多维度协同护理对乳腺癌合并冠心病患者术后康复及生活质量的影响  

Effect of Multidimensional Collaborative Nursing Care on Postoperative Rehabilitation and Quality of Life of Patients with Breast Cancer Combined with Coronary Heart Disease

作　　者：林丽霞 林靓[1] 陈芳芳 LIN Lixia;LIN Liang;CHEN Fangfang(Fujian Provincial Hospital,Fuzhou,Fujian Province,350001 China)

机构地区：[1]福建省立医院,福建福州350001

出　　处：《中外医疗》2023年第22期149-152,161,共5页China & Foreign Medical Treatment

摘　　要：目的探讨多维度协同护理对乳腺癌合并冠状动脉粥样硬化性心脏病(简称为冠心病)患者术后康复及生活质量的影响。方法方便收集2019年1月—2022年1月在福建省立医院接受乳腺癌根治术的乳腺癌合并冠心病患者170例,随机法分为对照组、多维度协同护理组,各85例,对照组患者接受围术期常规干预,多维度协同护理组患者接受围术期多维度协同护理。对比两组患侧肩关节活动疼痛评分、生活质量、护理满意度。结果术后3个月,多维度协同护理组的各项患侧肩关节活动疼痛评分均优于对照组,差异有统计学意义(P<0.05);多维度协同护理组的各项生活质量评分均低于对照组,差异有统计学意义(P<0.05)。多维度协同护理组的总满意度为94.12%,高于对照组,差异有统计学意义(χ^(2)=4.800,P<0.05)。结论多维度协同护理可促进乳腺癌合并冠心病患者的术后康复并提升生活质量、护理满意度。Objective To explore the effect of multi-dimensional collaborative nursing on postoperative rehabilitation and quality of life in patients with breast cancer complicated with coronary atherosclerotic heart disease(CHD).Methods A total of 170 patients with breast cancer combined with coronary heart disease who received radical mastectomy in Fujian Provincial Hospital from January 2019 to January 2022 were conveniently collected and randomly divided into control group and multi-dimensional collaborative nursing group,85 cases in each group.Patients in the control group received perioperative routine intervention,and patients in the multi-dimensional collaborative nursing group received perioperative multi-dimensional collaborative nursing.The pain score,quality of life and nursing satisfaction of the two groups were compared.Results Three months after surgery,the mobility pain scores of shoulder joint in the multi-dimensional cooperative nursing group were better than those in the control group,and the difference was statistically significant(P<0.05).The quality of life scores of the multi-dimensional cooperative nursing group were lower than those of the control group,and the difference was statistically significant(P<0.05).The total satisfaction rate of the multi-dimensional cooperative nursing group was 94.12%,higher than that of the control group,and the difference was statistically significant(χ^(2)=4.800,P<0.05).Conclusion Multidimensional collaborative care can promote postoperative rehabilitation and enhance the quality of life and nursing satisfaction of patients with breast cancer combined with coronary artery disease.

关 键 词：乳腺癌 冠心病 多维度协同护理 术后康复 

分 类 号：R473[医药卫生—护理学]