Influence of individualized medication education on quality of life in breast cancer patients treated with chemotherapy

doi:10.3877/cma. j. issn.1674-0807.2013.01.005

Abstract

Abstract:

Objective

To investigate the influence of individualized medication education on the quality of life in breast cancer patients treated with chemotherapy.

Methods

Totally 90 breast cancer patients(35-60 years old), who received the first duration of chemotherapy in our hospital from January 2010 to July 2011, were divided into intervention groups A, B and control group,30 patients in each group. There were no statistical differences in general data among 3 groups. The control group was given routine chemotherapy and nursing; individualized medication education was given additionally one week before and one week after the first course of chemotherapy in group A and B respectively. Quality of life was assessed using Functional Assessment of Cancer Therapy- Breast(FACT-B) one week after the last course of chemotherapy in each group to compare their difference.

Results

After the chemotherapy, intervention groups were superior to control group in understanding of disease,rational medication and feeding (P＜0.017),while there was no statistical differences between group A and B (P＞0.017). As for quality of life, the scores in physiological status, the emotional status, the functional status, the additional attention and the total score in intervention groups were higher than those in the control group (P＜0.050). Except physiological status, the other four index showed statistical differences between group A and B (P＜0.050). Before and after the chemotherapy,the control group showed a statistical significance on the scores of the physiological status, the emotional status, the functional status, and the total score (P＜0.050); a statistical difference presented between group A and B on the scores of the physiological status, the emotional status, the functional status, the additional attention, and the total score(P＜0.050).

Conclusion

Individualized medication education has positive influence on the quality of life in breast cancer patients treated with chemotherapy.

Key words: breast neoplasms, quality of life, individualized medication education

Da-li XIAO, Sui-qiong WANG, Tie-qiao WANG, Fei-feng SHENG. Influence of individualized medication education on quality of life in breast cancer patients treated with chemotherapy[J]. Chinese Journal of Breast Disease(Electronic Edition), 2013, 07(01): 20-24.

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References 19

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组别	例数	年龄(岁)			文化程度			婚姻状况		家庭收入(年薪)		临床分期
组别	例数	＜35	35～50	＞50	初中及以下	高中	大学及以上	已婚	离异/丧偶/未婚	＜6万	≥6万	Ⅰ	Ⅱ	Ⅲ
对照组	30	5	18	7	7	10	13	26	4	22	8	10	12	8
干预A组	30	4	20	6	8	12	10	27	3	26	4	13	10	7
干预B组	30	7	16	7	10	13	7	28	2	24	6	11	11	8
χ ²值		1.419			2.760			0.741		1.667		0.681
P值		0.841			0.599			0.690		0.435		0.954

组别	例数	年龄(岁)			文化程度			婚姻状况		家庭收入(年薪)		临床分期
组别	例数	＜35	35～50	＞50	初中及以下	高中	大学及以上	已婚	离异/丧偶/未婚	＜6万	≥6万	Ⅰ	Ⅱ	Ⅲ
对照组	30	5	18	7	7	10	13	26	4	22	8	10	12	8
干预A组	30	4	20	6	8	12	10	27	3	26	4	13	10	7
干预B组	30	7	16	7	10	13	7	28	2	24	6	11	11	8
χ ²值		1.419			2.760			0.741		1.667		0.681
P值		0.841			0.599			0.690		0.435		0.954

组别	例数	了解病情		心理障碍		正确用药		合理饮食		自我评价
组别	例数	了解	不了解	有	无	能	否	能	否	满意	不满意
对照组	30	13	17	21	9	11	19	7	23	10	20
干预A组	30	25^a	5	8^c	22	28^df	2	27^g	3	26^j	4
干预B组	30	23^b	7	13^k	17	21^e	9	20^h	10	19^l	11
χ ²值		12.617		11.518		21.900		28.611		18.047
P值		0.002		0.003		0.000		0.000		0.000

组别	例数	了解病情		心理障碍		正确用药		合理饮食		自我评价
组别	例数	了解	不了解	有	无	能	否	能	否	满意	不满意
对照组	30	13	17	21	9	11	19	7	23	10	20
干预A组	30	25^a	5	8^c	22	28^df	2	27^g	3	26^j	4
干预B组	30	23^b	7	13^k	17	21^e	9	20^h	10	19^l	11
χ ²值		12.617		11.518		21.900		28.611		18.047
P值		0.002		0.003		0.000		0.000		0.000

组别	生理状况	社会/家庭状况	情感状况	功能状况	附加关注	总分
对照组	17.33±3.35	16.57±1.77	14.13±1.61	15.00±1.20	22.13±2.15	85.17±4.47
干预A组	17.36±3.26	16.80±1.65	14.20±1.94	15.37±1.03	22.33±1.54	86.07±4.81
干预B组	16.90±2.23	16.77±1.52	14.57±1.43	15.17±1.34	22.20±1.52	85.60±3.76
F值	0.227	0.175	0.583	0.708	0.101	0.319
P值	0.797	0.840	0.560	0.493	0.904	0.728

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