延续性护理对乳腺癌根治术后患者癌因性疲乏预后的影响

Effect of continual nursing on postoperative cancer fatigue and prognosis in patients receiving radical mastectomy for breast cancer

目的探讨延续性护理对乳腺癌根治术后患者癌因性疲乏预后的作用。方法选取2015年3月至2016年12月间临朐县人民医院收治的90例乳腺癌患者,均经乳腺癌改良根治术后,诊断为癌因性疲乏。采用随机数表法分为观察组和对照组,每组45例,观察组患者采用延续性护理,对照组患者采用院内一般护理。比较两组患者出院时和出院后12周的癌因性疲乏程度、疼痛程度和生活质量情况,比较出院12周时并发症的发生情况。结果出院时,两组患者癌因性疲乏程度、疼痛程度评分和生活质量评分比较,差异均无统计学意义(均P>0.05)。出院12周时,观察组患者癌因性疲乏评分中无疲乏比例为26.7%,疼痛优良率为86.7%,总生活质量评分为(15.41±3.24)分,并发症发生率为4.4%;对照组患者分别为6.7%、55.6%、(12.31±3.32)分和20.0%。两组比较,差异均有统计学意义(均P<0.05)。结论延续护理可明显减轻乳腺癌改良根治术患者合并癌因性疲乏的疲乏程度,缓解术后疼痛程度,有效预防并发症发生,改善患者生活质量,对预后有积极的影响。

Objective To explore the effect of continual nursing on postiveoperative cancer fatigue and prognosis in patients receiving radical mastectomy for breast cancer. Methods A total of 90 patients with breast cancer who were admitted to Linqu County People＇s Hospital from March 2015 to December 2016 were selected. All patients underwent radical mastectomy and were diagnosed cancer fatigue. The patients were randomly divided into an observation group and a control group using a random number table with 45 patients in each group. The observation group received continuous care and the control group received conventional care. Cancer fatigue,degree of pain,quality of life and the incidence of complications at discharge and 12 weeks after discharge were compared between the two groups. Results There was no significant difference in the scores of cancer fatigue,degree of pain and quality of life between the two groups（ all P〈0. 05）. At 12 weeks after discharge,the incidence of non-fatigue,excellent rate of pain,overall score of quality of life and incidence of complications was 26. 7%,86. 7%,（ 15. 41 ± 3. 24）,and 4. 4% respectively in the observation group and 6. 7%,55. 6%,（ 12. 31 ± 3. 32） and 20. 0% in the control group（ all P〈0. 05）. Conclusion Continued nursing can significantly reduce the degree of fatigue,alleviate postoperative pain and effectively prevent the occurrence of complications and thus improve the quality of life and have a positive impact on the prognosis in patients receiving radical mastectomy for breast cancer.