细节化无缝隙护理对乳腺癌手术患者应激反应的影响  

Effect of tailed non-break nursing on the stress response in patients to surgery for breast cancer

作　　者：赵峰[1] 孙光[2] 张晓辉[1] 张思瑶 赵丹[1] 周学颖[3] ZHAO Feng;SUN Guang;ZHANG Xiaohui;ZHANG Siyao;ZHAO Dan;ZHOU Xueying(Department of Operating Room,The Third Hospital of Jilin University,Changchun 130033,China;Department of Breast Surgery,The Third Hospital of Jilin University,Changchun 130033,China;Department of Nursing,The Third Hospital of Jilin University,Changchun 130033,China)

机构地区：[1]吉林大学白求恩第三医院手术室,长春130033 [2]吉林大学白求恩第三医院乳腺外科,长春130033 [3]吉林大学白求恩第三医院护理部,长春130033

出　　处：《长春中医药大学学报》2020年第6期1321-1324,共4页Journal of Changchun University of Chinese Medicine

基　　金：吉林省发改委项目(2019C052-5)。

摘　　要：目的探讨细节化无缝隙护理对乳腺癌手术患者应激反应的影响,评价其临床应用价值。方法选取2017年5月-2019年4月在我院住院乳腺癌手术患者110例,按照入院顺序分为对照组和观察组,每组各55例。对照组给予手术常规护理干预,观察组在对照组基础上给予细节化无缝隙护理模式进行护理。2组均予入院时(T0)、手术前1天(T1)、麻醉前(T2)的测定其心率(HR)、收缩压(SBP)进行比较。T0、T2和术后第3天(T3)测定2组的血糖、皮质醇水平并进行对比。T0、T1和T3时采用抑郁自评量表(SDS)和焦虑自评量表(SAS)测定2组心理情况并对比。结果T1-2时,观察组HR、DBP水平显著低于对照组,差异有统计学意义(P<0.05)。观察组T2-3血糖、皮质醇水平明显低于对照组,差异有统计学意义(P<0.05)。观察组T1和T3时SDS和SAS评分显著低于对照组,差异有统计学意义(P<0.05)。结论细节化无缝隙护理能够有效的减轻乳腺癌手术患者应激反应,值得临床进一步推广使用。Objective To investigation the effect of tailed non-break nursing on the stress response in patients to surgery for breast cancer,to evaluate its clinical value.Methods A total of 110 patients with breast cancer surgery in our hospital from May 2017 to April 2019 were selected.According to the order of admission of patients,the patients were divided into control group and observation group,with 55 cases in each group.The control group received routine operating room nursing,the observation group received tailed non-break nursing.The heart rate(HR)and systolic pressure(SBP)on admission(T0),one day before operation(T1)and analgesia before(T2)in both groups were compared.Blood sugar and plasma cortisol levels at T0,T2 and days after operation(T3)were measured and compared between the two groups.At T0,T1 and T3,SDS and SAS were used to measure and compare the psychological status of the two groups.Results When T1-2,the HR、DBP level of the observation group was significantly lower than that of the control group,and the difference was statistically significant(P<0.05).T2-3 blood glucose and cortisol levels in the observation group were significantly lower than those in the control group(P<0.05).The SDS and SAS scores in the observation group were significantly lower than those in the control group when T1 and T3(P<0.05).Conclusion Tailed non-break nursing can significantly reduce stress reaction,is worthy of clinical use.

关 键 词：细节化无缝隙护理 乳腺癌 手术 应激反应 

分 类 号：R473.6[医药卫生—护理学]