全面引导干预对乳腺癌患者放疗后皮肤损伤程度及癌因性疲乏的影响

Effect of Comprehensive Guided Intervention on the Degree of Skin Injury and Cancer Related Fatigue in Breast Cancer Patients after Radiotherapy

目的:研究全面引导干预对乳腺癌患者放疗后皮肤损伤程度及癌因性疲乏的影响。方法:选取2017年2月-2018年4月于本院就诊的乳腺癌患者45例,按照随机数字表法分为对照组(22例)和研究组(23例)。对照组行常规护理干预,研究组在对照组的基础上行全面引导干预。比较两组护理满意度、皮肤损伤、癌因性疲乏情况。结果:研究组护理满意度(95.65%)显著高于对照组(68.18%),差异有统计学意义(P<0.05)。研究组各项皮肤损伤评分均显著低于对照组(P<0.05)。干预前两组Piper疲乏量表(PFS)评分差异无统计学意义(P>0.05),干预后两组PFS评分较干预前均显著降低(P<0.05),且研究组显著低于对照组(P<0.05)。结论:全面引导干预能显著提高乳腺癌患者护理满意度,减轻放疗后皮肤损伤,消除癌因性疲乏,可临床推广。

Objective:To study the effect of comprehensive guided intervention on the degree of skin damage and cancer related fatigue in breast cancer patients after radiotherapy.Method:Forty-five patients with breast cancer who were treated in our hospital from February 2017 to April 2018 were selected and divided into the control group(22 cases)and the study group(23 cases)according to random number table method.The control group received routine nursing intervention.The study group received comprehensive guided intervention on the basis of the control group.The nursing satisfaction,the degree of skin injury and cancer related fatigue of the two groups were compared.Result:The nursing satisfaction of the study group(95.65%)was significantly higher than that of the control group(68.18%),the difference was statistically significant(P<0.05).The skin injury score in the study group was significantly lower than that in the control group(P<0.05).There was no significant difference in Piper fatigue scale(PFS)scores between the two groups before intervention(P>0.05).After intervention,the PFS scores of both groups were significantly decreased than those before intervention(P<0.05),and the study group was significantly lower than that of the control group(P<0.05).Conclusion:Comprehensive guided intervention can significantly improve the nursing satisfaction of breast cancer patients,alleviate skin injury after radiotherapy,eliminate cancer related fatigue,and can be clinically popularized.