循证证据指导下的预防护理对乳腺癌改良根治术患者的影响  

Effect of Preventive Care Guided by Evidence-based Evidence on Patients Undergoing Modified Radical Mastectomy for Breast Cancer

作　　者：陈惠兰[1] 吴仪萍 林阿君 连莉红 兰方琛[1] 陈聪梅 叶丽丽 陈海莺[1] CHEN Huilan;WU Yiping;LIN Ajun;LIAN Lihong;LAN Fangchen;CHEN Congmei;YE Lili;CHEN Haiying(The 910th Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army,Quanzhou 362000,China;不详)

机构地区：[1]中国人民解放军联勤保障部队第九一〇医院,福建泉州362000

出　　处：《中外医学研究》2023年第24期84-87,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探究循证证据指导下的预防护理对乳腺癌改良根治术患者的影响。方法:选取2021年1月—2022年1月中国人民解放军联勤保障部队第九一〇医院收治的76例乳腺癌改良根治术患者为研究对象。根据随机数表法将其分为对照组和观察组,各38例。对照组给予常规围手术期护理,观察组在对照组基础上给予循证证据指导下的预防护理。比较两组护理前后心理弹性能力、上肢功能及并发症。结果:护理后,两组力量性、坚韧性、乐观性评分均升高,观察组力量性、坚韧性、乐观性评分均高于对照组,差异有统计学意义(P<0.05)。护理后,两组A部分、B部分评分均降低,观察组A部分、B部分评分均低于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:给予乳腺癌改良根治术患者循证证据指导下的预防护理可以有效调节其心理弹性,改善上肢功能,减少并发症发生。Objective:To explore the effect of preventive care guided by evidence-based evidence on patients undergoing modified radical mastectomy for breast cancer.Method:A total of 76 patients underwent modified radical mastectomy for breast cancer treated in the 910th Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army from January 2021 to January 2022 were selected as the study objects.They were divided into control group and observation group according to random number table method,with 38 cases in each group.The control group was given routine perioperative nursing,and the observation group was given preventive care guided by evidence-based evidence based on the control group.Mental resilience,upper limb function before and after nursing and complications were compared between the two groups.Result:After nursing,the scores of strength,tenacity and optimism of both groups were increased,and the scores of strength,tenacity and optimism of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).After nursing,the scores of part A,part B in both groups were reduced,and the scores of part A,part B in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:Preventive care guided by evidence-based evidence for patients undergoing modified radical mastectomy for breast cancer can effectively adjust their mental resilience,improve upper limb function and reduce the occurrence of complications.

关 键 词：循证证据 预防护理 乳腺癌 上肢功能 改良根治术 心理弹性 并发症 

分 类 号：R473.73[医药卫生—护理学]