乳腺癌患者医院-社区-家庭一体化连续性照护的效果评价

Effect evaluation of hospital-community-family integration continuous care in breast cancer patients

目的观察乳腺癌患者医院-社区-家庭一体化连续性照护的效果,为乳腺癌的院外护理提供参考。方法选取2014年1月~2017年1月我院乳腺科收治的乳腺癌患者109例,以2015年2月为节点,将之前收治的54例患者作为对照组(常规出院指导),之后收治的55例作为观察组(医院-社区-家庭一体化连续性照护)。采用癌症患者生活质量评定量表(EORTC QLQ-C30)评价两组患者的生活质量,对比两组患者治疗依从性。结果护理前,两组各项EORTC QLQ-C30评分[总健康状况:对照组为(52.42±8.67)分,观察组为(51.23±8.09)分]比较无显著性差异(P>0.05);护理后,观察组各项评分[总健康状况:对照组为(65.19±5.36)分,观察组为(70.39±5.54)分]均明显优于对照组,差异有统计学意义(P<0.05)。观察组用药、生活、护理依从性显著高于对照组[观察组依从性平均评分为(8.83±1.79)分,明显高于对照组的(6.67±1.80)分],差异有统计学意义(P<0.05)。结论一体化连续性照护可为乳腺癌患者提供医院-社区-家庭的持续监护与支持,不仅可以提高患者的生活质量,还能让患者更好的配合治疗,从而保证和提高治疗效果。

Objective To observe the effect of hospital-community-family integration continuous care in the patients with breast cancer, and to provide references for out-hospital nursing of breast cancer. Methods A total of 109 patients with breast cancer who were admitted to the Department of Breast Surgery in our hospital from January 2014 to January 2017 were selected. In February 2015 as the time node, 54 patients who were admitted previously were assigned into the control group （routine discharge guidance）, and 55 cases who were admitted afterwards were assigned to the obser- vation group （hospital-community-family integration continuous care）. The quality of life scale for cancer patients was （EORTC QLQ-C30） used to evaluate the quality of life of the two groups of patients, and the treatment compliance be- tween the two groups of patients was compared. Results Before nursing, the EORTC QLQ-C30 scores in both groups 9 [total health condition： （52.42±8.67）points in the control group and （51.23±8.09）points in the observation group]were not significantly different（P〉0.05）;after nursing, the scores in the observation group[total health condition was （65.19± 5.36）points in the control group and（70.39±5.54）points in the observation group]were all significantly better than those in the control group, and the differences were statistically significant （P〈0.05）. The medication, life, nursing compliance in the observation group were significantly higher than those in the control group [the average compliance score in the observation group was （8.83±1.79）points, which was significantly higher than that of （6.67±1.80）points in the control group], and the difference between the two groups was statistically significant（P〈0.05）. Conclusion Integration continu- ous care can provide hospital-community-family continuous monitoring and support for breast cancer patients, which helps to improve the quality of life of patients, and improve patients treatment compliance, which is worthy of clinical and nursing promotion and application.