刘曼 厉玛倩倩 徐润润 邢益辉 洪专

摘   要：目的  探讨延续性护理对乳腺癌术后化疗患者生活质量与健康知识水平的影响。方法  选取于2016年10月～2017年10月在我院治疗的乳腺癌术后化疗患者90例，随机分为观察组和对照组，每组45例，对照组接受常规护理干预，观察组接受延续性护理干预，对两组进行问卷调查，比较两组患者对乳腺癌化疗相关知识的知晓情况以及生活质量。结果  观察组饮食营养（26.5±4.0）分、功能锻炼（25.9±3.8）分，高于对照组（18.9±2.5）分、（16.1±2.7）分，差异有统计学意义（P<0.05）;观察组躯体维度（59.6±8.4）分、心理维度（117.5±12.8）分，优于对照组（45.0±6.2）分、（93.2±12.5）分，差异有统计学意义（P<0.05）;观察组依从率为93.33%，高于对照组的77.78%，差异有统计学意义（P<0.05）。结论  延续性护理可显著提升乳腺癌术后化疗患者的生活质量，巩固其健康知识掌握情况。

关键词：延续性护理;乳腺癌;生活质量;健康知识

中图分类号：R473.6                              文献标识码：A                                    DOI：10.3969/j.issn.1006-1959.2018.16.057

文章編号：1006-1959（2018）16-0178-03

Effect of Continuous Nursing on Quality of Life and Health Knowledge of Postoperative Chemotherapy Patients with Breast Cancer

LIU Man，LIMA Qian-qian，XU Run-run，XING Yi-hui，HONG Zhuan

（Jiangsu Provincial Cancer Hospital/Jiangsu Cancer Prevention Research Institute/

Comprehensive Disease Area，Affiliated Tumor Hospital，Nanjing Medical University，Nanjing 210009，Jiangsu，China）

Abstract：Objective  To investigate the effect of continuous nursing on quality of life and health knowledge of postoperative chemotherapy patients with breast cancer.Methods  A total of 90 patients with postoperative chemotherapy for breast cancer treated in our hospital from October 2016 to October 2017 were randomly divided into observation group and control group，45 cases in each group.The control group received routine nursing intervention and the observation group received continuing nursing intervention，a questionnaire survey was conducted between the two groups to compare the knowledge of breast cancer chemotherapy related knowledge and quality of life between the two groups.Results  Dietary nutrition（26.5±4.0）points and functional exercise（25.9±3.8）points in the observation group were higher than those in the control group（18.9±2.5）points and（16.1±2.7）points，the difference was statistically significant（P<0.05）.The body dimension（59.6±8.4）points and psychological dimension（117.5±12.8）points were better than the control group（45.0±6.2） points and（93.2±12.5）points，the difference was statistically significant（P<0.05）;The compliance rate of the observation group was 93.33%，which was higher than that of the control group 77.78%，the difference was statistically significant（P<0.05）.Conclusion  Continuing care can significantly improve the quality of life of postoperative chemotherapy patients with breast cancer and consolidate their knowledge of health knowledge.

Key words：Continuous nursing;Breast cancer;Quality of life;Health knowledge

乳腺癌（breast cancer）是临床常见病，其发病率呈逐年上升的趋势，临床以手术治疗为主，术后再进行辅助化疗[1]。但是，化疗的不良反应较为严重，患者有可能出现多种不适症状，对患者生活质量造成严重影响。随着社会的进步，人们对健康生活的要求不断提高，延续性护理的概念也应运而生。为进一步明确延续性护理对乳腺癌术后化疗患者生活质量与健康知识水平的影响，本文选取于2016年10月～2017年10月在我院治疗的90例乳腺癌术后化疗患者进行生活质量与健康知识水平研究，现报道如下。

1资料与方法

1.1一般资料  选择2016年10月～2017年10月在南京医科大学附属肿瘤医院综合病区治疗的乳腺癌术后化疗患者90例，本次研究经医院伦理委员会批准。纳入标准：①经病理学确诊为乳腺癌并接受手术和化疗，化疗方案为紫杉醇T+表阿霉素E+环磷酰胺C;②阅读能力、表达能力正常，能正确使用QQ或微信等社交网络;③均在南京地区常住，以便于出院后随访;④患者知情并签署知情同意书，自愿参与。……