探讨自我护理教育对乳腺癌化疗妇女生活质量的影响:一项准实验研究

Nahid Shahraki, F. Kiyani, A. Salar, Farshid Saeedinezhad
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摘要

背景:乳腺癌及其治疗可能导致许多生理和心理并发症。缓解这些问题需要提高患者的生活质量。因此,了解这些个体的生活质量并确定其影响变量,从而制定干预措施以改善他们的生活质量和自我保健行为是很重要的。目的:本研究旨在探讨自我保健教育对2019年扎黑丹医学院附属两所医院乳腺癌化疗妇女生活质量的影响。方法:对扎黑丹医科大学附属两所教学医院收治的90例乳腺癌患者进行准实验两组研究。采用方便抽样方法招募受试者,然后随机分为实验组(n = 45)和对照组(n = 45)。除了欧洲研究和治疗组织qol和乳腺癌特定模块问卷(EORTC QLQ-C30和QLQ-BR23)外,两组还填写了一份人口调查问卷。对照组只接受常规护理。干预六周后再次完成问卷调查。采用SPSS-21进行数据分析,采用独立t检验、卡方检验、配对t检验和Shapiro-Wilcoxon检验。0.05以下的值被认为具有统计学意义。结果:共有90名参与者完成了研究。实验组总体生活质量的均值和标准差由干预前的52.59±21.08提高到研究结束时的78.88±12.38 (P = 0.001)。另外,实验组的平均一般生活质量为78.88±12.38,对照组为56.11±17.62,两组比较差异有统计学意义(P = 0.001)。结论:根据本研究的发现,自我护理训练可以提高乳腺癌患者的生活质量。因此,建议将这种教育作为对这些人进行护理规划的一项主要原则。
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Probing the Impact of Self-Care Education on the Quality of Life of Women with Breast Cancer Undergoing Chemotherapy: A Quasi-Experimental Study
Background: Breast cancer and its treatment could both lead to numerous physical and psychological complications. Alleviating these problems requires increasing the quality of life of patients. Therefore, it is important to understand the quality of life of these individuals and identify its affecting variables so as to develop interventions for improving both their quality of life and self-care behaviors. Objectives: The purpose of this study was to explore the effect of self-care education on the quality of life of women with breast cancer undergoing chemotherapy at two hospitals affiliated with Zahedan University of Medical Sciences in 2019. Methods: This quasi-experimental two-group study was performed on 90 women with breast cancer who had been admitted at two teaching hospitals of Zahedan University of Medical Sciences. Convenience sampling was used to recruit the subjects who were then randomized into the experimental (n = 45) and control (n = 45) groups. The two groups filled out a demographic questionnaire in addition to the European Organization for Research and Treatment-QOL and Breast Cancer Specific Module questionnaire (EORTC QLQ-C30 and QLQ-BR23). The control group only received routine care. The questionnaires were completed again six weeks after the intervention. Data analysis was conducted in SPSS-21 using independent t-test, chi-square test, paired t-test, and Shapiro-Wilcoxon test. Values below 0.05 were considered statistically significant. Results: Totally, 90 participants completed the study. The mean and standard deviation of the general quality of life in the experimental group increased from 52.59 ± 21.08 before the intervention to 78.88 ± 12.38 at the end of the study (P = 0.001). Besides, the mean general quality of life was 78.88 ± 12.38 in the experimental group and 56.11 ± 17.62 in the control group, indicating a statistically significant difference between the two groups (P = 0.001). Conclusions: According to the findings of this study, self-care training can lead to an increase in the quality of life in patients with breast cancer. It is therefore suggested that this education be adopted as a major principle in care planning for these individuals.
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