针对性健康教育在乳腺癌患者围手术期护理的应用效果  

Application Effect of Targeted Health Education in Perioperative Nursing of Breast Cancer

作　　者：吴晓阳[1] WU Xiaoyang(Zhuanghe Central Hospital,Dalian 116400,China)

机构地区：[1]庄河市中心医院,辽宁大连116400

出　　处：《中国医药指南》2022年第8期66-69,73,共5页Guide of China Medicine

摘　　要：目的分析乳腺癌患者围手术期护理中应用针对性健康教育的临床效果。方法将本院2018年8月至2019年8月收治的87例预行手术治疗的乳腺癌患者采取随机数字表法分组,对照组(n=43)患者给予常规护理干预,主要包括术前准备工作、术中协助护理、术后防御护理、用药护理等;研究组(n=44)患者在常规护理的基础上开展针对性健康教育,主要包括建立疾病相关护理小组、术前相关知识教育、康复训练护理、院前护理等。比较两组患者疾病知识掌握程度评分与护理满意度评分、并在护理前后进行焦虑及抑郁严重程度的评估。结果研究组患者疾病知识掌握程度评分高于对照组,患者对护理工作的满意度高于对照组,P<0.05;研究组患者干预后的焦虑及抑郁情绪严重程度低于对照组,P<0.05;研究组患者术后生活质量评分均高于对照组,P<0.05;研究组患者术后并发症发生率低于对照组,P<0.05;研究者患者遵医比例较对照组更高(P<0.05)。结论乳腺癌患者围手术期护理中,于常规护理基础上加强针对性健康教育,有助于提升患者对疾病知识的认知,从而积极配合临床诊疗。患者焦虑及抑郁等情绪也因疾病知识的不断加深了解而得到改善,能够积极配合临床诊疗及护理操作,能够降低术后并发症发生率,获得较好的预后。Objective To analyze the clinical effect of targeted health education in perioperative nursing of breast cancer patients.Methods A total of 87 cases of breast cancer patients who underwent pre-operative treatment in our hospital from August 2018 to August 2019 were divided into two groups by random number table method.Control group(n=43)received routine nursing intervention,mainly including preoperative preparation,intraoperative assisted nursing,postoperative defensive nursing,medication nursing,etc.The study group(n=44)carried out targeted health education on the basis of routine nursing,mainly including the establishment of disease-related nursing group,preoperative knowledge education,rehabilitation training nursing,pre-hospital nursing,etc.The scores of disease knowledge mastery and nursing satisfaction were compared between the two groups,and the severity of anxiety and depression were evaluated before and after nursing.Results The score of disease knowledge mastery in the study group was higher than that in the control group,and the degree of nursing satisfaction was higher than that in the control group,P<0.05.The severity of anxiety and depression in the study group was lower than that in the control group,P<0.05.The postoperative quality of life score of patients in the study group was higher than that in the control group,P<0.05.The incidence of postoperative complications in the study group was lower than that in the control group,P<0.05.Compared with the control group,the proportion of patients in the study was higher(P<0.05).Conclusion In perioperative nursing of breast cancer patients,strengthening targeted health education on the basis of routine nursing is helpful to improve patients'cognition of disease knowledge,so as to actively cooperate with clinical diagnosis and treatment.Patients'anxiety and depression and other emotions are also improved due to the deepening understanding of disease knowledge,can actively cooperate with clinical diagnosis and treatment and nursing operations,can reduce t

关 键 词：乳腺癌 针对性健康教育 围手术期 护理效果 

分 类 号：R473.73[医药卫生—护理学] R737.9[医药卫生—临床医学]