循证护理对乳腺癌患者术后功能锻炼依从性及生活质量的影响  

Effect of evidence-based nursing on adherence to postoperative functional exercise and quality of life in patients with breast cancer

作　　者：刘新华[1] 周立芝[1] 李建君[1] 张淑芳[1] 

机构地区：[1]河北省唐山市人民医院乳腺一科,唐山063000

出　　处：《中国肿瘤临床与康复》2018年第2期194-197,共4页Chinese Journal of Clinical Oncology and Rehabilitation

基　　金：河北医学科学研究重点课题计划(20160878)

摘　　要：目的探讨循证护理(EBN)对乳腺癌患者术后功能锻炼依从性及生活质量的影响。方法选取2016年1月至2017年1月间唐山市人民医院收治的98例行乳腺癌根治术的患者,采用随机数字表法分为观察组与对照组,每组49例。对照组患者采用常规护理干预,观察组患者在此基础上采用EBN干预。比较两组患者术后功能锻炼依从情况及术后3个月时的生活质量。结果观察组患者术后总依从率为98.0%,高于对照组患者的83.7%,差异有统计学意义(P<0.05)。观察组患者术后3个月时的社会功能、活力、精神健康、情感职能、生理职能、生理功能、一般健康与躯体疼痛等各项生活质量评分均高于对照组,差异均有统计学意义(均P<0.05)。结论乳腺癌患者通过EBN干预,可进一步提高术后功能锻炼依从性,保证生活质量,适于临床推广。Objective To explore the effect of evidence-based nursing adherence to postoperative functional exercise and quality of life in patients with breast cancer. Methods A total of 98 patients with breast cancer who underwent radical mastectomy from January 2016 to January 2017 were selected and randomly divided into an observation group and a control group with 49 patients in each group. The observation group was given evidence-based nursing apart from routine nursing and the control group was given routine nursing. Adherence to postoperative functional exercise and quality of life at 3 months after nursing was compared between the two groups. Results The overall adherence was 98. 0% for the observation group which was higher than 83. 7% of the control group（ P〈0. 05）. The quality of life scores including social function,vitality,mental health,emotional function,physiological function,physiological function,general health and physical pain at 3 months after operation were higher than those in the observation group than in the control group（ all P〈0. 05）. Conclusion Breast cancer patients can further strengthen the compliance to postoperative functional exercise through evidence-based nursing intervention and guarantee the quality of life. It is suitable for clinical promotion.

关 键 词：循证护理 乳腺肿瘤 功能锻炼 依从性 生活质量 

分 类 号：R737.4[医药卫生—肿瘤]