CAJ | 학술논문

目的了解不同治疗方式对乳腺癌术后患者生理和心理健康的影响,并提出健康教育对策. 方法选择93例乳腺癌术后患者,其中单纯手术治疗21例,手术加抗肿瘤药物治疗(简称手术+化疗)51例,手术加放射治疗(简称手术+放疗)11例,手术加抗肿瘤药物、放射治疗(简称手术+化疗+放疗)10例,采用自行设计的一般资料调查问卷和SF-36健康调查量表( the mos 36 items short form health survey , SF-36 )对患者进行调查. 结果不同治疗方式乳腺癌患者生理健康总分比较,差异有统计学意义(P<0.05),进一步两两比较,手术与手术+化疗患者比较,差异有统计学意义(P<0.05);手术+化疗与手术+化疗+放疗患者比较,差异有统计学意义(P<0.05).不同治疗方式乳腺癌患者心理健康总分比较,差异有统计学意义(P<0.05),进一步两两比较,手术与手术+化疗+放疗患者比较,差异有统计学意义(P<0.05). 结论手术+放疗+化疗的患者在生理健康及精神健康方面较其他治疗方式患者低. 护理人员应充分掌握不同手术方式对患者的影响,特别需加强手术+放疗+化疗患者的健康教育,以提高乳腺癌患者生理健康和心理健康水平.
목적 료해불동치료방식대유선암술후환자생리화심리건강적영향,병제출건강교육대책. 방법 선택93례유선암술후환자,기중단순수술치료21례,수술가항종류약물치료(간칭수술+화료)51례,수술가방사치료(간칭수술+방료)11례,수술가항종류약물、방사치료(간칭수술+화료+방료)10례,채용자행설계적일반자료조사문권화SF-36건강조사량표( the mos 36 items short form health survey , SF-36 )대환자진행조사. 결과 불동치료방식유선암환자생리건강총분비교,차이유통계학의의(P<0.05),진일보량량비교,수술여수술+화료환자비교,차이유통계학의의(P<0.05);수술+화료여수술+화료+방료환자비교,차이유통계학의의(P<0.05).불동치료방식유선암환자심리건강총분비교,차이유통계학의의(P<0.05),진일보량량비교,수술여수술+화료+방료환자비교,차이유통계학의의(P<0.05). 결론 수술+방료+화료적환자재생리건강급정신건강방면교기타치료방식환자저. 호리인원응충분장악불동수술방식대환자적영향,특별수가강수술+방료+화료환자적건강교육,이제고유선암환자생리건강화심리건강수평.
Objective To investigate the impacts of different therapies on medical and physical health of breast cancer patients and put forward the measures for health education. Methods The MOS 36 items short form health survey (SF-36) and a self-designed questionnaire on general data were designed to investigate 93 breast cancer patients with different therapies. All of them had undergone surgery and were divided into two groups as in the following: 21 receiving only surgery were set as only surgery group, 51 receiving surgery plus chemotherapy as another group, 11 of them receiving surgery plus radiotherapy as another group and 10 receiving surgery plus chemotherapy and radiotherapy as the last group. Results There were significant differences between all the groups in terms of the score on physical health ( P<0 . 05 ) and so it was with the only surgery group and the surgery plus chemotherapy group (P<0.05); the surgery plus chemotherapy group and the surgery plus chemotherapy and radiotherapy group (P<0.05). There were significant differences among all the groups in terms of the score of mental health (P<0.05) and so it was with the comparison among the surgery group and surgery plus chemotherapy and radiotherapy group (P<0.05). Conclusions The patients who have surgery plus chemotherapy and radiotherapy are in poor condition physically and mentally. Health education should focus on improving the general and physical health. So we should understand the effect of different therapies on patients physically and mentally. In this way, we can individualize the health education and help the patients with breast cancer to live in a better mental and physical condition.