团队管理对乳腺癌术后患者癌因性疲乏、生活质量及并发症的影响被引量：3

Influence of team management on cancer-related fatigue,quality of life and complications of postoperative breast cancer patients

在线阅读下载PDF

导出

摘要目的探讨团队管理对乳腺癌术后患者癌因性疲乏、生活质量及并发症的影响。方法选取赣南医学院第一附属医院2018年5月~2020年5月收治的56例乳腺癌患者为研究对象,按照团队管理模式开展时间节点(2019年5月)前后分为比对组(28例)和试验组(28例)。对比组开展常规护理干预,试验组开展团队管理,比较两组的癌因性疲乏评分、患者生活质量与手术并发症发生率。结果两组管理前的癌因性疲乏评分比较,差异无统计学意义(P>0.05)。两组管理后的癌因性疲乏评分低于管理前,差异有统计学意义(P<0.05);试验组管理后的癌因性疲乏评分低于比对组,差异有统计学意义(P<0.05)。两组管理前的生活质量评分比较,差异无统计学意义(P>0.05)。两组管理后的生活质量评分高于管理前,差异有统计学意义(P<0.05);试验组管理后的生活质量评分高于比对组,差异有统计学意义(P<0.05)。试验组术后出现皮下积液、感染以及上肢水肿等并发症的总发生率为10.71%,低于比对组的28.56%,差异有统计学意义(P<0.05)。结论团队管理既可提升乳腺癌术后患者的生活水平,还能够进一步保证手术安全性,减少术后相关并发症的出现,改善患者癌因性疲乏状况,临床应用价值较高。 Objective To investigate the influence of team management on cancer-related fatigue,quality of life and complications in patients with breast cancer after operation.Methods A total of 56 patients with breast cancer admitted to the First Affiliated Hospital of Gannan Medical College from May 2018 to May 2020 were selected as the study objects,and they were divided into the comparison group(28 cases)and the experimental group(28 cases)according to before and after the implementation of team management mode(May 2019).The comparison group received routine nursing intervention,and the experimental group carried out team management.The cancer-related fatigue score,quality of life and the incidence of surgical complications were compared between the two groups.Results There was no statistically significant differences in the score of cancer-related fatigue between the two groups before management(P<0.05).The score of cancer-related fatigue in the two groups after management were lower than those before management,and the differences were statistically significant(P<0.05).The score of cancer-related fatigue in the experimental group after management was lower than that in the comparison group,and the difference was statistically significant(P<0.05).There were no significant differences in the quality of life scores between the two groups before management(P>0.05).The quality of life scores of the two groups after management were higher than those before management,and the differences were statistically significant(P<0.05).The quality of life scores of the experimental group after management were higher than those of the comparison group,and the differences were statistically significant(P<0.05).The total incidence of postoperative complications such as subcutaneous hydrops,infection and upper limb edema in the experimental group was 10.71%,which was lower than that in the comparison group(28.56%),with statistically significant difference(P<0.05).Conclusion Team management can not only improve the living standard of postoperative patients with breast cancer,but also further ensure the safety of surgery,reduce the incidence of postoperative complications,and improve the patients′cancer-related fatigue,with higher clinical application value.

作者廖光晶罗艳王春梅 LIAO Guang-jing;LUO Yan;WANG Chun-mei(Department of Oncology,the First Affiliated Hospital of Gannan Medical College,Jiangxi Province,Ganzhou341000,China)

机构地区赣南医学院第一附属医院肿瘤科

出处《中国当代医药》 CAS 2021年第18期173-176,共4页 China Modern Medicine

基金江西省卫生计生委科技计划项目(20175394)。