基于循证理念的康复护理在乳腺癌术后患者中的应用  

Application of evidence-based rehabilitation nursing in the patients after breast cancer surgery

作　　者：李雪勤 陆婷 张艳 郁琴 田梦梦 LI Xueqin;LU Ting;ZHANG Yan;YU Qin;TIAN Mengmeng(Affiliated Hospital of Xuzhou Medical University,Xuzhou 221000,China)

机构地区：[1]徐州医科大学附属医院,江苏省徐州市221000

出　　处：《护理实践与研究》2025年第3期329-334,共6页Nursing Practice and Research

基　　金：江苏省教育厅研究生实践创新计划项目(编号:SJCX23_0736)。

摘　　要：目的评估基于循证理念的康复护理在乳腺癌术后患者中的应用。方法选择2022年1月—2023年12月收治的100例乳腺癌患者,按照组间基本特征具有可比性分为对照组和观察组各50例。对照组接受常规护理,观察组接受基于循证理念的康复护理。比较两组知识掌握水平评分、社会支持度[社会支持评定量表(SSRS)评分]、情绪状况[中文版正性负性情绪量表(PANAS)评分]、自我管理能力[癌症自我管理效能感量表(SUPPH)评分]、肩关节功能评分。结果干预前两组在知识掌握水平和SSRS评分比较差异无统计学意义(P>0.05);干预后观察组知识掌握水平和SSRS评分均高于对照组,差异有统计学意义(P<0.05)。干预前两组PANAS评分差异无统计学意义(P>0.05);干预后观察组NA评分低于对照组,PA评分高于对照组,差异有统计学意义(P<0.05)。干预前两组SUPPH评分差异无统计学意义(P>0.05);干预后观察组自我决策、自我减压、积极态度评分高于对照组,差异有统计学意义(P<0.05)。干预前两组肩关节功能评分差异无统计学意义(P>0.05);术后1个月观察组在关节局部形态、日常生活活动能力、肌力、肩关节活动范围、疼痛评分均高于对照组,差异有统计学意义(P<0.05)。结论基于循证理念的康复护理能有效改善乳腺癌术后患者的知识掌握水平、社会支持度、情绪状况、自我管理能力和肩关节功能的状况,对促进乳腺癌术后患者的整体康复具有重要意义。Objective To evaluate the of evidence-based rehabilitation nursing in the patients after breast cancer surgery.Methods A total of 100 breast cancer patients who were admitted from January 2022 to December 2023 were selected.They were divided into a control group and an observation group based on the comparability of basic characteristics between the groups,with 50 cases in each group.The control group received routine nursing,while the observation group received evidencebased rehabilitation nursing.The knowledge mastery level scores,social support levels[Social Support Rating Scale(SSRS)scores],emotional status[Chinese-version Positive and Negative Affect Scale(PANAS)scores],self-management ability[Strategies Used by People to Promote Health(SUPPH)scores]and shoulder joint function scores were compared between the two groups.Results Before the intervention,there was no statistically significant difference in the knowledge mastery levels and SSRS scores between the two groups(P>0.05).After the intervention,the knowledge mastery levels and SSRS score of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).Before the intervention,there was no statistically significant difference in the PANAS scores between the two groups(P>0.05).After the intervention,the NA score in the observation group was lower than that in the control group,while the PA score was higher than that in the control group,the differences were statistically significant(P<0.05).Before the intervention,there was no statistically significant difference in the SUPPH scores between the two groups(P>0.05).After the intervention,the scores of self-decision making,self-stress relief,and positive attitude in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).Before the intervention,there was no statistically significant difference in the shoulder joint function scores between the two groups(P>0.05).One month after surgery,t

关 键 词：康复护理 循证 乳腺癌 肩关节功能 自我管理能力 

分 类 号：R473.73[医药卫生—护理学]