陆明贝 李静丹 方珍

[摘要] 目的 探討人文关怀理念应用于晚期乳腺癌患者护理工作中的临床效果。 方法 将2017年1月至2019年10月我院住院部晚期乳腺癌患者60例纳入研究，患者按随机数字表法分为两组，每组各30例。对照组实施常规护理，观察组实施人文关怀护理，比较两组治疗依从性，护理满意度，心理状态、癌因性疼痛、癌因性疲乏、生活质量等评分。 结果 两组SAS和SDS评分在组内比较护理后均低于护理前，而护理后组间比较两项评分观察组均更低，差异有统计学意义（P<0.05）。观察组治疗总依从率为93.33%，高于对照组的73.33%，差异有统计学意义（P<0.05）。两组的癌因性疼痛评分和癌因性疲乏评分在护理后均较护理前降低，而护理后的癌因性疼痛评分和癌因性疲乏评分在观察组中均较对照组更低，差异有统计学意义（P<0.05）。两组生活质量评分组内护理后与护理前比较均明显增高，而护理后该评分组间比较观察组更高，差异有统计学意义（P<0.05）。护理总满意度在观察组中为96.67%，高于对照组的80.00%，差异有统计学意义（P<0.05）。 结论 人文关怀理念用于晚期乳腺癌患者护理工作中可有效减轻乳腺癌患者的不良情绪，提升其治疗依从性，有利于减轻患者疼痛、疲乏等症状，提升其生活质量，使患者对护理服务感到更加满意。

[关键词] 人文关怀理念;晚期;乳腺癌;护理工作;生活质量

[中图分类号] R473.6          [文献标识码] B          [文章编号] 1673-9701（2021）36-0172-04

Clinical effect and significance of humanistic care concept applied in nursing of advanced breast cancer patients

LU Mingbei   LI Jingdan   FANG Zhen

Department of Thyroid and Mammary Surgery， Lishui People's Hospital in Zhejiang Province， Lishui   323000， China

[Abstract] Objective To explore the clinical effect of f humanistic care concept applied in nursing of advanced breast cancer patients. Methods A total of 60 patients with advanced breast cancer who were admitted to our hospital from January 2017 to October 2019 were included and randomly divided into two groups， with 30 patients in each group， by random number table method. The control group was given routine nursing care， and the observation group was given humanistic nursing care. Treatment compliance， nursing satisfaction and scores of psychological status， cancer-related pain， cancer-related fatigue， quality of life were compared between the two groups. Results The scores of SAS and SDS in both groups were lower after nursing than before， while the scores in the observation group were lower than those in the control group，the difference was statistically significant （P<0.05）. The total compliance rate in the observation group was 93.33%， which was higher than that in the control group （73.33%）， the difference was statistically significant （P<0.05）. The scores of cancer-induced pain and cancer-induced fatigue in both groups were lower after nursing than before， while the scores of cancer-induced pain and cancer-induced fatigue in the observation group were lower than those in the control group，the difference was statistically significant （P<0.05）. The quality of life score was significantly higher after nursing than before in both groups， and the score was higher in the observation group after nursing than that in the control group，the difference was statistically significant （P<0.05）. The total satisfaction rate of nursing was 96.67% in the observation group， which was higher than the 80.00% in the control group，the difference was statistically significant （P<0.05）. Conclusion Humanistic care concept used in nursing work of advanced breast cancer patients can effectively reduce the adverse mood of breast cancer patients， improve their treatment compliance， help to reduce the symptoms of pain， fatigue， improve their quality of life， so that patients feel more satisfied with nursing services.

[Key words] Humanistic care concept; Advanced; Breast cancer; Nursing work; Quality of life

乳腺癌是影响妇女健康的最常见恶性肿瘤，发病率不断上升，是一个全球性的健康、经济和社会问题[1-2]。……