护理干预对调强放射治疗乳腺癌患者生活质量及关节功能的影响
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摘要
目的评价护理干预对调强放射治疗乳腺癌患者生活质量及关节功能的影响。方法分析研究对象为收治的乳腺癌患者90例,按照简单随机化原则分为对照组与观察组,每组45例。均接受调强放射治疗,对照组应用常规护理,观察组应用护理干预,比较2组护理实施后对生活质量、关节功能的影响。结果观察组护理后的肩关节、肘关节功能评分高于对照组(P<0.05),物质生活、社会功能、心理功能以及躯体功能评分高于对照组(P<0.05),依从率高于对照组(P<0.05),皮肤Ⅲ级不良反应、总不良反应发生率少于对照组(P<0.05)。结论调强放射治疗乳腺癌患者后,结合针对性护理干预,可改善患者关节功能以及生活质量,应用效果显著。
Objective To evaluate the effects of nursing intervention on life quality and joint function of patients with breast cancer after intensity modulated radiation therapy.Methods A total of 90 patients with breast cancer who were admitted and treated in our hospital were enrolled in the study. According to the principle of simple randomization, these patients were divided into control group(n=45) and observation group(n=45).The patients in both groups were treated by intensity-modulated radiation therapy. However the patients in control group received routine nursing, and the patients in observation group were treated by nursing intervention.After bursing intervention, the effects of nursing on life quality and joint function were observed and compared between the two groups.Results The functional scores of shoulder and elbow joints in observation group were significantly higher than those in control group(P<0.05). The material life, social function, psychological function and physical function scores in observation group were significantly higher than those in control group(P<0.05),moreover, the compliance rate in observation group was significantly higher than that in control group(P<0.05).In addition the incidence rates of grade Ⅲ adverse reactions and total adverse reactions in skin in observation group were significantly lower than those in control group(P<0.05).Conclusion The intensity-modulated radiation therapy combined with targeted nursing intervention in treatment of breast cancer can improve the joint function and life quality of patients, and the application effects are significant.
Objective To evaluate the effects of nursing intervention on life quality and joint function of patients with breast cancer after intensity modulated radiation therapy.Methods A total of 90 patients with breast cancer who were admitted and treated in our hospital were enrolled in the study. According to the principle of simple randomization, these patients were divided into control group(n=45) and observation group(n=45).The patients in both groups were treated by intensity-modulated radiation therapy. However the patients in control group received routine nursing, and the patients in observation group were treated by nursing intervention.After bursing intervention, the effects of nursing on life quality and joint function were observed and compared between the two groups.Results The functional scores of shoulder and elbow joints in observation group were significantly higher than those in control group(P<0.05). The material life, social function, psychological function and physical function scores in observation group were significantly higher than those in control group(P<0.05),moreover, the compliance rate in observation group was significantly higher than that in control group(P<0.05).In addition the incidence rates of grade Ⅲ adverse reactions and total adverse reactions in skin in observation group were significantly lower than those in control group(P<0.05).Conclusion The intensity-modulated radiation therapy combined with targeted nursing intervention in treatment of breast cancer can improve the joint function and life quality of patients, and the application effects are significant.
引文
1 王晴,贾辛婕.乳腺癌术后患者自我形象紊乱影响因素及护理对策的研究现状.护士进修杂志,2016,31:2137-2140.
2 胡夕春,王碧芸,邵志敏.2011年《St.Gallen早期乳腺癌初始治疗国际专家共识》与中国抗癌协会乳腺癌专业委员会指南之比较.中华乳腺病杂志(电子版),2011,5:404-407.
3 赵晓叶,郎静芳,郝丽霞,等.护理干预对乳腺癌患者调强放射治疗肩、肘关节功能、皮肤损伤和生活质量的影响.河北医药,2016,38:2533-2536.
4 杨敏,谢娟,刘爱兰,等.护理干预对乳腺癌患者负面情绪的改善及生活质量的影响.实用临床医药杂志,2016,20:69-71.
5 王梅.护理干预对乳腺癌放疗期间皮肤的影响观察.临床医药文献电子杂志,2016,3:11169-11169.
6 张修龙,孙宜,张丽华.术后放疗对T1-T2期乳腺癌患者预后的影响.现代肿瘤医学,2016,24:3206-3208.
