[1]管昀韩满霞补小康郑雪梅杜洪燕朱宁薛和玉吴绍勇.降低乳腺癌术后化疗患者中重度心理痛苦发生率[J].中国卫生质量管理,2022,29(05):080-84.[doi:10.13912/j.cnki.chqm.2022.29.5.20 ]
　GUAN Yun,HAN Manxia,BU Xiaokang.Reducing the Incidence of Moderate and Severe Psychological Distress in Breast Cancer Patients Undergoing Postoperative Chemotherapy[J].Chinese Health Quality Management,2022,29(05):080-84.[doi:10.13912/j.cnki.chqm.2022.29.5.20 ]
点击复制

降低乳腺癌术后化疗患者中重度心理痛苦发生率
分享到：

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第29卷
期数:
2022年05期
页码:
080-84
栏目:
QC小组平台
出版日期:
2022-05-28

文章信息/Info

Title:
Reducing the Incidence of Moderate and Severe Psychological Distress in Breast Cancer Patients Undergoing Postoperative Chemotherapy
作者:
管昀韩满霞补小康郑雪梅杜洪燕朱宁薛和玉吴绍勇
四川大学华西医院头颈肿瘤科/四川大学华西护理学院
Author(s):
GUAN Yun; HAN Manxia; BU Xiaokang
Department of Head and Neck Oncology,West China Hospital, Sichuan University/West China School of Nursing, Sichuan University
关键词:
乳腺癌; 化疗患者; 心理痛苦; 品管圈; 问题解决型品管圈
Keywords:
Breast Cancer; Chemotherapy Patients; Psychological Distress; Quality Control Circle; Problem Solving Quality Control Circle
分类号:
R737.9
DOI:
10.13912/j.cnki.chqm.2022.29.5.20
文献标志码:
B
摘要:
目的降低乳腺癌术后化疗患者中重度心理痛苦发生率。方法成立品管圈小组，对科室乳腺癌术后化疗存在中重度心理痛苦的患者进行现状分析，应用文献循证及头脑风暴法拟定对策并组织实施，包括心理痛苦识别技术、心灵减压方案、家庭参与等。结果乳腺癌术后化疗患者中重度心理痛苦发生率由活动前的54.59%降低至活动后的22.96%。结论将品管圈活动应用于中重度心理痛苦的乳腺癌术后化疗患者，可改善其负性情绪，提升其社会支持度、生存质量和主观幸福感。
Abstract:
ObjectiveTo reduce the incidence of moderate and severe psychological distress in patients with breast cancer after postoperative chemotherapy. Methods A quality control circle group was established to analyze the status of patients with moderate and severe psychological distress in breast cancer undergoing postoperative chemotherapy. Evidence-based literature review and brainstorming method were used to formulate and implement countermeasures, including psychological distress recognition technology, psychological decompression program, family participation, etc.ResultsThe incidence of moderate and severe psychological distress in breast cancer patients after postoperative chemotherapy decreased from 54.59% to 22.96%. Conclusion Applying quality control circle activities to breast cancer patients with moderate and severe psychological distress after postoperative chemotherapy can improve their negative emotions, social support, quality of life and subjective well-being.

参考文献/References:

