基于沟通达标理论的护理干预结合中医情志干预对乳腺癌根治术后患者癌因性疲乏及生活质量的影响

Influences of nursing intervention based on communication compliance theory combined with traditional Chinese medicine emotional intervention on cancer-related fatigue and quality of life of patients after radical mastectomy

目的探讨基于沟通达标理论的护理干预结合中医情志干预对乳腺癌根治术后患者癌因性疲乏及生活质量的影响。方法择取2021年1月至2022年12月收治的96例乳腺癌根治术后患者为研究对象,随机将其分为对照组和观察组,每组48例。对照组采用常规护理干预,观察组在对照组基础上加基于沟通达标理论的护理干预结合中医情志干预。比较两组的干预效果。结果干预后,观察组的癌症疲乏量表(CFS)各维度评分均低于对照组(P<0.05)。干预后,观察组的恐惧视觉模拟评分(FAVS)、焦虑自评量表(SAS)评分均低于对照组,Herth希望量表(HHI)评分高于对照组(P<0.05)。干预后,观察组的世界卫生组织生活质量简表(WHOQOL-BREF)各维度评分均高于对照组(P<0.05)。结论基于沟通达标理论的护理干预联合中医情志干预可减轻乳腺癌根治术后患者癌因性疲乏,调节心理状态,提高希望水平与生活质量。

Objective To investigate the influences of nursing intervention based on communication compliance theory combined with traditional Chinese medicine emotional intervention on cancer-related fatigue and quality of life of patients after radical mastectomy.Methods A total of 96 patients after radical mastectomy treated from January 2021 to December 2022 were selected as the study objects and randomly divided into control group and observation group,with 48 cases in each group.The control group was given routine nursing intervention,and the observation group was given nursing intervention based on communication compliance theory combined with traditional Chinese medicine emotional intervention.The intervention effects of the two groups were compared.Results After intervention,the scores of each dimension of Cancer Fatigue Scale(CFS)in the observation group were lower than those in the control group(P<0.05).After intervention,the Fear Visual Simulation Scale(FAVS)and Self-Rating Anxiety Scale(SAS)scores of the observation group were lower than those of the control group,and the Herth Hope Index(HHI)scores was higher than that of the control group(P<0.05).After intervention,the scores of each dimension of World Health Organization Quality of Life-Brief Scale(WHOQOL-BREF)in the observation group were higher than those in the control group(P<0.05).Conclusion Nursing intervention based on communication compliance theory combined with traditional Chinese medicine emotional intervention can reduce cancer-related fatigue,regulate psychological state,and improve hope level and quality of life of patients after radical mastectomy.