乳腺肿块患者等待病理时的人文关怀对确诊癌症后应激的研究  

Research of hamanity concern on stess of brease cancer patients waiting for pathologic result

作　　者：冯艳秋[1] 朱红[1] 郭淑英[1] 李萍[1] 商翠霞[1] 

机构地区：[1]山东省滕州市中心人民医院手术室,277500

出　　处：《国际护理学杂志》2011年第8期1138-1141,共4页international journal of nursing

摘　　要：目的探讨运用人文关怀理论对乳腺肿块患者在等待冰冻病理期间进行护理干预，对确诊癌症后患者应激的影响。方法将85例乳腺肿块（病理良性的除外）患者分为干预组42例，对照组43例。对照组接受常规护理，干预组在常规护理的基础上，由专门人文关怀小组的护师进行护理干预。比较两组的状况。结果干预组和对照组在术前1d所获得的心率、收缩压、焦虑自评量表（SAS）无显著性差异，确诊后10min-20min之间，干预组患者的心率、收缩压均较对照组低，情绪反应比较平稳。术后3dSAS有显著性差异（P〈0．01）。结论运用人文关怀理论进行护理干预可降低确诊后病人的情绪反应，可提高其后续的手术、治疗依从性。Objective To investigate the effect of humanity concern on breast cancer patients who were waiting for quickly patho logic result. Methods A total of 85 breast cancer patients were divided into two groups ： treatment group （ 42 patients） and the control （ 43 patients） . The control group was received usual nursing. And in the treatment group, on the base of the primary nurse, the special nurse was performed humanity concern. Results There were no significant difference on heart rate, systolic pressure, SAS anxiety scale, between the treatment group and the control one day before operation. 10 -20 minutes after diagnosis, the systolic pressure and the heart rate of the patients in the treatment group were lower than the control The emotional response was relatively stable. Three days after operation, there was significant difference in SAS scales （ P 〈 0. 01 ） . Conclusions Using humanity concern theory to carry out the nursing intervention can cut down the emotional response of the patients, elevate the compliance of the treatment after operation.

关 键 词：乳腺癌 人文关怀 个性化护理 病理确诊 情绪反应 

分 类 号：R473.73[医药卫生—护理学]