系统化干预配合乳腺癌根治术对早期乳腺癌的效果研究  

Effect of systematic nursing intervention combined with radical excision on early breast cancer

作　　者：张淑宇 张月[1] 王耀一[1] 王文静 周海峰 ZHANG Shuyu;ZHANG Yue;WANG Yaoyi(Department of Breast Surgery,the First Affiliated Hospital of Hebei North University,Hebei,Zhangjiakou 075000,China)

机构地区：[1]河北北方学院附属第一医院乳腺外科,河北省张家口市075000

出　　处：《河北医药》2023年第9期1438-1440,共3页Hebei Medical Journal

基　　金：张家口市科学技术研究与发展计划项目(编号:1821065D)。

摘　　要：目的探讨系统化干预在乳腺癌根治术患者护理中的应用效果及对其护理满意度的影响。方法选择2021年1月至2022年3月接受根治术切除治疗的乳腺癌患者76例,依据随机数表法分为对照组和观察组,每组38例。对照组采用基础护理,观察组给予系统化护理干预,比较2组患者的切口愈合时间、住院时间、并发症发生情况、汉密尔顿焦虑量表(HAMA)评分、汉密尔抑郁量表(HAMD)评分,2组干预后患肢运动功能、生活质量量表评分(SF-36)、症状自评表(SCL-90)及护理满意度。结果观察组切口愈合时间、住院时间短于对照组,并发症率低于对照组(P<0.05)。观察组的HAMA评分和HAMD评分均显著低于对照组(P<0.05)。观察组干预后6个月外展、前屈、内旋、外旋、摸高高度显著优于对照组(P<0.05);2组患者干预后6个月后伸比较差异无统计学意义(P>0.05);观察组SF-36评分、护理满意度、SCL-90评分均优于对照组(P<0.05)。结论系统化护理干预可有效促进乳腺癌根治术患者术后切口愈合,可以减少并发症的发生,缩短患者的住院时间,提升患者生活质量及护理满意度,值得临床借鉴。Objective To explore the effect of systematic nursing intervention in patients with early breast cancer(EBC)undergoing radical excision and its influence on nursing satisfaction.Methods From January 2021 to March 2022,76 EBC patients who underwent radical excision in our hospital were randomly assigned to the control group(n=38)and the observation group(n=38),in which they received basic nursing and systematic nursing intervention,respectively.The aim was to compare incision healing time,hospitalization time,complications,the hamilton anxiety scale(HAMA)and the hamilton depression scale(HAMD),limbs movement function,the Short Form of Quality of Life(SF-36)scale,the Symptom Checklist-90(SCL-90)scale,nursing satisfaction.Results In comparison of the observation group and the control group,the observation group displayed shorter incision healing time,hospitalization time,and lower incidence of complications(P<0.05).After intervention,the HAMA score and HAMD score in the observation group were significantly lower than those in the control group(P<0.05).After 6 months of intervention,the observation group were superior to the control group for abduction,flexion,internal rotation,external rotation,touch height(P<0.05).The difference was not statistically significant in the posterior extension between groups(P>0.05).The SF-36 score,nursing satisfaction and SCL-90 score in the observation group were superior to those in the control group(P<0.05).Conclusion For EBC patients undergoing radical excision,systematic nursing intervention can effectively promote incision healing,reduce the occurrence of complications,shorten the hospitalization time,improve the quality of life and nursing satisfaction,and it is worthy of clinical reference.

关 键 词：乳腺癌 根治切除术 系统化护理干预 精神状态 生活质量 护理满意度 

分 类 号：R737.9[医药卫生—肿瘤]