基于人本理念的姑息护理模式干预对晚期乳腺癌患者的应用效果

Application Effect of Palliative Care Intervention Based on Humanistic Concept in Advanced Breast Cancer Patients

目的探究基于人本理念的姑息护理模式干预在晚期乳腺癌患者中的应用效果。方法选取2022年1月至2023年10月就诊于河南省肿瘤医院的82例晚期乳腺癌患者为研究对象进行回顾性研究,依据护理方法分为对照组、观察组,每组41例。对照组均接受常规护理,观察组在对照组基础上,接受基于人本理念的姑息护理模式干预。对比两组毒副反应发生率、干预前后视觉模拟评分法(VAS)、Kolcaba的舒适状况量表(GCQ)、心理弹性量表(CD-RISC)、修订版Piper疲乏量表(RPFS)、乳腺癌生活质量量表(QLSBC)评分。结果观察组毒副反应中胃肠道反应发生率[19.51%(8/41)]、贫血发生率[26.83%(11/41)]均低于对照组[41.46%(17/41)、48.78%(20/41)](P<0.05);观察组干预后GCQ评分较对照组高,VAS评分较对照组低(P<0.05);干预后观察组QLSBC中躯体、心理、信仰、社会评分及CD-RISC中乐观性、力量、坚韧性评分均高于对照组,RPFS中行为、认知、感知、情感评分均低于对照组(P<0.05)。结论基于人本理念的姑息护理模式干预可改善晚期乳腺癌患者症状困扰,降低毒副反应风险,缓解躯体疼痛感,提高居住舒适度,增强心理弹性,从而改善患者生活质量。

Objective To explore the application effect of palliative nursing intervention based on humanistic concept in patients with advanced breast cancer.Methods A retrospective study was conducted on 82 patients with advanced breast cancer treated in Henan Cancer Hospital from January 2022 to October 2023,who were divided into control group and observation group according to nursing methods,with 41 cases in each group.The control group received routine nursing,and the observation group received routine nursing and palliative nursing intervention based on the concept of humanism.The incidence of toxicity,visual analogue scale(VAS),general comfort questionnaire(GCQ),Connor-Davidson resilience scale(CD-RISC),the revised Piper’s fatigue scale(RPFS)and quality of life scale of breast cancer(QLSBC)were compared between the two groups.Results The incidence of gastrointestinal reaction[19.51%(8/41)]and decreased hemoglobin[26.83%(11/41)]in observation group were lower than those in control group[41.46%(17/41)and 48.78%(20/41)](P<0.05).After intervention,GCQ score of observation group was higher than that of control group,VAS score was lower than that of control group(P<0.05).After intervention,the body,psychology,belief and social scores in QLSBC and the optimism,strength and tenacity scores in CD-RISC in observation group were higher than those in control group,while the behavioral,cognitive,perceptual and emotional scores in RPFS were lower than those in control group(P<0.05).Conclusion The palliative nursing intervention based on the concept of people can improve the symptoms of advanced breast cancer patients,reduce the risk of toxic side effects,relieve physical pain,improve living comfort,enhance mental resilience,and thus improve the quality of life of patients.