医院-社区-家庭对接的延续性护理在乳腺癌化疗患者中的应用

Application of Continuous Nursing with Hospital-Community-Family Connection in Patients with Breast Cancer Chemotherapy

目的探讨医院-社区-家庭对接的延续性护理在乳腺癌化疗患者中的应用效果。方法选取我院2016年4月至2017年1月收治的93例乳腺癌化疗患者,随机分为观察组(47例)与对照组(46例)。对照组出院后接受常规随访,观察组出院后接受医院-社区-家庭对接的延续性护理。观察两组患者的健康知识掌握程度和癌因性疲乏程度。结果观察组的化疗知识、骨髓抑制、皮肤反应、饮食与消化、功能锻炼的健康知识掌握程度均明显高于对照组,差异有统计学意义(P<0.05)。出院时,两组患者的癌因性疲乏程度比较差异无统计学意义(P>0.05)。干预后1个月、2个月、3个月,观察组的癌因性疲乏程度均明显低于对照组,差异有统计学意义(P<0.05)。结论乳腺癌化疗患者接受医院-社区-家庭对接的延续性护理可提高其健康知识掌握程度,降低癌因性疲乏程度,值得临床推广。

Objective To explore the application effect of continuous nursing with hospital-community-family connection in patients with breast cancer chemotherapy. Methods 93 cases of patients with breast cancer chemotherapy admitted to our hospital from April 2016 to January 2017 were selected and randomly divided into observation group （47 cases） and control group （46 cases）. The control group received routine follow-up after discharge, while the observation group received continuous nursing with hospital-community-family connection after discharge. The mastery degree of health knowledge and cancer-related fatigue degree of two groups were observed. Results The mastery degree of health knowledge including chemotherapy knowledge, bone marrow suppression, skin reactions, diet and digestion and function exercise of observation group were significantly higher than those of control group （P 〈0.05）. At discharge, no statistical difference was found in the cancer-related fatigue degree between two groups （P 〉0.05）. 1 month, 2 months and 3 months after intervention, the cancer-related fatigue degree of observation group were significantly lower than that of control group （P〈0.05）. Conclusions Continuous nursing with hospital-community-family connection in patients with breast cancer chemotherapy can improve their mastery degree of health knowledge and reduce their cancer-related fatigue degree, which is worthy of clinical promotion.