CAJ | 학술논문

目的了解乳腺癌保乳患者术后早期的生存质量(quality of life,QOL)及其影响因素,为乳腺癌保乳患者术前健康教育及术后康复护理干预提供理论支持.方法选取120例保乳手术(BCS)和140例改良根治术(MRM)术后1周的在院乳腺癌患者为研究对象,以中文版乳腺癌患者生命质量测评量表(FACT-B,V4.0)评价2组患者的生存质量,并对影响保乳手术住院患者生存质量的因素进行分析.结果 BCS组的情感状况分值比MRM组低,乳房附加关注分值比MRM组高,其余各项得分2组比较无显著差异;多因素分析显示影响乳腺癌保乳手术患者生存质量的主要因素有焦虑、家庭关系、乳腺病史、手术部位、性格类型等.结论护理人员应采取有效干预措施减轻保乳患者心理负担,提高生存质量.
목적 료해유선암보유환자술후조기적생존질량(quality of life,QOL)급기영향인소,위유선암보유환자술전건강교육급술후강복호리간예제공이론지지.방법 선취120례보유수술(BCS)화140례개량근치술(MRM)술후1주적재원유선암환자위연구대상,이중문판유선암환자생명질량측평량표(FACT-B,V4.0)평개2조환자적생존질량,병대영향보유수술주원환자생존질량적인소진행분석.결과 BCS조적정감상황분치비MRM조저,유방부가관주분치비MRM조고,기여각항득분2조비교무현저차이;다인소분석현시영향유선암보유수술환자생존질량적주요인소유초필、가정관계、유선병사、수술부위、성격류형등.결론 호리인원응채취유효간예조시감경보유환자심리부담,제고생존질량.
Objective To evaluate the quality of life and influencing factors in patients with breast cancer after breast-conserving surgery, so as to provide theoretical support for preoperative health education and postoperative rehabilitative intervention for these patients. Methods 120 breast conserving surgery (BSC) and 140 modified radical mastectomy (MRM) patients were assessed with Functional Assessment of Cancer Therapy-Breast (FACT-B V4.0) one week after operation. Life quality was evaluated between the two groups, and the influencing factors were also analyzed. Results Postoperative breast cancer patients after breast conserving surgery were with good breast complementary attention, lower emotion state. The other scores of quality of life had no statistical difference. Influencing factors on the quality of life of breast cancer patients were anxiety state, relationship of family members, position of surgery and character type. Conclusions It suggests that nursing specialists should make out corresponding, scientific and reasonable nursing intervention schemes based on the characteristics of different groups of people to ease psychological burden, and elevate the quality of life effectively for postoperative breast conserving surgery patients.