乳腺癌改良根治术中个性化护理及无瘤技术护理配合的应用价值分析  

Analysis of the application value of individualized nursing and tumor-free nursing cooperation in modified radical mastectomy

作　　者：赵蕾 郭静娜[1] 曾国卫[1] 周诩川 程练 ZHAO Lei;GUO Jingna;ZENG Guowei;ZHOU Xuchuan;CHENG Lian(Operating Room,Peking University Shenzhen Hospital,Shenzhen,Guangdong,518000,China)

机构地区：[1]北京大学深圳医院手术室,广东深圳518000

出　　处：《当代医学》2023年第7期177-180,共4页Contemporary Medicine

摘　　要：目的分析乳腺癌改良根治术中个性化护理及无瘤技术护理配合的应用价值。方法选取2019年1月至2019年12月本院本院收治的150例乳腺癌改良根治术患者作为研究对象,采用随机数表法分为对照组与研究组,每组75例。对照组实施常规护理,研究组实施个性化手术护理。比较两组术后情况、护理质量、手术成功率、肿瘤腹壁种植率、1年内存活率、1年内复发率、并发症发生情况。结果研究组住院时间、卧床时间均短于对照组,上肢肢体功能评分、不良情绪评分均低于对照组,差异有统计学意义(P<0.05);研究组基础护理、相关知识考核、护理操作实践评分、基础护理合格率均高于对照组,护理投诉率、护理差错发生率均低于对照组,差异有统计学意义(P<0.05);研究组手术成功率及1年内存活率高于对照组,肿瘤腹壁种植率低于对照组,差异有统计学意义(P<0.05),两组1年内复发率比较差异无统计学意义。研究组并发症发生率为4.00%,低于对照组的14.67%,差异有统计学意义(P<0.05)。结论乳腺癌改良根治术中无瘤技术的个性化护理能显著提升护理质量,降低护理差错及并发症风险,改善患者不良情绪及上肢功能,提升患者生存率。Objective To analyze of the application value of individualized nursing and tumor-free nursing cooperation in modified radical mastectomy.Methods 150 patients with modified radical mastectomy admitted to our hospital from January 2019 to December 2019 were selected as research subjects,and they were divided into control group and study group according to random number table method,with 75 cases in each group.The control group received routine nursing,and the study group received personalized surgical nursing.Postoperative conditions,nursing quality,surgical success rate,abdominal wall tumor implantation rate,1-year survival rate,1-year recurrence rate,and complications were compared between the two groups.Results The hospitalization time,bed time,upper limb function score and bad mood score of the study group were lower than those of the control group,and the difference was statistically significant(P<0.05).The basic nursing,related knowledge assessment,nursing practice score,basic nursing qualified rate was higher than control group,nursing complaint rate,nursing error rate were lower than those in control group,and the difference was statistically significant(P<0.05);The surgical success rate and 1-year survival rate of the study group were higher than those of the control group,the abdominal wall implantation rate of the study group was lower than that of the control group,and the difference was statistically significant(P<0.05),and there was no significant difference in the 1-year recurrence rate of two groups.The complication rate of the study group was 4.00%,which was lower than 14.67%of the control group,and the difference was statistically significant(P<0.05).Conclusion Individualized nursing with tumor-free technique during modified radical mastectomy can significantly improve the quality of nursing care,reduce the risk of nursing errors and complications,improve the adverse mood and upper limb function of patients,and improve the survival rate of patients.

关 键 词：无瘤技术 乳腺癌 护理配合 并发症 

分 类 号：R737.9[医药卫生—肿瘤]