自我体位护理法在乳腺癌改良根治术后患者中的应用研究  

Application of self- care of body posture in patients after modified radical mastectomy

作　　者：林嘉旋[1] 钟月桂[1] 何晓兰[1] 黄群爱[1] 冯丽云[1] 

机构地区：[1]中山大学附属第三医院乳腺外科,广州510630

出　　处：《中国实用护理杂志（中旬版）》2010年第7期41-43,共3页Chinese Journal of Practical Nursing

摘　　要：目的探讨自我体位护理法在乳腺癌改良根治术后患者中应用的效果。方法选择意识清楚，能有效沟通，无肢体瘫痪，无骨折的102例乳腺癌改良根治术后患者，随机分为研究组和对照组各51例，研究组参照Orem“自理理论”理念，实施以自我翻身为主且注重身体重心位的自我体位护理法，对照组实施以协助翻身为主的传统体位护理法；观察并比较2组患者第1次下床时间、各并发症发生情况以及手术后第1天焦虑程度、翻身舒适度、体位舒适度、护理满意度。结果研究组的第1次下床时间明显早于对照组，焦虑程度明显低于对照组，翻身舒适度、体位舒适度、护理满意度明显高于对照组，2组头晕、患侧上肢肿胀、皮瓣积液、皮瓣坏死的发生率比较无显著差异，2组均无压疮发生。结论对乳腺癌改良根治术后患者采用自我体位护理，可以提高患者的舒适满意度，促进患者的康复，且不增加并发症，值得推广。Objective To explore the nursing effects of self-care body posture in patients after mod- ified radical mastectomy. Methods The clinical data of 102 patients with modified radical mastectomy were randomly divided into the study group and the control group, all patients met the following standard： clear consciousness, effective communication, no paralysis of limbs, no fracture. In the study group, accord- ing to Orem＂self-care theory＂ concept, patients carried out self-care body posture with mainly focus on self- emancipated and the body center of gravity position, in the control group patients were given traditional posture care with mainly emancipated assistance. The first time getting out-of-bed, the occurrence of vari- ous complications, the comfort level of emancipation and posture, as well as nursing satisfaction on the first day after surgery were observed and compared between the two groups. Results The two groups showed significant difference in the first time out-of-bed, anxiety, the comfort level of emancipation and posture, as well as nursing satisfaction. There was no significant difference between the two groups in dizziness, limb swelling, flap effusion, flap necrosis. No pressure ulcer occurred. Conclusions Making use of self- care body posture in patients after modified radical mastectomy can improve the satisfaction and comfort of the patients, and improve the patients＂ recovery, without increasing the complication, which is worth promoting.

关 键 词：乳腺癌改良根治术 OREM自理理论 自我体位护理 舒适护理 

分 类 号：R454.1[医药卫生—治疗学]