互联网背景下的联合术前访视在乳腺癌改良根治术病人中的应用  

Application of combined preoperative visits in patients undergoing modified radical mastectomy under the Internet background

作　　者：常秀云 马东方 李晓静 张雪飞 张桂芹 CHANG Xiuyun;MA Dongfang;LI Xiaojing;ZHANG Xuefei;ZHANG Guiqin(People's Hospital Affiliated to Shandong First Medical University,271100 China)

机构地区：[1]山东第一医院大学附属人民医院,271100

出　　处：《全科护理》2023年第21期2949-2952,共4页Chinese General Practice Nursing

基　　金：2021年济南市卫生健康委员会科技计划项目,编号:2021-2-39。

摘　　要：目的:探讨互联网背景下的联合术前访视在乳腺癌手术病人的应用效果。方法:选择在我院行乳腺癌改良根治术的133例女性病人为研究对象,按随机数字表法分为试验组66例、对照组67例,试验组采用互联网背景下的联合术前访视,对照组采用传统术前访视,比较两组病人访视前后睡眠质量、焦虑评分、抑郁评分、生理应激反应、对手术知识掌握情况及满意度。结果:访视后试验组病人的焦虑和抑郁评分低于对照组;入室等候期麻醉前,试验组病人的心率、平均动脉压低于对照组(P<0.01);术前访视后试验组病人的匹兹堡睡眠质量指数量表(PSQI)评分低于对照组(t=-6.572,P<0.001);试验组病人对访视工作的满意度评分高于对照组(P<0.001)。结论:互联网背景下的联合术前访视能有效降低乳腺癌手术病人的焦虑、抑郁情绪,提高睡眠质量,减轻应激反应,提高病人知识掌握程度及满意度。Objective:To explore the application effect of combined preoperative visitsunder the Internet background in patients undergoing modified radical mastectomy.Methods:A total of 133 female patients who underwent the modified radical mastectomy in our hospital from October 2021 to November 2022 were included in this study,and they were randomly divided into the experimental group(66 cases)and the control group(67 cases).The patients in experimental group received the combined preoperative visits under the Internet background.The patients in control group received traditional preoperative visits.The sleep quality,anxiety,depression scores,physiological stress responses,mastery of surgical knowledge,and satisfaction levels of patients in the two groups were compared before and after the visit.Results:After the visit,the anxiety and depression scores of the patients in the experimental group were lower than those in the control group;the improvement of anxiety and depression in the patients in the experimental group was better than that in the control group(P<0.05).Before going into the operating room to wait for anesthesia,the heart rate and mean arterial pressure weremuch lower than those of the control group(P<0.01).The Pittsburgh Sleep Quality Index(PSQI)score of patients in the experimental group was higher than that in the control group after the preoperative visit,and the experimental group was significantly better than the control group(t=-6.572,P<0.001).The patients'satisfaction score on the visiting work was significantly higher than that of the control group(P<0.001).Conclusions:The combined preoperative visit under the Internet backgroundcould effectively reduce the anxiety and depression of patients undergoing breast cancer surgery,improve their sleep quality,reduce stress response,and improve the degree of knowledge mastery and satisfaction of patients.

关 键 词：联合术前访视 互联网 乳腺癌 焦虑 抑郁 应激反应 

分 类 号：R473.73[医药卫生—护理学]