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乳腺癌患者的个体面对面支持与生活质量

Individual face-to-face support and quality of life in patients with breast cancer.

作者信息

Salonen Päivi, Tarkka Marja-Terttu, Kellokumpu-Lehtinen Pirkko-Liisa, Koivisto Anna-Maija, Astedt-Kurki Päivi, Kaunonen Marja

机构信息

Administration Centre, Tampere University Hospital, Finland.

出版信息

Int J Nurs Pract. 2011 Aug;17(4):396-410. doi: 10.1111/j.1440-172X.2011.01948.x.

Abstract

Living with breast cancer significantly affects women's quality of life (QOL) creating a need for support that might persist throughout the breast cancer experience. The aim of this study was to assess the effect of individual face-to-face support on women's QOL and identify factors associated with their QOL. A two-group quasi-experimental design was used with a sample of 204 women who was assigned to the intervention (n = 112) or the control group (n = 92) in hospital after breast cancer surgery. Data of this study were collected 6 months after the surgery by structured questionnaires and analysed statistically using descriptive statistics and non-parametric tests. Factors predicting poor QOL were investigated using logistic regression models with enter-method. Women in the intervention group reported less arm symptoms and clinically better sexual functioning. Factors related to QOL were age, education, employment status, lymph node status, type of surgery, type of axillary surgery, received chemotherapy, hormonal therapy and ongoing therapy. Factors, predictive of poor QOL, included control group, age, education, type of surgery, type of axillary surgery, chemotherapy and ongoing therapy. Short-term face-to-face education and support intervention might have decreased arm symptoms and increased sexual functioning. Women with breast cancer should be offered systematic support and education, which is tailored to women's individual needs.

摘要

患有乳腺癌会显著影响女性的生活质量(QOL),这使得她们在整个乳腺癌患病经历中都需要持续的支持。本研究的目的是评估个体化面对面支持对女性生活质量的影响,并确定与其生活质量相关的因素。采用两组准实验设计,对204名女性进行抽样,这些女性在乳腺癌手术后住院期间被分配到干预组(n = 112)或对照组(n = 92)。本研究的数据在手术后6个月通过结构化问卷收集,并使用描述性统计和非参数检验进行统计分析。使用逐步回归法的逻辑回归模型研究预测生活质量差的因素。干预组的女性报告手臂症状较少,性功能在临床上更好。与生活质量相关的因素包括年龄、教育程度、就业状况、淋巴结状况、手术类型、腋窝手术类型、是否接受化疗、激素治疗和正在进行的治疗。预测生活质量差的因素包括对照组、年龄、教育程度、手术类型、腋窝手术类型、化疗和正在进行的治疗。短期面对面教育和支持干预可能会减少手臂症状并改善性功能。应该为乳腺癌女性提供系统的支持和教育,这些支持和教育应根据女性的个体需求进行定制。

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