评判性护理干预对乳腺癌患者术后疼痛和睡眠状况的影响  

Effect of critical nursing intervention on postoperative pain and sleep in patients with breast cancer

作　　者：史娜[1] 陈鹏[2] 晁华山 SHI Na1, CHEN Peng2 , CHAO Hua-shan2(1. Teaching and Research Section, Department of Surgery Nursing, Qinghai Health College, Xining 810000, China; 2. Department of Breast and Thyroid Surgery, Qinghai University Affiliated Hospital,Xining 810000, Chin)

机构地区：[1]青海卫生职业技术学院外科护理教研室,西宁810000 [2]青海大学附属医院甲乳科,西宁810000

出　　处：《中国肿瘤临床与康复》2018年第3期342-344,共3页Chinese Journal of Clinical Oncology and Rehabilitation

基　　金：青海省(应用)基础研究计划项目(2011-Z-732)

摘　　要：目的探讨评判性护理干预对乳腺癌患者术后疼痛和睡眠状况的影响。方法选取2015年4月至2017年1月间青海大学附属医院收治的134例乳腺癌患者,采用随机数表法分为观察组与对照组,每组67例。对照组患者术后采用常规护理,观察组患者在常规护理基础上加评判性护理。对两组患者手术前后的生活质量、疼痛程度及睡眠状况进行综合评价。结果两组患者术前生活质量评分比较,差异无统计学意义(P>0.05);治疗后,两组患者生活质量均有提升,且观察组较对照组提升幅度大,差异均有统计学意义(均P<0.05)。两组患者入院时,疼痛度聚集在中度和重度两个等级,差异无统计学意义(P>0.05);治疗后,两组患者疼痛度皆有好转,且观察组轻度疼痛人数较多,差异均有统计学意义(均P<0.05)。两组患者入院时,睡眠质量皆低于正常人,差异无统计学意义(P>0.05);治疗后,观察组患者入睡所需时间及睡眠持续时间改善效果均强于对照组,差异均有统计学意义(均P<0.05)。结论评判性护理干预对乳腺癌患者术后疼痛和睡眠状况的改善均有显著效果,较单一接受常规护理有突出优势,适合临床推广。Objective To explore the effect of critical nursing intervention on postoperative pain and sleep in patients with breast cancer. Methods A total of 134 patients with breast cancer who were treated at Qinghai University Affiliated Hospital from April 2015 to January 2017 were selected. The patients were divided into an observation group and a control group according to the random number table with 67 patients in each group. The observation group received critical nursing besides routine nursing care and the control group was given routine nursing care. The quality of life,severity of pain and sleep status were evaluated before and after operation for the two groups. Results There was no significant difference in quality of life score between the two groups（P〉0. 05）. After the treatment,quality of life was improved in both groups with the observation group significantly higher than the control group（all P〈0. 05）. The severity of pain was moderate and severe at admission in both groups（P〉0. 05）. After treatment,pain was relived in both groups and the pain was much milder in the observation group than in the control group（P〈0. 05）.At admission,sleep quality were lower in both groups than those of the normal（P〉0. 05）. After treatment,time to sleep and sleep duration was better in the observation group than in the control group（all P〈0. 05）. Conclusion Postoperative pain and sleep condition significant improved with critical nursing intervention in patients with breast cancer and it is more suitable for clinical promotion than single routine nursing.

关 键 词：评判性护理 乳腺肿瘤 术后疼痛 睡眠状况 

分 类 号：R737.4[医药卫生—肿瘤]