人文关怀对乳腺癌术后化疗患者不良反应及生存质量的影响

Effect of humanistic care on adverse reactions and quality of life for patients with breast cancer during postoperative chemotherapy

目的：探讨人文关怀对乳腺癌术后化疗患者不良反应及生存质量的影响。方法选取2010年1月-2012年12月收治的乳腺癌术后化疗患者96例，按照随机数字表法随机分为对照组和观察组各48例，对照组给予常规护理，观察组在对照组基础上给予健康教育和心理护理等细致人文关怀的护理干预，分析两种护理方法对患者术后化疗不良反应及生存质量的影响。结果观察组患者术后化疗引起的不良反应总评分为（29．98±13．12）分，对照组为（41．53±14．37）分，两组比较差异有统计学意义（t＝4．32，P ＜0．01）。观察组患者生活质量总评分为（64．81±15．36）分，对照组为（48．91±15．07）分，两组比较差异有统计学意义（t＝5．35，P＜0．01）。结论健康教育和心理护理等细致人文关怀能够有效提高乳腺癌术后化疗患者的生存质量，减少术后化疗引起的不良反应。

Objective To discuss the effect of humanistic care on adverse reactions and quality of life for patients with breast cancer after chemotherapy .Methods From January 2010 to December 2012 ,totals of 96 cases of patients with breast cancer were randomly divided into control group and observation group .The control group received routine nursing , while the observation group received humanistic care nursing including health education propaganda guidance , psychological nursing meticulous and so on .The adverse reactions and quality of life of the two groups were analyzed .Results The total score of adverse reactions caused by chemotherapy in the observation group was （29.98 ±13.12）, which was significantly lower than that of the control group （41.53 ±14.37）,and the difference was statistically significant （t=4.32,P〈0.05）.Quality of life score of the observation group was significantly higher than that of the control group [（64.81 ±15.36） vs （48.91 ± 15.07）;t =5.35,P 〈0.05）].Conclusions Humanistic care nursing for the breast cancer patients with postoperative chemotherapy can effectively improve quality of life , and reduce postoperative adverse reactions caused by chemotherapy .