基于集束化理念为导向的干预措施对乳腺癌保乳术后放化疗患者的影响

Influence of Cluster Oriented Intervention on Patients Undergoing Radiotherapy and Chemotherapy after Breast Conserving Surgery

目的:探讨基于集束化理念为导向的干预措施对乳腺癌保乳术后放化疗患者心理状态、营养状态及生活质量的影响。方法:选取收治的88例行乳腺癌保乳术后放化疗患者为研究对象,采用随机数字表法将患者分为研究组和对照组各44例,对照组开展传统的护理照护,研究组在传统护理照护的基础上引入集束化理念开展干预。干预前及干预后第4周末,两组接受由Zung编制的焦虑自评量表(SAS)和抑郁自评量表(SDS)进行测评,并采用微型营养评分法(MNA)进行营养状况评估,采用生存质量量表进行生存质量测评。结果:干预后,研究组SAS和SDS评分均低于对照组(P<0.05),营养状况优于对照组(P<0.05),生活质量量表各维度评分均高于对照组(P<0.05)。结论:对行乳腺癌保乳术后放化疗患者开展基于集束化理念为导向的干预措施,有助于减轻患者焦虑、抑郁等负性情绪,改善患者营养状况,提高患者生活质量,值得临床推广。

Objective ： To investigate the influence of cluster oriented intervention on the psychological status, nutritional status and qual- ity of life in patients with breast cancer undergoing radiotherapy and chemotherapy after breast conserving surgery. Methods：A total of 88 cases of breast conserving surgery after chemotherapy and radiotherapy patients as the research object, by using the random number table method, were divided into the study group and the control group with 44 cases in each group. The control group was carried out the tradi- tional nursing care, while the study group was introduced the cluster concept based on the traditional nursing intervention. Before the inter- vention and at the end of the fourth week after the intervention, the two groups were measured by Self-rating Anxiety Scale（SAS） and Self- rating Depression Scale （SDS）, were evaluated by using Mini-nutritional Assessment （MNA） to evaluate the nutritional status and were used quality of life scale to evaluate quality of life. Results ： After the intervention, the scores of SAS and SDS in the study group were sig- nificantly lower than those in the control group（ P 〈 0.05 ） , and the nutritional status of the study group was significantly better than that of the control group（P 〈 0.05）. The scores of each dimension of the quality of life scale were significantly higher than those of the control group （ P 〈 0.05 ）. Conclusion ： For breast cancer, patients after breast conserving surgery radiotherapy and chemotherapy with cluster orien- ted interventions can help to reduce anxiety, depression and other negative emotions, improve the nutritional status of the patients, improve the quality of life of patients. It is worthy of clinical promotion.