专项美学干预对乳腺癌患者保乳术后自我评价及预后的影响分析  

Effect of Special Aesthetic Intervention on Self-evaluation and Prognosis of Breast Cancer Patients after Breast Conserving Surgery

作　　者：但慧芳[1] 任秀华[1] 杨艳英[1] 江英[1] DAN Hui-fang;REN Xiu-hua;YANG Yan-ying;JIANG Ying(Department of Breast,Mianyang Central Hospital,Mianyang 621000,Sichuan,China)

机构地区：[1]绵阳市中心医院乳腺科,四川绵阳621000

出　　处：《中国美容医学》2019年第2期159-162,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:研究专项美学干预对乳腺癌患者保乳术后自我评价、焦虑抑郁水平及生活质量的影响。方法:选取2016年6月-2018年6月笔者医院收治行保乳术治疗的120例乳腺癌患者为研究对象,通过随机数字表法随机分为美学干预组(60例)和常规干预组(60例)。常规干预组患者在行保乳术治疗期间实施常规护理干预,美学干预组在常规护理基础上行专项美学干预。护理干预4周后比较两组患者术后护理依从性、干预前后焦虑抑郁水平及生活质量。结果:美学干预组患者术后自我功能锻炼、自我管理、心理自我调节依从率均高于常规干预组,差异均有统计学意义(P<0.05)。干预前两组患者SAS评分和SDS评分比较差异无统计学意义(P>0.05);干预后两组患者SAS评分和SDS评分得到显著降低,差异有统计学意义(P<0.05);干预后美学干预组患者SAS评分和SDS评分明显低于常规干预组,差异有统计学意义(P<0.05)。干预前两组患者生理功能、社会功能、生理职能、躯体疼痛、精神健康、情感职能、活力以及总体健康评分比较差异无统计学意义(P>0.05);干预后美学干预组患者生理功能、社会功能、生理职能、精神健康、情感职能、活力以及总体健康评分明显高于常规干预组,差异有统计学意义(P<0.05)。结论:行保乳术治疗的乳腺癌患者实施专项美学干预能够提高术后自我评价及护理依从性,同时有效缓解患者焦虑抑郁情绪,提高患者生活质量。Objective To study the effect of special aesthetic intervention on self-evaluation, anxiety and depression level and quality of life of breast cancer patients after breast conserving surgery. Methods From June 2016 to June 2018, 120 patients with breast cancer were randomly divided into aesthetic intervention group (n =60) and routine intervention group (n =60) by means of random digital tables.The patients in the routine intervention group were given routine nursing intervention while the patients in the aesthetic intervention group were given special aesthetic intervention on the basis of routine nursing during the treatment period. After 4 weeks of nursing intervention, the nursing compliance, anxiety and depression level and quality of life before and after nursing intervention were compared between the two groups. Results The compliance rates of self-function exercise, self-management and psychological self-regulation in aesthetic intervention group were significantly higher than those in routine intervention group (P <0.05). There was no significant difference in SAS scores and SDS scores between the two groups before intervention (P >0.05), but the SAS scores and SDS scores of the two groups were significantly decreased after intervention (P <0.05). The SAS scores and SDS scores in the aesthetic intervention group were significantly lower than those in the routine intervention group (P <0.05).There was no significant difference in physiological function, social function, physiological function, somatic pain, mental health, emotional function, vitality and total health score between the two groups before intervention (P >0.05). The scores of physiological function, social function, physiological function, mental health, emotional function, vitality and general health were significantly higher than those of routine intervention group (P <0.05). Conclusion The special aesthetic intervention for breast cancer patients treated with breast conserving surgery can improve the self-nursing compliance, relieve anxie

关 键 词：专项美学干预 乳腺癌 保乳术 自我评价 焦虑抑郁 生活质量 

分 类 号：R47[医药卫生—护理学]