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中国癌症防治杂志

中国癌症防治杂志 ›› 2013, Vol. 5 ›› Issue (3): 262-265.doi: 10.3969/j.issn.1674-5671.2013.03.18

• 护理研讨 • 上一篇    下一篇

护理干预对卵巢癌化疗患者生活质量的影响

  

  1. 广西医科大学第一附属医院妇科
  • 出版日期:2013-09-25 发布日期:2013-10-10
  • 通讯作者: 黄一华 E-mail:13977166706@139.com
  • 基金资助:

    广西卫生厅科研基金资助项目（Z20113767）

Efficacy of nursing intervention to improve quality of life in patients with ovarian cancer after chemotherapy

  • Online:2013-09-25 Published:2013-10-10

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被引次数

54

摘要： 目的 探讨全程系统化护理干预对卵巢癌化疗患者生活质量的影响。方法 将84例卵巢癌术后化疗患者随机分为干预组（41例）和对照组（43例），对照组行常规护理，干预组实施全程系统化护理干预，化疗前和化疗后3个月使用焦虑自评量表（SAS）、抑郁自评量表（SDS）及生活质量核心量表（EORTC QLQ-C30）评定患者的生活质量。结果 干预组的整体生活质量、躯体功能、情绪功能、社会功能得分高于对照组，症状维度和单项问题中疲倦、恶心呕吐、失眠、食欲下降得分低于对照组，两组差异均有统计学意义（P<0.05）。结论 对卵巢癌化疗患者实施全程系统化护理，可改善患者的焦虑、抑郁情绪，提高生活质量。 

关键词: 卵巢肿瘤, 生活质量, 化疗, 护理干预, 全程系统化

Abstract: Objective To explore the influence of holistic nursing intervention on the quality of life of patients with ovarian cancer after chemotherapy. Methods A total of 84 patients with ovarian cancer treated by chemotherapy were randomly divided into a con-trol group（n=43），who received routine nursing care； and an intervention group （n=41），who received holistic nursing intervention. Patients were assessed before chemotherapy and 3 months afterwards using the Self-rating Depression Scale， Self-rating Anxiety Scale （SAS） and the Quality of Life EORTC QLQ-C30 scale. Results After chemotherapy，the intervention group showed significantly higher scores than the control group for overall quality of life and for physical， emotional， and social function（P<0.05）. At the same time， the intervention group showed lower scores on individual symptom dimensions of fatigue，nausea and vomiting，insomnia，and decreased appetite（P<0.05）. Conclusion Holistic nursing intervention can improve anxiety，depression，and quality of life in patients with ovarian cancer following chemotherapy.

Key words: Ovarian neoplasms, Quality of life, Chemotherapy, Nursing intervention, Holistic care