7 刘爱蕙,李秀楠,王钢乐,等.保乳手术联合放射治疗84例乳腺癌患者临床疗效观察.现代生物医学进展,2016,16:4661-4663.
8 宋延波,李洪忠,何灿.乳腺癌保乳术后放射治疗技术前沿与进展.医疗卫生装备,2017,38:124-127.
9 Martelli G,Boracchi P,Guzzetti E,et al.Omission of radiotherapy in elderly patients with early breast cancer:15-Year results of a prospective non-randomised trial.Breast Diseases A Year Book Quarterly,2015,51:1358-1364.
10 刘敏.早期乳腺癌保乳术后放射治疗的护理分析.中国继续医学教育,2016,8:232-233.
11 田楠楠.护理干预在乳腺癌患者放射治疗中的应用.实用医药杂志,2016,33:1029-1031.
12 陈丽娇,彭俊华,陈桂玲,等.护理干预对提高乳腺癌术后放化疗病人生存质量的研究.全科护理,2016,14:2562-2564.
13 Belkacemi Y,Kaidarperson O,Poortmans P,et al.Patterns of practice of regional nodal irradiation in breast cancer:results of the European Organization for Research and Treatment of Cancer (EORTC) NOdal Radiotherapy (NORA) survey.Annals of Oncology,2015,26:529-535.
14 陈丽娜.乳腺癌患者90例心理护理.中国药物与临床,2016,16:1240-1242.
15 沈永菊,翁剑侠,葛允荣,等.标准化皮肤护理干预对乳腺癌放疗后皮肤损害的疗效观察.中华全科医学,2016,14:858-859.
2 胡夕春,王碧芸,邵志敏.2011年《St.Gallen早期乳腺癌初始治疗国际专家共识》与中国抗癌协会乳腺癌专业委员会指南之比较.中华乳腺病杂志(电子版),2011,5:404-407.
3 赵晓叶,郎静芳,郝丽霞,等.护理干预对乳腺癌患者调强放射治疗肩、肘关节功能、皮肤损伤和生活质量的影响.河北医药,2016,38:2533-2536.
4 杨敏,谢娟,刘爱兰,等.护理干预对乳腺癌患者负面情绪的改善及生活质量的影响.实用临床医药杂志,2016,20:69-71.
5 王梅.护理干预对乳腺癌放疗期间皮肤的影响观察.临床医药文献电子杂志,2016,3:11169-11169.
6 张修龙,孙宜,张丽华.术后放疗对T1-T2期乳腺癌患者预后的影响.现代肿瘤医学,2016,24:3206-3208.
7 刘爱蕙,李秀楠,王钢乐,等.保乳手术联合放射治疗84例乳腺癌患者临床疗效观察.现代生物医学进展,2016,16:4661-4663.
8 宋延波,李洪忠,何灿.乳腺癌保乳术后放射治疗技术前沿与进展.医疗卫生装备,2017,38:124-127.
9 Martelli G,Boracchi P,Guzzetti E,et al.Omission of radiotherapy in elderly patients with early breast cancer:15-Year results of a prospective non-randomised trial.Breast Diseases A Year Book Quarterly,2015,51:1358-1364.
10 刘敏.早期乳腺癌保乳术后放射治疗的护理分析.中国继续医学教育,2016,8:232-233.
11 田楠楠.护理干预在乳腺癌患者放射治疗中的应用.实用医药杂志,2016,33:1029-1031.
12 陈丽娇,彭俊华,陈桂玲,等.护理干预对提高乳腺癌术后放化疗病人生存质量的研究.全科护理,2016,14:2562-2564.
13 Belkacemi Y,Kaidarperson O,Poortmans P,et al.Patterns of practice of regional nodal irradiation in breast cancer:results of the European Organization for Research and Treatment of Cancer (EORTC) NOdal Radiotherapy (NORA) survey.Annals of Oncology,2015,26:529-535.
14 陈丽娜.乳腺癌患者90例心理护理.中国药物与临床,2016,16:1240-1242.
15 沈永菊,翁剑侠,葛允荣,等.标准化皮肤护理干预对乳腺癌放疗后皮肤损害的疗效观察.中华全科医学,2016,14:858-859.