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自我护理教育对化疗乳腺癌患者不良事件及心理健康相关生活质量的影响。

Impacts of self-care education on adverse events and mental health related quality of life in breast cancer patients under chemotherapy.

机构信息

Cangzhou Central Hospital, No. 16, Xinhua West Road, Yunhe District, Cangzhou City, 061001, Hebei Province, China.

Cangzhou Central Hospital, No. 16, Xinhua West Road, Yunhe District, Cangzhou City, 061001, Hebei Province, China.

出版信息

Complement Ther Med. 2019 Apr;43:165-169. doi: 10.1016/j.ctim.2019.01.027. Epub 2019 Feb 1.

Abstract

OBJECTIVE

As a consequence of its high incidence, breast cancer has become a severe health risk in women. Chemotherapy is one of the main treatments for breast cancer, but causes a decline in life quality of patients. Self-care is a non-medical intervention and has been reported to improve the life quality of colorectal cancer patients. We aim to explore whether self-care is also effective in breast cancer.

MATERIALS AND METHODS

85 breast cancer patients under chemotherapy participated in this research, among whom 44 patients received the self-care education. The physical and mental conditions of patients before and after chemotherapy were evaluated by Anxiety Inventory, Rotterdam Symptom checklists and QLQ-C30.

RESULTS

The result showed that the occurrence rates of symptoms were significantly reduced after self-care measures. Anxiety Inventory and Rotterdam Symptom checklists indicated that self-care measures could improve both the physical and mental conditions of patients. The Global Quality of Life (QoL) from QLQ-C30 questionnaire further confirmed the effectiveness of self-care measures in breast cancer patients.

CONCLUSIONS

Based on the results, self-care measures are effective in improving the physical and mental conditions of breast cancer patients under chemotherapy. Self-care measures play an important role in improving patients' life quality.

摘要

目的

由于其高发率,乳腺癌已成为女性严重的健康风险。化疗是乳腺癌的主要治疗方法之一,但会导致患者生活质量下降。自我护理是一种非医疗干预措施,据报道可提高结直肠癌患者的生活质量。我们旨在探讨自我护理是否对乳腺癌也有效。

材料和方法

85 名接受化疗的乳腺癌患者参与了这项研究,其中 44 名患者接受了自我护理教育。化疗前后通过焦虑量表、鹿特丹症状检查表和 QLQ-C30 评估患者的身心状况。

结果

结果表明,自我护理措施后症状发生率显著降低。焦虑量表和鹿特丹症状检查表表明,自我护理措施可以改善患者的身心状况。QLQ-C30 问卷的总体生活质量(QoL)进一步证实了自我护理措施对乳腺癌患者的有效性。

结论

基于这些结果,自我护理措施可有效改善接受化疗的乳腺癌患者的身心状况。自我护理措施在提高患者生活质量方面发挥着重要作用。

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