基于同质医疗理念护理模式对乳腺癌患者癌因性疲乏、希望水平及睡眠质量的影响

The Effect of Nursing Model Based on Homogeneous Medical Concept on Cancer-related Fatigue,Hope Level and Sleep Quality of Breast Cancer Patients

目的探讨基于同质医疗理念护理模式对乳腺癌患者癌因性疲乏、希望水平及睡眠质量的影响。方法选取2018年1月~2019年12月我院收治的行乳腺癌改良根治术的患者70例作为研究对象,应用随机数字表法将其分为对照组和研究组,每组35例。对照组给予常规护理,研究组给予基于同质医疗理念的护理模式,比较两组抑郁、焦虑评分,癌因性疲乏情况,希望水平和睡眠质量。结果研究组抑郁评分、焦虑评分、癌因性疲乏评分、睡眠质量评分低于对照组,差异有统计学意义(P<0.05);研究组对现实和未来的态度、采取积极行动的态度及、和他人保持亲密关系及总分高于对照组,差异有统计学意义(P<0.05)。结论基于同质医疗理念的护理模式可以有效改善乳腺癌患者的情绪,增强患者对现实和未来的希望,降低癌因性疲乏,提高睡眠质量。

Objective To explore the effect of nursing model based on homogeneous medical concept on cancer-related fatigue,hope level and sleep quality of breast cancer patients.Methods 70 patients who underwent modified radical mastectomy for breast cancer admitted to our hospital from January 2018 to December 2019 were selected as the research objects,and they were divided into a control group and a study group using a random number table method,with 35 cases in each group.The control group was given regular nursing care,and the study group was given a nursing model based on the homogenous medical concept.The depression and anxiety scores,cancer-related fatigue,hope level and sleep quality were compared between the two groups.Results The depression score,anxiety score,cancer-related fatigue score,and sleep quality score of the study group were lower than those of the control group,the difference was statistically significant(P<0.05);The study group's attitude towards reality and the future,the attitude of taking positive actions,and maintaining close relationships with others and the total score were higher than those of the control group,the difference was statistically significant(P<0.05).Conclusion The nursing model based on the homogenous medical concept can effectively improve the mood of breast cancer patients,enhance the patients'hope for reality and the future,reduce cancer-related fatigue,and improve sleep quality.