個體化護理對乳腺癌皮膚潰爛患者負面情緒、生活質量的影響

彭麗娟 范志剛

[摘要] 目的 探討個體化護理對乳腺癌皮膚潰爛患者負面情緒、生活質量的影響。 方法 選擇2015年12月～2017年5月在西安交通大學醫學院附屬3201醫院收治的乳腺癌皮膚潰爛患者58例作為研究對象，按照隨機數字表法分為對照組與研究組，每組各29例。對照組給予常規護理，研究組在對照組基礎上給予個體化護理。兩組均持續護理4周。比較兩組護理前后焦慮自評量表（SAS）評分、抑郁自評量表（SDS）評分及癌癥治療功能評估-乳腺癌（FACT-B）評分。 結果 護理后兩組SAS、SDS評分均低于護理前，研究組顯著低于對照組，差異有統計學意義（P < 0.05）。護理后兩組生理狀況、社會家庭狀況、情感狀況、功能狀況、附加關注等FACT-B各維度評分及總分均高于護理前，且研究組顯著高于對照組，差異有統計學意義（P < 0.05）。 結論 個體化護理可有效緩解乳腺癌皮膚潰爛患者的負面情緒，提高其生活質量，值得臨床推廣應用。

[關鍵詞] 個體化護理；乳腺癌；皮膚潰爛；負面情緒；生活質量

[中圖分類號] R473.73 [文獻標識碼] A [文章編號] 1673-7210（2018）02（a）-0173-04

Influence of individualized nursing on negative emotions and quality of life in skin ulceration patients with breast cancer

PENG Lijuan FAN Zhigang

The Third Department of Medical Oncology， 3201 Affiliated Hospital of Xi′an Jiaotong University Medical College， Shaanxi， Province， Xi′an 723000， China

[Abstract] Objective To explore the influence of individualized nursing on negative emotions and quality of life in skin ulceration patients with breast cancer. Methods From December 2015 to May 2017， 58 cases of skin ulceration patients with breast cancer treated in 3201 Affiliated Hospital of Xi′an Jiaotong University Medical College were selected as the research objects and divided into the control group and the study group according to the random number table， with 29 cases in each group. The control group was given routine nursing and the study group was given individualized nursing on the basis of control group. The two groups were all intervened for 4 weeks. The scores of self-rating anxiety scale （SAS）， self-rating depression scale （SDS） and functional assessment of cancer therapy-breast （FACT-B） were compared in the two groups. Results After nursing， the scores of SAS and SDS in the two groups were significantly lower than those before nursing， and those in the study group were significantly lower than those of control group， with statistically significant differences （P < 0.05）. After nursing， the physiological status， social and family status， emotional status， functional status， and additional concerns in each dimension of FACT-B and the total score in the two groups were significantly higher than those before nursing （P < 0.05）， and those in the study group were significantly higher than those of control group， with statistically significant differences （P < 0.05）. Conclusion Individualized nursing can effectively alleviate negative emotions of skin ulceration patients with breast cancer and improve quality of life. It is worthy of promotion and application.