| 李茸,白岫丹,雷蕾,等.双维分级管理对中晚期乳腺癌病人尊严水平、生命态度及生命质量的影响[J].安徽医药,2023,27(3):480-485. |
| 双维分级管理对中晚期乳腺癌病人尊严水平、生命态度及生命质量的影响 |
| The effect of dual-dimensional graded management on the dignity level, life attitude and quality of patients with breast cancer |
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| DOI：10.3969/j.issn.1009-6469.2023.03.013 |
| 中文关键词: 乳腺肿瘤 肿瘤护理 马斯洛需要层次理论 尊严 生命态度 生活质量 双维分级管理 |
| 英文关键词: Breast neoplasms Oncology nursing Maslow's hierarchy of needs theory Dignity Life attitude The quality of life Dual-dimensional graded management |
| 基金项目:陕西省重点研发计划一般项目(2020SF-224)；西安交通大学第一附属医院科研发展基金(2021HL-25) |
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| 中文摘要: |
| 目的 探讨双维分级管理对中晚期乳腺癌病人的尊严水平、生命态度及生命质量的影响。方法 选择2020年7月1日至2021年6月30日西安交通大学第一附属医院收治的中晚期乳腺癌病人124例为研究对象，采用随机数字表法分为观察组和对照组，每组各62例病人，对照组根据疾病严重程度进行分级护理，观察组在分级护理基础上根据马斯洛人类需要层级理论进行双维分级管理及护理。在进行干预3个月后，比较两组病人的尊严水平、生命态度及生活质量指标等情况。结果 在对124例中晚期乳腺癌病人进行干预的过程中，观察组中途退出2例病人，对照组中途退出3例病人，最终纳入统计分析的病例数为119例，其中观察组60例、对照组59例。干预3个月后，观察组病人尊严感得分(43.18±4.90)分与对照组(48.55±4.21)分相比差异有统计学意义(t=6.41，P<0.05)；观察组病人自然接受评分(18.74±3.21)分与对照组(15.44±2.54)分相比差异有统计学意义(t=6.21，P<0.05)；观察组病人生命质量测定量表(QLQ-C30)指标(63.77±8.14)分与对照组(58.42±7.30)分比较差异有统计学意义(t=3.77，P<0.05)。结论 基于马斯洛的人类需要层次理论的双维分级管理干预，不仅能够维护中晚期乳腺癌病人的尊严需求，而且能培养其积极的生命态度，并且能改善其生活质量，值得临床推广使用。 |
| 英文摘要: |
| Objective To explore the effect of two-dimensional graded management care on the dignity level, life attitude and quali?ty in patients with breast cancer.Methods A total of 124 cases of medium and advanced breast cancer patients, admitted to The First Affiliated Hospital of Xi'an Jiaotong University from July 1, 2020 to June 30, 2021, were chosen as the research subjects. They were randomly assigned into the observation group and the control group, 62 cases in each group. The control group was graded according to the severity of disease, while the observation group was graded additionally on the basis of Maslow's hierarchy of needs before dual-di?mensional graded management and care was performed. After intervention for 3 months, dignity level, life attitude and quality of life were compared between the two groups.Results During the intervention among 124 patients with intermediate and advanced breast cancer, 2 patients in the observation group dropped out, 3 patients in the control group dropped out, and 119 patients were finally in?cluded in the statistical analysis, including 60 patients in the observation group and 59 patients in the control group. After 3 months of intervention, significant difference was found in the score of patients' sense of dignity between the observation group (43.18 ± 4.90) and the the control group (48.55 ± 4.21) (t=6.41, P<0.05). There was a statistically significant difference in the natural acceptance score be?tween the observation group (18.74 ± 3.21) and the control group (15.44 ± 2.54) (t=6.21, P<0.05). And there was a statistically signifi?cant difference in the score of QLQ-C30 between the observation group (63.77 ± 8.14) and the control group (58.42 ± 7.30) (t=3.77, P<0.05).Conclusion Dual-dimensional graded management based on Maslow's hierarchy of needs can help maintain the dignity needs of patients with breast cancer, motivate a positive attitude towards life, and improve their quality of life, thus it is worthy of populariza?tion and application. |
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