CAJ | 학술논문

目的了解乳腺癌化疗患者生命质量现状,探索影响其生命质量的环境因素.方法选取术后化疗的原发性乳腺癌患者201例,应用人口统计学和临床特征调查表、世界卫生组织残疾评定量表第二版及环境因素调查表进行测量,并对测量结果进行分析.结果乳腺癌患者生命质量各个方面均有不同程度困难,统计分析表明,“朋友的物质或情感支持以及相互联系”、“社会保障的服务、体制和政策”以及“社会准则、实践和观念”是影响乳腺癌患者生命质量的环境因素.结论在加强患者术后功能康复的同时,护理工作者应倡导对乳腺癌人群提供良好的社会保障服务,提高大众对乳腺癌疾病的科学认知,拓展患者社会支持来源,提高患者的社会支持水平.
목적 료해유선암화료환자생명질량현상,탐색영향기생명질량적배경인소.방법 선취술후화료적원발성유선암환자201례,응용인구통계학화림상특정조사표、세계위생조직잔질평정량표제이판급배경인소조사표진행측량,병대측량결과진행분석.결과 유선암환자생명질량각개방면균유불동정도곤난,통계분석표명,“붕우적물질혹정감지지이급상호련계”、“사회보장적복무、체제화정책”이급“사회준칙、실천화관념”시영향유선암환자생명질량적배경인소.결론 재가강환자술후공능강복적동시,호리공작자응창도대유선암인군제공량호적사회보장복무,제고대음대유선암질병적과학인지,탁전환자사회지지래원,제고환자적사회지지수평.
Objective To identify the status of quality of life in breast cancer patients and explore the impact of environmental factors on quality of life in breast cancer patients receiving chemotherapy. Methods Totally 201 primary breast cancer patients undergoing chemotherapy after surgery were investigated.Self-developed demographic and clinical character investigation questionnaire,WHO Disability Assessment Schedule Ⅱ(WHODAS Ⅱ),and environmental factors in International Classification of Functioning Disability and Health(ICF)core sets for breast cancer patients were adopted to collect relevant data. Results Breast cancer patients had different levels of difficulties on each domain of WHODAS Ⅱ.Multiple stepwise regression analysis demonstrated that “material and emotional support and interrelationship with friends”, “social security service,system and policies” and “social norms,practices and ideologies” were factors influencing quality of life of breast cancer patients. Conclusions In addition to the strengthen of rehabilitation exercise training,nurses should advocate more services from society through policy making,prompt public awareness and scientific cognition,as well as construct effective nursing interventions to help enlarge social support resources and improve social support level.