层级式心理支持配合化疗管理流程表在乳腺癌化疗患者中的应用

Application of Hierarchical Psychological Support and Chemotherapy Management Flow Sheet in Breast Cancer Patients Undergoing Chemotherapy

目的:探讨层级式心理支持配合化疗管理流程表在乳腺癌化疗患者中的应用效果。方法:选取2021年1月1日~12月31日收治的90例乳腺癌化疗患者为研究对象,随机分为对照组48例和实验组42例,两组均给予常规护理,对照组在常规护理基础上使用化疗管理流程表,实验组在此基础上使用层级式心理支持;比较两组化疗依从性情况、胃肠道反应情况、心理状态[采用抑郁自评量表(SDS)、焦虑自评量表(SAS)、改良中文版Piper疲乏调查量表(RPFS)]及护理满意度。结果:实验组化疗依从性良好率高于对照组(P<0.05),胃肠道反应情况优于对照组(P<0.01);干预后,两组SDS、SAS、RPFS评分均低于干预前(P<0.05),且实验组低于对照组(P<0.01);实验组护理满意度高于对照组(P<0.05)。结论:将层级式心理支持配合化疗管理流程表应用于乳腺癌化疗患者中,可减轻患者化疗所致胃肠道反应,改善心理状态,提高化疗依从性、护理满意度。

Objective:To explore the effects of hierarchical psychological support combined with chemotherapy management flow sheet on patients with breast cancer.Methods:A total of 90 breast cancer patients undergoing chemotherapy from January 1 to December 31,2021 were selected as the study objects,and were randomly divided into control group with 48 cases and experimental group with 42 cases.Both groups were given routine nursing,the control group was given the chemotherapy management flow sheet,and the experimental group was given hierarchical psychological support combined with chemotherapy management flow sheet.The chemotherapy compliance,gastrointestinal reactions,psychological status by self-rating depression scale(SDS),self-rating anxiety scale(SAS),revised Piper Fatigue Scale(RPFS)and nursing satisfaction were compared between the two groups.Results:The chemotherapy compliance rate of the experimental group was higher than that of the control group(P<0.05),and the gastrointestinal reaction was better than that of the control group(P<0.01).After intervention,scores of SDS,SAS and RPFS in both groups were decreased(P<0.05),which were lower in experimental group than those of the control group(P<0.01).The nursing satisfaction in experimental group was higher than that in control group(P<0.05).Conclusion:Hierarchical psychological support combined with chemotherapy management flow sheet has good application effect in patients undergoing chemotherapy for breast cancer,which can effectively relieve chemotherapy-induced gastrointestinal reactions,improve the psychological state,and improve the chemotherapy compliance and nursing satisfaction.