CAJ | 학술논문

目的：探讨中医辨证护理对乳腺癌患者术后生活质量的影响。方法将2011年1月—2014年12月86例女性乳腺癌患者随机分为2组。对照组46例，采用乳腺癌专科护理方法；观察组40例，采用乳腺癌专科护理联合中医辨证护理法。对比护理干预前后2组乳腺癌患者生活质量得分差异。结果2组患者术后第1天生活质量各项指标比较，差异无统计学意义（P＞0.05）；与术后第1天比较，出院前1 d 2组患者在生理情况、心理社会、与医务人员关系、婚姻关系、总分中的得分比较，差异均显著降低（P＜0.05）；性关系评分差异无统计学意义（P＞0.05）。观察组在出院前1 d的生理情况、与医务人员关系、总分均较对照组评分低（P＜0.01）；其他各项比较差异无统计学意义（P＞0.05）。结论中医辨证分型护理对乳腺癌术后患者的生理改善具有积极意义，能提高患者生活质量。
목적：탐토중의변증호리대유선암환자술후생활질량적영향。방법장2011년1월—2014년12월86례녀성유선암환자수궤분위2조。대조조46례，채용유선암전과호리방법；관찰조40례，채용유선암전과호리연합중의변증호리법。대비호리간예전후2조유선암환자생활질량득분차이。결과2조환자술후제1천생활질량각항지표비교，차이무통계학의의（P＞0.05）；여술후제1천비교，출원전1 d 2조환자재생리정황、심리사회、여의무인원관계、혼인관계、총분중적득분비교，차이균현저강저（P＜0.05）；성관계평분차이무통계학의의（P＞0.05）。관찰조재출원전1 d적생리정황、여의무인원관계、총분균교대조조평분저（P＜0.01）；기타각항비교차이무통계학의의（P＞0.05）。결론중의변증분형호리대유선암술후환자적생리개선구유적겁의의，능제고환자생활질량。
Objective To explore the influence of TCM syndrome differentiation nursing on post-operative life quality of patients with breast cancer. Methods Eighty-six patients with breast cancer were divided into control group (n=46) and experiment group (n=40) from January 2011 to December 2014. Specific nursing for breast cancer patients was performed in control group but in experiment group, in addition to specific nursing for breast cancer patients, TCM syndrome differentiation nursing was conducted. Two weeks after the intervention, the quality of life in two groups was compared. Results There was no difference between two groups in the comparison of the quality of life 1d after operation (P>0.05) but there was significant decrease in the scores of physiological conditions, psychological society, relationship with medical staff, marital relations and in the total score 1d before discharge ( P<0.05). The score of sexual relationship indicated no statistical significance ( P>0.05) and there were lower scores of physiological conditions and relationship with medical staff and lower total score in experiment group ( P<0.01),others were no difference between two groups (P>0.05). Conclusion TCM syndrome differentiation nursing plays a positive role in improving breast cancer patients ’ physiological conditions and improving the quality of life.