心理干预配合临床护理路径在乳腺癌整形保乳术围手术期的效果观察  

Clinical Effect of Psychological Intervention Combined with Clinical Nursing Path in the Perioperative Period of Breast Cancer Plastic Surgery and Breast Conserving Surgery

作　　者：杜红[1] 尚亚婷[1] 王红梅[1] DU Hong;SHANG Ya-ting;WANG Hong-mei(Department of Hepatobiliary and Breast Surgery,Mianyang Central Hospital,Mianyang 621000,Sichuan,China)

机构地区：[1]绵阳市中心医院肝胆乳腺外科,四川绵阳621000

出　　处：《中国美容医学》2018年第10期144-147,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨心理干预配合临床护理路径在乳腺癌整形保乳术围术期的临床效果观察。方法:选取笔者医院2016年1月—2017年6月行乳腺癌整形保乳术围术期患者93例,采用随机分组法分为对照组和观察组,两组患者均行乳腺癌整形保乳术。对照组在术后行常规护理,观察组在治疗后行心理干预配合临床护理路径。对两组患者住院时间、术后并发症、护理前后的抑郁情绪、焦虑情绪及生活质量评分进行比较。结果:观察组患者的住院时间明显少于对照组,且两组比较差异具有统计学意义(P<0.05);观察组患者术后并发症总发生率(6.38%)明显低于对照组(29.79%),差异具有统计学意义(P<0.05);护理后观察组患者SAS及SDS总评分均低于对照组,差异具有统计学意义(P<0.05);护理后两组患者各项指标评分均高于护理前,且观察组在生理职能、生理功能、躯体疼痛、总体健康、活力、社会功能、情感职能及精神健康评分显著高于对照组,差异具有统计学意义(P<0.05)。结论:心理干预配合临床护理路径在乳腺癌整形保乳术围术期患者中,能有效减少患者住院时间及术后并发症,改善患者的抑郁和焦虑情绪,提高患者的生存质量。Objective To explore the clinical effect of psychological intervention combined with clinical nursing pathway in the perioperative period of breast cancer plastic surgery and breast conserving surgery. Methods From January 2016 to June 2017, 93 patients undergoing breast cancer plastic surgery and breast conserving surgery were randomly divided into two groups： the control group and the observer group. The control group received routine nursing care after operation. The observation group received psychological intervention and clinical nursing path after treatment. The time of hospitalization, depression, anxiety and quality of life were compared between the two groups. Results The hospitalization time of the patients in the observation group was signifcantly less than that in the control group, and the difference between the two groups was statistically signifcant （P〈0.05）. The total incidence of postoperative complications in the observation group （6.38%） was signifcantly lower than that in the control group （29.79%, P〈0.05）, and the total scores of SAS and SDS in the observation group were lower than those in the control group after nursing care （P〈0.05）. There was signifcant difference between the two groups （P〈0.05）, after nursing, the scores of each index in the two groups were higher than those before nursing, and the observation group was in physiological function, somatic pain, general health and vitality. The scores of social function, affective function and mental health were signifcantly higher than those of control group （P〈0.05）. Conclusion Psychological intervention combined with clinical nursing pathway can effectively reduce the hospitalization time, improve the depression and anxiety, and improve the quality of life of patients with breast cancer during the perioperative period of plastic surgery and breast conserving surgery.

关 键 词：心理干预 临床护理路径 乳腺癌整形保乳术 生存质量 围术期 抑郁 焦虑 

分 类 号：R47[医药卫生—护理学]