients with ovarian cancer treated by chemotherapy were randomly divided into a con- trol group （n=43）,who received routine nursing care; and an intervention group （n=41）,who received holistic nursing intervention. Patients were assessed before chemotherapy and 3 months afterwards using the Self-rating Depression Scale, Self-rating Anxiety Scale （SAS） and the Quality of Life EORTC QLQ-C30 scale. Results After chemotherapy,the intervention group showed significantly higher scores than the control group for overall quality of life and for physical, emotional, and social function （P〈0.05）. At the same time, the intervention group showed lower scores on individual symptom dimensions of fatigue, nausea and vomiting, insomnia, and decreased appetite（P〈0.05 ）. Conclusion Holistic nursing intervention can improve anxiety, depression, and quality of life in patients with ovarian cancer following chemotherapy.