护理研究
護理研究
호리연구
NURSING RESEARCH
2014年
20期
2445-2448
,共4页
朱叶卉%裘佳佳%胡雁%吴密彬%黄嘉玲%陆箴琦
硃葉卉%裘佳佳%鬍雁%吳密彬%黃嘉玲%陸箴琦
주협훼%구가가%호안%오밀빈%황가령%륙잠기
乳腺癌%内分泌治疗%服药依从性%护士主导的个体化随访
乳腺癌%內分泌治療%服藥依從性%護士主導的箇體化隨訪
유선암%내분비치료%복약의종성%호사주도적개체화수방
breast cancer%endocrine therapy%medication adherence%nurse led individual follow up
[目的]评价护士主导的个体化随访对术后行辅助内分泌治疗乳腺癌病人服药依从性的影响,比较3种评价方法对依从性测量结果的影响。[方法]抽取2012年1月-2012年12月在复旦大学附属肿瘤医院首次接受全身辅助内分泌药物治疗的乳腺癌病人,采用电脑产生的随机数字分为对照组和干预组,对照组采取内分泌常规护理,干预组在常规护理基础上实施6个月护士主导的个体化随访,采用 Morisky服药依从性问卷(MAQ)、服药依从性视觉模拟评分(VAS)和药物占有比(MP R )评价两组病人在干预3个月和6个月时的服药依从率。[结果]干预3个月、6个月时干预组病人 MPR均高于对照组(P<0.05),但两组 MAQ、VAS 值比较差异无统计学意义(P>0.05)。[结论]护士主导的个体化随访可以提高乳腺癌术后内分泌治疗病人的短期服药依从率。
[目的]評價護士主導的箇體化隨訪對術後行輔助內分泌治療乳腺癌病人服藥依從性的影響,比較3種評價方法對依從性測量結果的影響。[方法]抽取2012年1月-2012年12月在複旦大學附屬腫瘤醫院首次接受全身輔助內分泌藥物治療的乳腺癌病人,採用電腦產生的隨機數字分為對照組和榦預組,對照組採取內分泌常規護理,榦預組在常規護理基礎上實施6箇月護士主導的箇體化隨訪,採用 Morisky服藥依從性問捲(MAQ)、服藥依從性視覺模擬評分(VAS)和藥物佔有比(MP R )評價兩組病人在榦預3箇月和6箇月時的服藥依從率。[結果]榦預3箇月、6箇月時榦預組病人 MPR均高于對照組(P<0.05),但兩組 MAQ、VAS 值比較差異無統計學意義(P>0.05)。[結論]護士主導的箇體化隨訪可以提高乳腺癌術後內分泌治療病人的短期服藥依從率。
[목적]평개호사주도적개체화수방대술후행보조내분비치료유선암병인복약의종성적영향,비교3충평개방법대의종성측량결과적영향。[방법]추취2012년1월-2012년12월재복단대학부속종류의원수차접수전신보조내분비약물치료적유선암병인,채용전뇌산생적수궤수자분위대조조화간예조,대조조채취내분비상규호리,간예조재상규호리기출상실시6개월호사주도적개체화수방,채용 Morisky복약의종성문권(MAQ)、복약의종성시각모의평분(VAS)화약물점유비(MP R )평개량조병인재간예3개월화6개월시적복약의종솔。[결과]간예3개월、6개월시간예조병인 MPR균고우대조조(P<0.05),단량조 MAQ、VAS 치비교차이무통계학의의(P>0.05)。[결론]호사주도적개체화수방가이제고유선암술후내분비치료병인적단기복약의종솔。
To evaluate the influence of nurse led individual follow up on adherence of patients with breast cancer undergoing postoperative adj uvant endocrine therapy,then to compare the influence of 3 kinds of e-valuation methods on the adherence measurement results.Methods:The breast cancer patients were selected who first received adj uvant endocrine drugs for systemic treatment of patients from in January 2012 to December 2012 in affiliated tumor hospital in Fudan University,and they were divided into intervention group and control group by using computer generated random number.The patients in control group received routine nursing,pa-tients in intervention group took nurse led individual follow up for 6 months on the basis of conventional nursing.Morisky medication adherence questionnaire(MAQ),medication adherence of visual analogue scale(VAS) and drug possession ratio(MPR)were used to evaluate the medication ad-herence rate of patients between both groups respectively in 3 months and 6 months after intervention.Results:After intervention for 3 months and 6 months,MPR of patients in intervention group was higher(P<0.05)than that of control group,and there was no statistically significant difference(P>0.05)in MAQ and VAS score between both groups.Conclusion:The nurse led individual follow up can improve short term treatment adherence rate of the postoperative endocrine therapy for patients with breast cancer.