基于IMPACT模式下的预见性护理在胸外科乳腺癌患者术后的应用效果  

Application Effects of Predictive Nursing Intervention Based on Impact Model in Breast Cancer Patients After Thoracic Surgery

作　　者：刘如飞 王欢欢[1] 乔自娟 丁密[1] 丁成智[1] LIU Rufei;WANG Huanhuan;QIAO Zijuan;DING Mi;DING Chengzhi(Extrathoracic Ward 1,Henan Provincial Chest Hospital,Chest Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]河南省胸科医院,郑州大学附属胸科医院胸外科一病区,河南郑州450000

出　　处：《河南医学研究》2025年第3期535-539,共5页Henan Medical Research

摘　　要：目的研究基于确定-定义-产生-应用-计算-跟踪(IMPACT)模式下的预见性护理干预在胸外科乳腺癌患者术后的应用效果。方法选取郑州大学附属胸科医院2021年3月至2023年3月收治的60例乳腺癌患者,采用随机法分为对照组(30例)和研究组(30例),两组均接受手术治疗,对照组接受常规护理干预,研究组在此基础上接受基于IMPACT模式下的预见性护理。比较两组术后并发症发生率、心理状态、肢体功能及生存质量。结果研究组并发症发生率(6.67%)低于对照组(30.00%)(P<0.05);干预后研究组后伸、前屈、外展、内收度数大于对照组(P<0.05);干预后研究组心理状态评分低于对照组,生存质量评分高于对照组(P<0.05)。结论基于IMPACT模式下的预见性护理能缓解患者消极情绪,预防术后并发症,促进肢体功能恢复,有利于提高患者生存质量。Objective To study the application effects of predictive nursing intervention based on identificaiton-measurement-production-application-calculation-tracking(IMPACT)model in breast cancer patients after thoracic surgery.Methods A total of 60 patients with breast cancer admitted to Chest Hospital of Zhengzhou University from March 2021 to March 2023 were randomly divided into control group(30 cases)and study group(30 cases).Both groups received surgical treatment,the control group received routine nursing intervention,and the study group received predictive nursing based on the IMPACT model.The incidence of postoperative complications,psychological status,limb function and quality of life were compared between the two groups.Results The incidence of complications in the study group was 6.67%,which was lower than that in the control group(30.00%)(P<0.05).After intervention,the study group had greater degrees of extension,flexion,abduction,and adduction than the control group(P<0.05).After intervention,the psychological status score of the study group was lower than that of the control group,while the quality of life score was higher than that of the control group(P<0.05).Conclusion Predictive nursing based on the IMPACT model can alleviate patients’negative emotions,prevent postoperative complications,promote the recovery of limb function,and improve the quality of life of patients.

关 键 词：乳腺癌 预见性护理 IMPACT 肢体功能 

分 类 号：R473.73[医药卫生—护理学]