［1］National Comprehensive Cancer Network.Clinical practice guidelines in oncology-distress management-version 2［R］.2020. ［2］张叶宁，张海伟，宋丽莉，等.心理痛苦温度计在中国癌症患者心理痛苦筛查中的应用［J］.中国心理卫生杂志，2010，24（12）：897-902. ［3］HELENA VO，LOURENS S.Breast cancer patients' experiences of psychological distress, hopelessness, and suicidal ideation［J］.Journal of Nature and Science of Medicine，2021，4（3）：250-257. ［4］李璐璐，李小妹，韩冬芳，等.乳腺癌患者心理痛苦轨迹及影响因素的纵向研究［J］.中华护理杂志，2020，55（8）：1140-1146. ［5］李梦媛，田 丽，吴 婷，等.乳腺癌患者乳房重建心理体验质性研究的Meta整合［J］.中华护理杂志，2019，54（7）：1091-1096. ［6］李 飞，杨 扬，李 文，等.乳腺癌患者化疗后的心理痛苦与其生活质量之间的关系分析［J］.临床肿瘤学杂志，2016，21（9）：814-817. ［7］BATTY GD，RUSS TC，STAMATAKIS E，et al.Psychological distress in relation to site specific cancer mortality: pooling of unpublished data from 16 prospective cohort studies［J］.BMJ，2017，25：356. ［8］夏利敏，朱庆芬，宋 涛，等.2014-2019年国际乳腺癌护理研究热点的共词聚类分析［J］.中华现代护理杂志，2021，27（2）：153-158. ［9］GOERLING U，BERGELT C，MULLER V，et al.Psychosocial distress in women with breast cancer and their partners and its impact on supportive care needs in partners［J］.Frontiers in Psychology，2020，11：564079. ［10］JUDITH NSONDE MALANDA.The psychological distress of patients with breast cancer at university teaching hospital of brazzaville［J］.International Journal of Clinical Oncology and Cancer Research，2021，6（1）：256-270. ［11］文翠菊，路 潜，丁 玥，等.乳腺癌化疗患者症状测评量表的编制与信效度检验［J］.中华护理杂志，2012，47（5）：451-453. ［12］蔡甜甜，庞雪莲，张丽丽，等.降低ICU俯卧位通气患者压力性损伤发生率［J］.中国卫生质量管理，2021，28（9）：67-70，76. ［13］GANRILESCU M，VIZIREANU N.Predicting depression, anxiety, and stress levels from videos using the facial action coding system［J］.Sensors，2019，19（17）：3693. ［14］CLANCY TR.Artificial intelligence and nursing:the future is now［J］.J Nurs Adm，2020，50（3）：125-127. ［15］ROSENBERG A, HAMIE LD. Reducing test anxiety and related symptoms using a biofeedback respiratory practice device: a randomized control trial［J］.Applied Psychophysiology and Biofeedback,2021,46(1):69-82. ［16］张丽丽，徐秀瑛，闫晓娜，等.叙事护理对癌症病人负性情绪和生活质量干预效果的Meta分析［J］.循证护理，2021，7（5）：585-591. ［17］中华医学会肿瘤学分会肿瘤支持康复治疗学组.中国癌症相关性疲乏临床实践诊疗指南（2021年版）［J］.中国癌症杂志，2021，31（9）：852-872. ［18］中国中西医结合学会肿瘤专业委员会，北京乳腺病防治学会中西医结合专业委员会，北京中西医慢病防治促进会乳腺癌整合防治全国专家委员会.乳腺癌中西医结合诊疗共识［J］.中国医学前沿杂志（电子版），2021，13（7）：44-64. ［19］刘志冬，钟洪英，丁小满.中医护理对乳腺癌术后癌因性疲乏的影响［J］.新中医，2021，53（8）：142-145. ［20］黎建青.中医特色护理在癌症晚期癌因性疲乏病人中的应用现状及展望［J］.全科护理，2021，19（6）：759-761. ［21］National Comprehensive Cancer Network.Clinical practice guidelines in oncology-cancer-related fatigue-version 1［R］.2021.

相似文献/References:

[1]苏彩梅郭丝锦.乳腺癌日间手术全程健康管理模式探讨[J].中国卫生质量管理,2021,28(05):030.[doi:10.13912/j.cnki.chqm.2021.28.5.09 ]
　SU Caimei,GUO Sijin.Discussion on the Whole-Process Health Management Mode in Ambulatory Surgery for Breast Cancer[J].Chinese Health Quality Management,2021,28(05):030.[doi:10.13912/j.cnki.chqm.2021.28.5.09 ]
[2]安宇邓明杨娟林伟龙杨谨成杨文静.北京市31家医院乳腺癌化疗住院病历质控结果分析[J].中国卫生质量管理,2022,29(11):016.[doi:10.13912/j.cnki.chqm.2022.29.11.05 ]
　AN Yu,DENG Ming,YANG Juan.Analysis of Quality Control Results of Medical Records among Inpatients with Breast Cancer Chemotherapy in 31 Hospitals in Beijing[J].Chinese Health Quality Management,2022,29(05):016.[doi:10.13912/j.cnki.chqm.2022.29.11.05 ]

更新日期/Last Update: 2022-05-28