彭麗娟 范志剛

[摘要] 目的 探討個(gè)體化護(hù)理對(duì)乳腺癌皮膚潰爛患者負(fù)面情緒、生活質(zhì)量的影響。 方法 選擇2015年12月～2017年5月在西安交通大學(xué)醫(yī)學(xué)院附屬3201醫(yī)院收治的乳腺癌皮膚潰爛患者58例作為研究對(duì)象，按照隨機(jī)數(shù)字表法分為對(duì)照組與研究組，每組各29例。對(duì)照組給予常規(guī)護(hù)理，研究組在對(duì)照組基礎(chǔ)上給予個(gè)體化護(hù)理。兩組均持續(xù)護(hù)理4周。比較兩組護(hù)理前后焦慮自評(píng)量表（SAS）評(píng)分、抑郁自評(píng)量表（SDS）評(píng)分及癌癥治療功能評(píng)估-乳腺癌（FACT-B）評(píng)分。 結(jié)果 護(hù)理后兩組SAS、SDS評(píng)分均低于護(hù)理前，研究組顯著低于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義（P < 0.05）。護(hù)理后兩組生理狀況、社會(huì)家庭狀況、情感狀況、功能狀況、附加關(guān)注等FACT-B各維度評(píng)分及總分均高于護(hù)理前，且研究組顯著高于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義（P < 0.05）。 結(jié)論 個(gè)體化護(hù)理可有效緩解乳腺癌皮膚潰爛患者的負(fù)面情緒，提高其生活質(zhì)量，值得臨床推廣應(yīng)用。

[關(guān)鍵詞] 個(gè)體化護(hù)理；乳腺癌；皮膚潰爛；負(fù)面情緒；生活質(zhì)量

[中圖分類號(hào)] R473.73 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 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.