出院计划对癌症患者生活质量的影响

Yasaman Tamri, Z. Parsa Yekta
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引用次数: 0

摘要

导言:接受化疗的乳腺癌(BC)女性存在影响其生活质量(QoL)的并发症风险,这需要具体的出院计划。目的:探讨出院计划方案对BC患者生活质量的影响。材料和方法:本准实验研究对伊朗Kermanshah肿瘤病房转介的72名BC患者进行化疗。采用分组随机法将患者分为干预组(n=35)和对照组(n=35)。对于干预组,出院计划方案单独实施,在小组中至少实施4次,每次30-45分钟。采用欧洲癌症研究与治疗组织QLQ C-30和QLQ- br23问卷对两组患者进行干预前、干预后1个月和干预后3个月的生活质量测量。对收集的资料进行方差分析、卡方检验、t检验和重复测量方差分析。显著性水平设为0.05。结果:参与者的平均年龄为47.71±10.4岁,大多数为BC第二阶段。干预组患者生活质量各功能量表从基线到出院后3个月,除性功能(P=0.119)和性享受(P=0.210)外,其余各功能量表随时间变化差异均有统计学意义(P<0.05)。结论:出院计划方案对乳腺癌患者的生活质量有积极的影响。
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Effect of a Discharge Planning Program on the Quality of Life in Women With Breast Cancer
Introduction: Women with Breast Cancer (BC) under chemotherapy are at risk of complications affecting their Quality of Life (QoL), which need specific discharge planning. Objective: This study aims to investigate the effect of a discharge planning program on the QoL of women with BC. Materials and Methods: This quasi-experimental study was conducted on 72 women with BC undergoing chemotherapy referred to oncology wards in Kermanshah, Iran. They were divided into groups of intervention (n=35) and control group (n=35) using the block randomization method. For the intervention group, the discharge planning program was implemented individually and in group at least 4 sessions, each for 30-45 minutes. Patients’ QoL in both groups was measured before, one month after, and three months after intervention using two questionnaires of European Organization for Research and Treatment of Cancer (QLQ C-30 and QLQ-BR23). The collected data were analyzed using ANOVA, chi-square test, t-test, and repeated measures ANOVA. The significance level was set at 0.05. Results: The mean age of participants was 47.71±10.4 years, and majority of them were in the second stage of BC. There was a significant difference in all functional scales of QoL in the intervention group over time from baseline to three months after discharge (P<0.05), except in sexual functioning (P=0.119) and sexual enjoyment (P=0.210). Conclusion: The discharge planning program has a positive effect on the Quality of Life of women with Brest Cancer.
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来源期刊
Journal of Holistic Nursing and Midwifery
Journal of Holistic Nursing and Midwifery Nursing-Maternity and Midwifery
CiteScore
0.80
自引率
0.00%
发文量
36
审稿时长
53 weeks
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