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乳腺癌患者术后的支持性护理需求。

Supportive care needs after surgery in patients with breast cancer.

机构信息

Department of Surgical Nursing, Hamidiye Faculty of Nursing, University of Health Sciences, Istanbul, 34668, Turkey.

Hamidiye Health Sciences Institute, University of Health Sciences, Istanbul, Turkey.

出版信息

Support Care Cancer. 2024 Aug 7;32(9):576. doi: 10.1007/s00520-024-08745-3.

Abstract

PURPOSE

This study aimed to determine supportive care needs and related factors after surgery in patients with breast cancer.

METHODS

This cross-sectional study was conducted with 98 breast cancer patients in a Training and Research Hospital in Istanbul between September 2022 and November 2023. The Personal Information Form and the Supportive Care Needs Survey Short Form Turkish version were used to collect data. One-way variance analysis, post hoc (Tukey, LSD), and t-test were used to analyze the data.

RESULTS

The total scale mean score for women who underwent surgery for breast cancer in the study was 83.95 22.97. Statistically significantly higher total scale scores were observed in younger women and those who received chemotherapy and radiotherapy than in others. The mean physical and daily living subscale scores of those who received chemotherapy and radiotherapy were higher than those who did not (p < .05). The psychology subscale mean scores of those who were young and unemployed were higher than the others (p < .05). The mean sexuality scores of those who were young, those with high education levels, and those who received chemotherapy were higher than the other groups (p < .05). Age factor affects SCN scores in women with breast cancer.

CONCLUSION

Supportive care needs are higher among women with breast cancer who are younger and receive chemotherapy and radiotherapy. The physical needs of those who receive chemotherapy and radiotherapy, the psychological needs of those who are younger and unemployed, and the need for support regarding sexuality were greater among those who are younger and with higher education. Nurses should be aware of the specific needs of these disadvantaged groups and provide individualized holistic care.

摘要

目的

本研究旨在确定乳腺癌患者手术后的支持性护理需求及其相关因素。

方法

本横断面研究于 2022 年 9 月至 2023 年 11 月在伊斯坦布尔的一家培训和研究医院对 98 例乳腺癌患者进行。使用个人信息表和支持性护理需求调查短表土耳其语版收集数据。采用单因素方差分析、事后检验(Tukey、LSD)和 t 检验进行数据分析。

结果

研究中接受乳腺癌手术的女性总量表平均得分为 83.95±22.97。与其他女性相比,年轻女性和接受化疗和放疗的女性总量表评分更高,差异有统计学意义。接受化疗和放疗的女性在身体和日常生活子量表上的平均得分高于未接受化疗和放疗的女性(p<0.05)。年轻和失业的女性在心理子量表上的平均得分高于其他女性(p<0.05)。年轻、教育程度高和接受化疗的女性在性行为子量表上的平均得分高于其他组(p<0.05)。年龄因素影响乳腺癌女性的 SCN 评分。

结论

年轻且接受化疗和放疗的乳腺癌女性的支持性护理需求更高。接受化疗和放疗的女性在身体需求方面,年轻和失业的女性在心理需求方面,以及年轻和教育程度高的女性在性行为支持方面的需求更大。护士应意识到这些弱势群体的特定需求,并提供个性化的整体护理。

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