追踪管理模式对乳腺癌放疗患者心理状态及营养状况的影响

Effect of follow-up management on psychological status and nutritional status of breast cancer patients undergoing radiotherapy

目的:研究追踪管理模式对乳腺癌放疗患者心理状态及营养状况的影响。方法:选择某院2016年2月至2019年2月收治的108例乳腺癌放疗患者作为研究对象,按随机数表法分为观察组和对照组各54例,其中对照组采用常规放疗干预措施,观察组在对照组基础上给予追踪管理模式。观察干预前后体重指数(BMI)、血红蛋白(HB)、血清总蛋白(TP)、白蛋白(ALB)含量变化情况,使用主观整体营养状况评量表(PG-SGA)、汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、乳腺癌患者生活质量测定量表(FACT-B)分别评价其干预前后营养状况、心理状态及生活质量。结果:观察组干预后BMI、HB、TP、ALB均高于对照组(t=2.346,4.448,8.353,3.063;P<0.05);观察组干预后PG-SGA等级评价结果优于对照组(Uc=2.160,P<0.05);观察组干预后HAMA量表、HAMD量表评分均明显低于对照组(t=11.005,12.121;P<0.001);观察组干预后FACT-B量表各维度评分均高于对照组(t=4.30,2.503,2.976,2.549,4.179;P<0.05)。结论:乳腺癌放疗患者实施追踪管理模式能有效改善患者客观及主观营养状况,同时减轻负面情绪,改善心理状况,进而对其生活质量改善具有积极意义。

Objective:To study the effect of follow-up management on psychological status and nutritional status of breast cancer patients undergoing radiotherapy.Methods:A total of 108 patients with breast cancer treated in our hospital from February 2016 to February 2019 were randomly divided into observation group(n=54)and control group(n=54).The control group was treated with conventional radiotherapy intervention,and the observation group was given follow-up management on the basis of the control group.The changes of body mass index(BMI),hemoglobin(HB),serum total protein(TP)and albumin(ALB)were observed before and after intervention.The nutritional status,psychological status and quality of life of breast cancer patients before and after intervention were evaluated by Patient-Generated Subjective Global Assessment(PG-SGA),Hamilton anxiety scale(HAMA),Hamilton Depression scale(HAMD)and quality of Life scale(FACT-B).Results:After intervention,the levels of BMI,HB,TP and ALB in the observation group were higher than those in the control group(t=2.346,4.448,8.353,3.063;P<0.05),and the results of PG-SGA in the observation group were better than those in the control group(Uc=2.160,P<0.05).The scores of HAMA scale and HAMD scale in the observation group were significantly lower than those in the control group(t=11.005,12.121;P<0.001).After intervention,the scores of all dimensions of FACT-B scale in the observation group were higher than those in the control group(t=4.30,2.503,2.976,2.549,4.179;P<0.05).Conclusion:The follow-up management mode for patients with breast cancer radiotherapy can effectively improve the objective and subjective nutritional status of patients,reduce negative emotions,and improve psychological status,thus plays a positive role in improving their quality of life.