早期康复护理对乳腺癌改良根治术后引流管留置时间的影响  

Effect of early nursing intervention on duration of tube indwelling after modified radical mastectomy for breastcancer

作　　者：雷伟娜 甄带娣 陈艳分 伍素嫦 林翠珍 

机构地区：[1]台山市人民医院普外科,529200

出　　处：《国际医药卫生导报》2013年第15期2286-2289,共4页International Medicine and Health Guidance News

基　　金：2013年江门市卫生局立项课题（江卫[2013]154号-13A132）

摘　　要：目的探讨早期康复护理干预模式对乳腺癌改良根治术后引流管留置时间的影响。方法选取我科收治的女性乳腺癌患者100例，均行改良乳腺癌根治术治疗，将患者随机平均分为两组，分别行术后常规护理与早期康复护理干预：即术前预防术后并发症的情景教育康复（个体与集体相结合的教育康复模式，即固定时间集体上课和术前个别教育）；术后经常变换体位；经常督促指导协助患者深呼吸运动和有效的咳嗽排痰及肢体被动活动到主动运动。观察两组患者术后引流管留置时间与并发症。结果观察组患者术后引流管平均留置时间较对照组显著缩短（f=-4．668），留置时间低于14天的患者相比对照组增加，术后并发皮下／腋窝积液、皮瓣坏死、伤口感染显著低于对照组（X^2分别为5．01、4．77、3．85）。结论早期康复护理干预能够明显缩短乳腺癌改良根治术后引流管留置时间，减少患者住院与治疗的费用，改善患者生活质量，具有较高的临床价值。Objective To investigate the effect of early nursing intervention on duration of tube indwelling in modified radical mastectomy for breast cancer. Methods 100 patients with breast cancer in our hospital underwent modified radical mastectomy for breast cancer and were randomly divided into two groups. Postoperative routine nursing, nursing intervention, duration of tube indwelling, and complications were analyzed between the two groups after surgery. Results The mean duration of tube indwelling was significantly shorter in the study group than in the control group （P〈0.05）; the incidence rate of postoperative complications was significantly lower in the study group than in the control group （P〈0.05）. Conclusions Early nursing intervention can shorten duration of tube indwelling after modified radical mastectomy for breast cancer, reduce the cost of hospitalization and treatment, and improve quality of life in patients, with a higher clinical value.

关 键 词：早期护理干预 乳腺癌改良根治术 术后引流 留置时间 

分 类 号：R473.73[医药卫生—护理学]