自我管理教育结合细节护理对乳腺癌康复期患者预后的影响OA
Effect of self-management education combined with detailed nursing on the prognosis of patients with breast cancer during the recovery period
目的 探讨自我管理教育结合细节护理对乳腺癌康复期患者预后的影响.方法 回顾性分析2020 年2 月至2022 年4 月东南大学附属中大医院江北院区收治的100 例乳腺癌患者的资料,按护理方法的不同分为对照组(常规护理)和观察组(常规护理+自我管理教育结合细节护理),各50 例.比较2 组的干预情况.结果 护理 1 个月和3 个月后,观察组的用药及锻炼依从性、自护能力测定量表和乳腺癌患者生命质量测定量表评分均高于同期对照组,血清糖类抗原125、糖类抗原CA153 及胰岛素样生长因子-1 水平均低于同期对照组(P均<0.05),且2 组均优于护理前(P均<0.05).观察组的远处转移率、复发率和并发症总发生率均低于对照组(P均<0.05).结论 自我管理教育结合细节护理可改善乳腺癌康复期患者的自护能力、实验室指标水平、生活质量、用药及锻炼依从性,降低其远处转移率、复发率及并发症发生率.
Objective To explore the effect of self-management education combined with detailed nursing on the prognosis of patients with breast cancer during the recovery period.Methods Retrospective analysis was made on the data of 100 breast cancer patients admitted to Zhongda Hospital Southeast University(Jiangbei)from February 2020 to April 2022.According to different nursing methods,they were divided into a control group(routine nursing)and an observation group(routine nursing + self-management education combined with detailed nursing),with 50 cases in each group.The intervention effect of the two groups was compared.Results After 1 and 3 months of nursing,the medication and exercise adherence,and the scores of Exercise of Self-Care Agency scale and Functional Assessment of Cancer Therapy-Breast scale of the observation group were higher than those of the control group during the same period.The levels of carbohydrate antigen 125,carbohydrate antigen 153,and insulin-like growth factor-1 of the observation group were lower than those of the control group during the same period(all P<0.05),and the above indicators in both groups were better than those before nursing(all P<0.05).The distant metastasis rate,recurrence rate and total incidence of complications of the observation group were lower than those of the control group(all P<0.05).Conclusion Self-management education combined with detailed nursing can improve the self-care ability,laboratory indicator level,quality of life,medication and exercise compliance of patients with breast cancer during the recovery period,and reduce the rate of distant metastasis,recurrence,and complications.
曹维庭;陈虹;王小杰
东南大学附属中大医院江北院区,江苏 南京,210035
临床医学
乳腺癌康复期自我管理教育细节护理自护能力
breast cancerrecovery periodself-management educationdetailed nursingself-care ability
《中西医结合护理(中英文)》 2024 (001)
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