The application of evidence-based nursing in patients undergoing intravenous chemotherapy for breast cancer and its impact on quality of life
循证护理在乳腺静脉化疗患者中的应用及生活质量影响

摘要

目的 将循证护理用于乳腺癌静脉化疗患者中，探究其对患者生活质量的影响。方法 选取2024年5月-2025年6月本院收治的86例行静脉化疗的乳腺癌患者，随机分组，对照组43例行常规护理，观察组43例行循证护理，对两组干预结果进行比较。结果 干预前，两组情绪、生活质量评分比较，不具显著差异（P>0.05），干预后，观察组SAS、SDS评分更低，观察组FACT-B评分更高（P<0.05）；两组并发症发生率比较，观察组6.98%更低（P<0.05）；两组管路留置时间比较，观察组更长（P<0.05），两组导管维护操作时间比较，观察组更短（P<0.05）；两组护理满意度比较，观察组95.35%更高（P<0.05）。结论 对乳腺癌化疗患者来说，实施循证护理既能改善负面情绪及生活质量，减少并发症，还可延长管路留置时间，缩短导管维护操作时间，提高患者护理满意度，具有较高应用价值。

Abstract

Objective To explore the effect of evidence-based nursing on the quality of life of patients with breast cancer undergoing intravenous chemotherapy.
Methods 86 patients with breast cancer who received intravenous chemotherapy in our hospital from May 2024 to June 2025 were randomly divided into control group (43 cases) receiving routine care and observation group (43 cases) receiving evidence-based care. The intervention results of the two groups were compared.
Results Before the intervention, there was no significant difference in emotional and quality of life scores between the two groups (P>0.05). After the intervention, the SAS and SDS scores in the observation group were lower, and the FACT-B score in the observation group was higher (P<0.05); The incidence of complications was lower in the observation group (6.98%) compared to the control group (P<0.05); The observation group had a longer retention time for the two sets of pipelines (P<0.05), while the observation group had a shorter maintenance operation time for the two sets of catheters (P<0.05); The comparison of nursing satisfaction between the two groups showed that the observation group had a higher satisfaction rate of 95.35% (P<0.05).
Conclusion   For patients with breast cancer undergoing chemotherapy, the implementation of evidence-based nursing can not only improve negative emotions and quality of life, reduce complications, but also extend the time of tube indwelling, shorten the time of catheter maintenance and operation, and improve patients' satisfaction with nursing. It has high application value.