同理心护理对乳腺癌患者情绪及生活质量的影响

Effect of empathy on the emotion and quality of life of breast cancer patients

目的:探讨分析同理心护理对乳腺癌患者情绪及生活质量的影响。方法:选取2017年1月至2018年12月本院收治的72例乳腺癌患者随机分为观察组和对照组,对照组给予常规护理,观察组在对照组基础上给予同理心护理,比较两组护理前后HADS、QLQ-C30量表评分及对护理服务满意度。结果:护理前两组HADS评分无统计学差异(P>0.05);护理后两组焦虑、抑郁评分均显著下降(P<0.05),且观察组焦虑、抑郁评分下降更显著(P<0.05);护理前两组QLQ-C30量表评分无统计学差异(P>0.05);护理后两组患者躯体功能、角色功能、认知功能、情感功能、社会功能、总体健康状况评分均显著提高(P<0.05),疲倦、恶心和呕吐、疼痛、呼吸困难、失眠、食欲丧失、便秘、腹泻评分均显著下降(P<0.05),且观察组躯体功能、角色功能、认知功能、情感功能、社会功能、总体健康状况评分提高更显著(P<0.05),疲倦、恶心和呕吐、疼痛、呼吸困难、失眠、食欲丧失、便秘、腹泻评分下降更显著(P<0.05);护理前后两组经济困难评分无统计学差异(P>0.05);观察组对护理服务满意率为94.44%较对照组的77.78%显著提高(P<0.05)。结论:同理心护理应用于乳腺癌患者可显著改善患者焦虑、抑郁的负性情绪,提高其生活质量,并且促进患者对护理服务的满意度提高,值得推广。

Objective:To analyze the effects of empathy on the mood and quality of life of breast cancer patients;Methods:72 patients with breast cancer admitted from January 2017 to December 2018 were chosen and randomly divided into the observation group and the control group. The control group was given routine care, while the observation group was given empathic care based on routine care, with the HADS, QLQ-C30 scale scores before and after treatment and satisfaction with nursing services compared. Results:There was no significant difference in HADS scores between the two groups before treatment(P>0.05). The scores of anxiety and depression in the two groups were significantly decreased after the nursing(P<0.05), and the scores of anxiety and depression in the observation group were significantly lower(P<0.05). There was no significant difference in QLQ-C30 scale scores(P>0.05). After nursing, the physical function, role function, cognitive function, emotional function, social function and overall health status of the two groups were significantly improved(P<0.05);fatigue, nausea and vomiting, pain, dyspnea, insomnia, loss of appetite, constipation and diarrhea scores were significantly decreased(P<0.05);the physical function, role function, cognitive function, emotional function, social function, overall health status score in the observation group increased more significantly(P<0.05);fatigue, nausea and vomiting, pain, dyspnea, insomnia, loss of appetite, constipation, and diarrhea scores in the observation group were more significantly lower(P<0.05). There was no significant difference in the economic difficulty scores between the two groups before and after nursing(P>0.05);the satisfaction rate for nursing services in the observation group(94.44%) was significantly higher than that in the control group(77.78 %)(P<0.05);Conclusion:The application of empathic care in breast cancer patients can significantly improve the patient’s anxiety, depression, negative emotions, the quality of life, and increase the satisfaction rate of patients for nursing services, worthy of promotion.