Abstract: Objective　To explore the effect of family centered care (FCC) on the complications and quality of life of breast cancer patients undergoing chemotherapy by implantable venous port (VPA). Methods　This was a prospective study. Eighty breast cancer patients taking chemotherapy by VPA in Luoding People's Hospital from June 2018 to December 2020 were selected, and were divided into a control group and an observation group by the random number table method, with 40 cases in each group. The control group were 28-62 (48.65±5.68) years old, and the course of disease were 3～20 (8.13±2.42) months;The observation group were 26～63(49.37±5.75)years old,and the course of disease were 4～20 (8.35±2.16) months. The control group were routinely cared for 6 months; in addition, the observation group took FCC for 6 months. The self-care abilities [Self-Care Ability Scale (ESCA)] and qualities of life [Breast Cancer Patient Quality Of Life Scale (FACT-B)] before and after the intervention and the incidences of complications after catheterization were compared between the two groups. The measurement data were expressed as (x±s), and were compared between these two group by independent-sample t test and within the groups by paired t test. The enumeration data were expressed as rates (%), and were compared by χ² test. Results　After the intervention, the scores of ESCA and FACT-B in the observation group were higher than those in the control group [(140.73±11.28) vs. (121.26 ± 12.41) and (159.36 ± 12.84) vs. (123.50 ± 14.43)], with statistical differences (t=7.343 and 11.742, both P<0.05). The incidence of complications after catheterization in the observation group was lower than that in the control group [20.00% (8/40) vs. 2.50% (1/40)], with a statistical difference (χ²=4.507, P<0.05). Conclusion　FCC can improve the self-care ability and quality of life of breast cancer patients undergoing chemotherapy by VPA, and reduce complications after catheterization.

Key words: Breast cancer, Chemotherapy, Implantable central intravenous infusion port, Family-centered, Quality of life, Complications

摘要： 目的　探讨以家庭为中心的护理（family-centered care，FCC）干预对植入式静脉输液港（venous port，VPA）乳腺癌化疗患者中置管后并发症及生活质量的影响。方法　采取前瞻性研究，选择2018年6月至2020年12月罗定市人民医院收治的VPA乳腺癌化疗患者80例，按随机数字表法分为对照组与观察组，各40例。对照组年龄28～62（48.65±5.68）岁，病程3～20（8.13±2.42）个月；观察组年龄26～63（49.37±5.75）岁，病程4～20（8.35±2.16）个月。对照组给予常规护理，观察组在此基础上开展FCC模式的护理干预，干预6个月。比较两组干预前后自我护理能力、生活质量、置管后并发症发生率。计量资料用（x±s）表示，组间比较采用独立t检验，组内比较采用配对t检验；计数资料以率（%）表示，比较采用χ²检验。结果　干预后，观察组自我护理能力量表（ESCA）、生存质量测定量表（FACT-B）评分［（140.73±11.28）分、（159.36±12.84）分］均高于对照组［（121.26±12.41）分、（123.50±14.43）分］，差异均有统计学意义（t=7.343、11.742，均P<0.05）；置管后观察组并发症发生率为2.5%（1/40），对照组为20.0%（8/40），差异有统计学意义（χ²=4.507，P<0.05）。结论　FCC护理能够提高VPA乳腺癌化疗患者自我护理能力及生活质量，降低置管后并发症发生率。

关键词: 乳腺癌, 化疗, 植入式中心静脉输液港, 以家庭为中心, 生活质量, 并发症