延伸护理在乳腺癌静脉化疗患者中的应用效果及对生活质量的影响

Application of Extended Nursing in Patients with Breast Cancer Undergoing Intravenous Chemotherapy and Its Effect on Quality of Life

目的:探讨延伸护理在乳腺癌静脉化疗患者中的应用效果及对生活质量的影响。方法:收集2019年3月-2021年1月静脉化疗的乳腺癌患者60例,作为观察组,给予延伸护理,专门成立延伸护理管理小组,由护士长担任组长,中级以上护理骨干为成员,全面开展工作,即有针对性地进行健康教育,针对患者化疗后的不良反应及健康生活方式进行指导和教育;给予出院前评估、电话随访、家庭访视,建立微信公众平台,实行医患互动。同时收集2017年1月-2018年12月静脉化疗的乳腺癌患者60例,作为对照组,进行常规护理。观察两组护理效果。结果:两组患者护理前焦虑(SAS)和抑郁(SDS)评分比较,差异无统计学意义(P>0.05);两组护理后SAS、SDS评分均较护理前降低,且观察组降低程度优于对照组,差异有统计学意义(P<0.05)。两组患者护理前生活质量评分比较,差异无统计学意义(P>0.05);两组护理后生活质量评分均较护理前改善,且观察组改善程度优于对照组,差异有统计学意义(P<0.05)。结论:延伸护理可明显改善乳腺癌静脉化疗患者的焦虑、抑郁症状,生活质量明显提升,值得临床推广。

Objective: To explore the application of extended nursing in patients with breast cancer undergoing intravenous chemotherapy and its influence on quality of life. Methods: Sixty patients with breast cancer undergoing intravenous chemotherapy from March 2019 to January 2021 were selected as observation group, receiving extended nursing. A dedicated extended nursing management group was established, consisting of the head nurse as the group leader and the backbone nurses with intermediate title and above as the members, for comprehensive work as follows: the targeted health education, providing guidance and education in terms of the adverse reactions and healthy lifestyle of patients after chemotherapy;pre-discharge assessment, telephone follow-up, family visit;establishing a WeChat public platform to implement doctor-patient interaction. Meanwhile, 60 patients with breast cancer undergoing intravenous chemotherapy from January 2017 to December 2018 were selected as control group, receiving routine nursing. The nursing effect in two groups was observed. Results: There was no statistically significant difference in self-rating anxiety scale(SAS) and self-rating depression scale(SDS) scores between two groups of patients before nursing(P>0.05);the SAS and SDS scores in two groups after nursing were decreased compared with those before nursing, and the decline in the observation group was better than that in the control group, with statistically significant difference(P<0.05). The quality of life score showed no significant difference between two groups before nursing(P>0.05);the quality of life score in two groups after nursing were improved compared with those before nursing, and the improvement in the observation group was better than that in the control group, with statistically significant difference(P<0.05). Conclusion: Extended nursing can significantly improve the symptoms of anxiety and depression in patients with breast cancer undergoing intravenous chemotherapy and significantly improve the quality of life, which is worthy of clinical promotion.