手足综合征分级护理在乳腺癌化疗患者中的应用

doi:10.3761/j.issn.0254-1769.2023.21.003

摘要/Abstract

摘要： 目的探讨手足综合征分级护理在乳腺癌化疗患者中的应用效果。方法采取便利抽样法，选取武汉市某三级甲等医院乳腺外科行化疗的乳腺癌患者，按照入院时间将2022年4月—9月收治的55例患者纳入试验组，根据患者的手足综合征发生情况进行分级管理，将2021年10月—2022年3月收治的55例患者纳入对照组，予以化疗常规护理，两组干预措施均持续到最后1次化疗结束后3 d，比较两组最终化疗结束后3 d手足综合征发生情况及其对生活质量的影响。结果试验组、对照组的手足综合征发生率分别为34.55%、58.18%，两组手足综合征发生率及发生等级差异均具有统计学意义（P<0.05）；试验组手足皮肤反应患者生活质量量表总分为15.00（13.00，17.00）分，对照组为19.00（17.00，22.00）分，试验组的生活质量高于对照组，差异具有统计学意义（P<0.001）。结论实施手足综合征分级护理有利于降低乳腺癌化疗患者的手足综合征发生率，提高其生活质量。

关键词: 乳腺肿瘤, 手足综合征, 护理

Abstract:

Objective To investigate the application effect of a graded management program of hand-foot syndrome（HFS） in patients with breast cancer who received chemotherapy. Methods Convenience sampling method was adopted to select breast cancer patients who received chemotherapy in the breast surgery department of a tertiary A hospital in Wuhan. According to the time of admission，55 patients admitted from April 2022 to September 2022 were included in the experimental group，in which the graded management program was carried out according to the occurrence of HFS. 55 patients admitted from October 2021 to March 2022 were included in the control group，in which the routine chemotherapy care was carried out. Interventions in both groups lasted until 3 days after the last chemotherapy. The incidence of HFS and its impact on quality of life 3 days after the final chemotherapy were compared between the 2 groups. Results The incidence of HFS was 34.55% in the experimental group and 58.18% in the control group，and there were significant differences in the incidence and grade of HFS between the 2 groups（P<0.05）. The total score of life quality scale in the experimental group was 15.00（13.00，17.00） and 19.00（17.00，22.00） in the control group. The life quality of patients in the experimental group was significantly higher than that in the control group（P<0.001）. Conclusion The graded management program for breast cancer patients with HFS can reduce the incidence and grade of HFS，and can help to improve the quality of life in breast cancer patients who received chemotherapy.

Key words: Breast Neoplasms, Hand-Foot Syndrome, Nursing Care

褚彦香, 邓妍, 熊欢. 手足综合征分级护理在乳腺癌化疗患者中的应用[J]. 中华护理杂志, 2023, 58(21): 2583-2588.

CHU Yanxiang, DENG Yan, XIONG Huan. Application of a graded management program of hand-foot syndrome in patients with breast cancer who received chemotherapy[J]. Chinese Journal of Nursing, 2023, 58(21): 2583-2588.

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