针对性护理对颜面部基底细胞癌患者术后并发症及治疗效果的影响  

Effect of targeted nursing on postoperative complications and treatment of patients with facial basal cell carcinoma

作　　者：蔡微娜[1] 姜鑫春 程芳莉 黄晶 王婷[1] CAI Weina;JIANG Xinchun;CHENG Fangli;HUANG Jing;WANG Ting(Wuhan First Hospital,Wuhan,Hubei,430022,China)

机构地区：[1]武汉市第一医院,湖北武汉430022

出　　处：《中西医结合护理（中英文）》2023年第1期41-44,共4页Journal of Clinical Nursing in Practice

摘　　要：目的 探讨针对性护理在颜面部基底细胞癌患者围手术期的应用效果。方法 选取武汉市第一医院皮肤外科于2020年1月至2021年12月收治的共计96例接受手术治疗的颜面部基底细胞癌患者开展研究,按随机信封法分组。对照组(48例)给予常规护理,观察组(48例)实施针对性护理。比较2组的并发症发生率、临床治疗有效率、疼痛程度、瘢痕美观度及生活质量。结果 观察组感染、出血及红肿疼痛的并发症总发生率为4.17%,低于对照组的16.67%(P<0.05)。观察组的临床治疗总有效率为95.83%,高于对照组的81.25%(P<0.05)。观察组在术后3 d、7 d和1个月的视觉模拟评分法评分均较同期对照组更低(P均<0.05)。术后2周、1个月和3个月,2组的皮肤病生活质量指数量表(DLQI)评分与术前相比均更低(P均<0.05),且观察组在术后1个月和3个月的温哥华瘢痕量表评分和在术后2周、1个月和3个月的DLQI评分均较同期对照组更低(P均<0.05)。结论 针对性护理对颜面部基底细胞癌患者术后并发症发生率降低、临床有效率提升、疼痛程度减轻、瘢痕美观度及生活质量改善均起到积极作用。Objective To explore the application effect of targeted nursing in the patients with facial basal cell carcinoma during perioperative period.Methods A total of96 patients with facial basal cell carcinoma who received surgical treatment in the Department of Dermatology at Wuhan First Hospital from January2020 to December2021 were selected for the study.They were divided into two groups through envelope randomization,with the control group(48 cases)receiving routine nursing and the observation group(48 cases)receiving targeted nursing.The incidence of complications,clinical treatment efficacy,pain intensity,scar aesthetic,and quality of life of the two groups were compared.Results The overall incidence of complications such as infection,bleeding,swelling and pain in the observation group was4.17%,which was lower than16.67%in the control group(P<0.05).The overall clinical effective rate of the observation group was95.83%,which was higher than81.25%of the control group(P<0.05).The Visual Analogue Scale scores of the observation group were lower than those of the control group at3 days,7 days,and1 month after operation(all P<0.05).At2 weeks,1 month,and3 months after operation,the scores of the Dermatology Life Quality Index(DLQI)in the two groups were lower than those before operation(allP<0.05).Compared with the control group,the observation group had lower Vancouver Scar Scale scores at1 and3 months after operation and lower DLQI scores at2 weeks,1 month,and3 months after operation(allP<0.05).Conclusion Targeted nursing has a positive impact on the reduction of postoperative complications and the improvement of clinical efficacy,pain intensity,scar aesthetic,and quality of life of patients with facial basal cell carcinoma.

关 键 词：颜面部基底细胞癌 针对性护理 并发症 生活质量 

分 类 号：R473.73[医药卫生—护理学]