人本位整体护理在乳腺癌保乳术围手术期中的应用  

Application of people-centered holistic nursing in perioperative period of breast conserving surgery for breast cancer

作　　者：武丹[1] 史秋莲[1] 李敏[1] 王水娇[1] 刘莉萍[1] 

机构地区：[1]广东省肇庆市第一人民医院手术室,肇庆市526060

出　　处：《护理实践与研究》2016年第21期73-75,共3页Nursing Practice and Research

摘　　要：目的：探讨人本位整体护理在乳腺癌保乳术围手术期中的应用效果。方法：选取2015年1~12月在我院进行乳腺癌保乳手术治疗的患者30例作为观察组,选取2014年1~12月在我院进行乳腺癌保乳手术治疗的患者30例作为对照组,对照组执行常规护理;观察组实施人本位整体护理。术后观察两组患者切口恢复情况、术后并发症的发生情况、术后乳腺外形的评估情况并进行比较。结果：观察组切口愈合程度明显高于对照组,差异具有统计学意义（P〈0.05）。观察组发生术后并发症的概率低于对照组,差异具有统计学意义（P〈0.05）。观察组中乳腺外形评估等级明显高于对照组,差异均具有统计学意义（P〈0.05）。结论：在乳腺癌保乳术围术期中实施人本位整体护理可有效解决女性患者较为担忧乳腺外形美观问题,且其手术切口恢复情况明显优于传统护理下的乳腺癌保乳术,而术后并发症的发生概率明显降低,值得临床推广应用。Objective：To explore the effect of people - centered holistic nursing in perioperative period of breast conserving surgery for breast cancer. Meth-ods：Selected 30 patients who underwent breast conserving surgery in our hospital from January 2015 to December 2015 as the observation group. Selected 30 patients who underwent breast conserving surgery in our hospital from January 2014 to December 2014 as control group. The control group was treated with routine nursing while the observation group was treated with people - centered holistic nursing care. Postoperative incision recovery,postoperative com-plications and postoperative mammographic appearance were observed and compared between the two groups. Results：The degree of wound healing in obser-vation group was significantly higher than that in control group,the difference was of statistical significance（P 〈 0. 05）. The incidence of postoperative com-plications of the observation group was lower than that of the control group,the difference was statistically significant（P 〈 0. 05）. The mammary gland ap-pearance evaluation grade of the observation group was significantly higher than that of the control group,the difference was statistically significant（P 〈0. 05）. Conclusion：The holistic nursing care conducted for patients during perioperative period of breast conserving surgery can effectively solve the female patients’anxiety about the esthetic appearance. Its surgical incision recovery is better than traditional nursing in the breast conserving surgery. What’s more,the incidence of complications is significantly reduced. Therefore this method is worthy of clinical application.

关 键 词：人本位整体护理 乳腺癌保乳术 围手术期 应用 

分 类 号：R473.73[医药卫生—护理学]