回归家庭干预对乳腺癌术后患者康复效果的影响

doi:10.3761/j.issn.0254-1769.2022.02.001

摘要/Abstract

摘要：

目的探讨回归家庭干预对乳腺癌术后患者康复效果的影响。方法采用非随机分组的类实验研究设计,于2020年9月—2021年1月在北京市某三级甲等医院乳腺外科病房通过目的抽样选取70例乳腺癌患者为研究对象,愿意参与回归家庭干预的患者纳入试验组,在护理门诊进行干预。选择常规护理的患者纳入对照组,在病房进行干预。干预前、后分别用上臂和肩功能自我评定量表、上肢功能障碍评定简表、癌症康复评价简表及家庭亲密度与适应性量表对两组进行测量。结果干预后,试验组的上臂和肩功能自我评定量表得分、家庭亲密度与适应性量表得分均高于干预前和对照组（P<0.05）,上肢功能障碍评定简表得分、癌症康复评价简表得分均低于干预前和对照组（P<0.05）。结论回归家庭干预可改善乳腺癌术后患者的上肢功能,提高其生活质量,增进其家庭功能,促进患者顺利回归家庭,有助于实现全面康复。

关键词: 乳腺肿瘤, 作业疗法, 回归家庭, 生活质量, 干预性研究, 康复护理

Abstract:

Objective To explore the effect of “Return-to-Family” intervention program on rehabilitation effects of breast cancer survivors. Methods A total of 70 breast cancer survivors were recruited by convenient sampling in Breast Surgery Department and Breast Nursing Clinic of a tertiary hospital in Beijing. They were divided into a control group and an intervention group,and each group has 35 patients. In the intervention group,the program of “Return-to-Family” intervention was carried out. In the control group,the routine care was provided. The effectiveness of the intervention program was assessed before and after intervention by the function of shoulder joint and arm at affected side,the Disabilities of the Arm,Shoulder and Hand questionnaire（Quick-DASH）,the Cancer Rehabilitation Evaluation System-Short Form（CARES-SF）,the Family Adaptability and Cohesion Evaluation Scales （FACES）. Results After intervention,the total scores of the function of shoulder joint and arm at affected side,the FACES in the intervention group were higher than those in the control group and those before intervention（P< 0.05）. The total scores of the Quick-DASH and the CARES-SF in the intervention group were lower than those in the control group and those before intervention（P<0.05）. Conclusion “Return-to-Family” intervention benefits the improvement of upper limb function,quality of life,family function for breast cancer patients,and help breast cancer survivors return to family smoothly.

Key words: Breast Neoplasms, Occupation Therapy, Return to Family, Quality of Life, Intervention Studies, Rehabilitation Nursing

宋鹏娟, 刘均娥, 陈少华, 刘娟, 刘芳. 回归家庭干预对乳腺癌术后患者康复效果的影响[J]. 中华护理杂志, 2022, 57(2): 133-139.

SONG Pengjuan, LIU Jun’e, CHEN Shaohua, LIU Juan, LIU Fang. Effect of Return-to-Family intervention on rehabilitation efficacy of breast cancer patients[J]. Chinese Journal of Nursing, 2022, 57(2): 133-139.

图/表 6

图1 人-环境-作业模式

Figure 1 Person-environment-occupation model

表1 乳腺癌术后患者回归家庭干预方案

Table 1 Return-to-Family intervention program for breast cancer patients

表2 两组一般资料比较[例（百分比,%）]

Table 2 Comparison of general information between two groups[case（percent,%）]

表3 两组干预前后上肢功能状况的比较（分）

Table 3 Comparison of upper limb functions before and after intervention between two groups（score）

表4 两组干预前后癌症康复评价简表得分比较（分,$\bar{x}\pm s$）

Table 4 Comparison of CARES-SF scores before and after intervention between two groups（score,$\bar{x}\pm s$）

表5 两组干预前后家庭亲密度与适应性量表得分比较（分,$\bar{x}\pm s$）

Table 5 Comparison of FACES score before and after intervention between two groups（score,$\bar{x}\pm s$）

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