基于快速康复外科理论的多维度康复护理对乳腺癌乳房再造术患者术后的恢复效果影响  

The Influence of Multi-Dimensional Rehabilitation Nursing Based on the Theory of Rapid Rehabilitation Surgery on the Recovery Effect of Breast Cancer Patients Undergoing Breast Reconstruction

作　　者：李选治 叶彩霞[1] 赖春秀[1] LI Xuanzhi;YE Caixia;LAI Chunxiu(Department of Breast Surgery,The First Affiliated Hospital of Xiamen University,Xiamen 361000,China)

机构地区：[1]厦门大学附属第一医院乳腺外科,厦门361000

出　　处：《中国医药指南》2024年第27期148-151,共4页Guide of China Medicine

摘　　要：目的分析基于快速康复外科理论的多维度康复护理对乳腺癌乳房再造术患者术后的恢复效果的影响。方法选取我院2022年4月至2023年4月收治的80例乳腺癌乳房再造术患者,采用随机数字表法分为对照组和试验组,每组40例,对照组采用常规康复护理干预,试验组采用基于快速康复外科理论的多维度康复护理,对比两组乳腺癌乳房再造术患者恢复效果心理危机水平和家庭功能、自我效能评分以及睡眠质量水平改善情况、并发症发生率。结果试验组外形、外观、手感等恢复效果评分均高于对照组(P<0.05)。两组乳腺癌乳房再造术患者护理前情感、行为、认知等心理危机水平和家庭功能、自我效能评分以及睡眠质量相比,差异无统计学意义(P>0.05);护理后两组情感、行为、认知等心理危机水平和家庭功能、自我效能评分以及睡眠质量均比护理前改善(P<0.05),且试验组乳腺癌乳房再造术患者情感、行为、认知等心理危机水平和家庭功能、自我效能评分以及睡眠质量改善程度比对照组更优(P<0.05)。试验组乳头挛缩、愈合不良、局部疼痛、皮下血肿等并发症发生率低于对照组(P<0.05)。结论基于快速康复外科理论的多维度康复护理对乳腺癌乳房再造术患者术后的恢复效果提升具有积极的影响,有利于改善患者的不良心理,提高患者自我效能、家庭功能以及睡眠质量。Objective To analyze the effect of multi-dimensional rehabilitation nursing based on the theory of rapid rehabilitation surgery on the postoperative recovery of patients with breast reconstruction for breast cancer.Methods A total of 80 patients with breast reconstruction for breast cancer admitted to our hospital from April 2022 to April 2023 were randomly divided into control group and experimental group,with 40 cases each.The control group received routine rehabilitation nursing intervention,and the experimental group received multi-dimensional rehabilitation nursing based on the theory of rapid rehabilitation surgery.The level of psychological crisis,improvement of family function,self-efficacy score,sleep quality and incidence of complications were compared between the two groups.Results The recovery effect scores of shape,appearance and hand feel in experimental groups were higher than those in control group(P<0.05).There were no significant differences in emotional,behavioral,cognitive and other psychological crisis levels,family function,self-efficacy scores and sleep quality between the two groups before nursing(P>0.05),and after nursing,emotional,behavioral,cognitive psychological crisis levels,family function,self-efficacy scores and sleep quality were improved between the two groups compared to before nursing(P<0.05),and in the experimental group after breast cancer surgery the level of psychological crisis such as emotion,behavior,cognition,family function,self-efficacy score and sleep quality of patients were improved than that of control group(P<0.05).The incidence of nipple contracture,poor healing,local pain and subcutaneous hematoma in experimental group was lower than that in control group(P<0.05).Conclusions Multi-dimensional rehabilitation nursing based on the theory of rapid rehabilitation surgery has a positive impact on the improvement of postoperative recovery effect of breast reconstruction for breast cancer patients,which is conducive to improving patients'adverse psychology,self-effica

关 键 词：快速康复外科理论 多维度康复护理 乳腺癌乳房再造术 术后恢复效果 

分 类 号：R737.9[医药卫生—肿瘤] R473.73[医药卫生—临床医学]