Karolinska University Hospital, Stockholm, Sweden.
Cancer Nurs. 2010 Mar-Apr;33(2):164-70. doi: 10.1097/NCC.0b013e3181bb0d05.
Nearly 7,000 women are diagnosed with breast cancer in Sweden every year. The primary treatment is surgical and consists mainly of partial or modified radical mastectomy followed by adjuvant treatment. The diagnosis and treatment may cause distress and decreased health-related quality of life.
The aim of the present report was to study health-related quality of life and satisfaction with hospital stay.
One hundred women were invited to participate in the study, of which 85 accepted. Participants filled in the 36-item Short-Form Health Survey and a study-specific questionnaire, both preoperatively and postoperatively and 6 months after surgery.
Women with breast cancer experienced an improved health-related quality of life over time, but they reported poorer health-related quality of life than the norm value after surgery. The lowest scores at all time points were observed on the scales role-physical and role-emotional. Patients were very satisfied with the treatment and care they had received. Three of 4 women felt that the nursing staff had a considerate and conscientious manner, for example, when removing drains.
Diagnosis and treatment of breast cancer have impact on the women's health-related quality of life. Measures to meet patients' needs during short hospitalization need to be considered.
Nurses must ensure that patient's physical and emotional needs are identified and met and that appropriate counseling is provided.
瑞典每年约有 7000 名女性被诊断出患有乳腺癌。主要的治疗方法是手术，主要包括部分或改良根治性乳房切除术，然后进行辅助治疗。诊断和治疗可能会引起痛苦，并降低与健康相关的生活质量。
本报告的目的是研究与健康相关的生活质量和对住院时间的满意度。
邀请了 100 名女性参加这项研究，其中 85 名接受了邀请。参与者在术前、术后和术后 6 个月填写了 36 项简短健康调查和一份特定于研究的问卷。
患有乳腺癌的女性随着时间的推移健康相关生活质量有所改善，但术后健康相关生活质量报告低于常模值。所有时间点的最低评分均在生理职能和情感职能量表上。患者对他们所接受的治疗和护理非常满意。4 名女性中有 3 名女性认为护理人员的态度体贴周到，例如在拔引流管时。
乳腺癌的诊断和治疗对女性的健康相关生活质量有影响。需要考虑在短时间住院期间满足患者需求的措施。
护士必须确保识别和满足患者的身体和情感需求，并提供适当的咨询。
