乳腺癌化疗患者居家管理中延续护理的应用

Application of Continuous Nursing Care in Home Management of Breast Cancer Patients with Chemotherapy

目的探讨乳腺癌化疗患者居家管理中延续护理的应用效果。方法选取该院2012年3月—2014年7月乳腺癌化疗患者88例,将其随机分为对照组(44例)和观察组(44例),其中对照组患者出院后给予常规教育,观察组患者在居家管理中实施延续护理。比较两组患者护理后的认知评分、现状评分、行为评分、护理满意度和抑郁状况。结果观察组患者的认知评分、现状评分和行为评分分别为(4.03±0.67)分、(4.08±0.54)分和(4.13±0.64)分,均显著优于对照组患者,且观察组患者护理满意度更高,心理抑郁轻度、中度和重度患者的比例更低(P<0.05)。结论在居家管理中,延续护理的应用能够改善乳腺癌化疗患者对疾病的认知,加强对疾病的自我管理,提高其护理满意度,改善其心理状况,适合推广。

Objective To explore the application effect of continuous nursing care in the treatment of breast cancer pa-tients with chemotherapy. Methods Select our hospital from March 2012 to July 2014 breast cancer chemotherapy pa-tients with 88 cases, randomly divided as control group（44 cases） and observation group（44 cases） and the control group patients were discharged after given regular education, the observation group patients in home management in the im-plementation of extended care. Compared with the two groups of patients after nursing cognitive score, status score, be-havior score, nursing satisfaction and depression status. Results The observation group of patients with cognitive scores and status scores and scores were （4.03±0.67） points,（4.08±0.54） and（4.13±0.64）, were significantly better than the con-trol group, and the observation group, patients satisfaction more high, depression of mild, moderate and severe patients with lower proportion of （P〈 0.05）. Conclusion In home management, the continuation of the application and nursing can improve the cognition of disease in breast cancer patients receiving chemotherapy, strengthen self-management of the disease, to improve nursing satisfaction, improve the psychological status, and is suitable for popularization.