综合护理干预对提高乳腺癌手术患者生活质量的影响分析
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摘要
目的研究综合护理干预对提高乳腺癌手术患者生活质量的影响。方法选取2015年2月至2017年2月本院收治的乳腺癌手术患者90例分两组,每组45例,常规护理组实施常规护理干预;综合护理组实施综合护理干预。就两组患者乳腺癌知识掌握度、术后康复知识掌握度、术后康复训练依从性、术后疼痛评分和护理满意度、术后上肢功能障碍、切口感染等并发症发生率进行比较,并比较护理前后患者生活质量的差异。结果综合护理组护理满意度明显高于常规护理组(P<0.05);综合护理组术后上肢功能障碍、切口感染等并发症发生率明显低于常规护理组(P<0.05);综合护理组患者乳腺癌知识掌握度、术后康复知识掌握度、术后康复训练依从性、术后疼痛评分均明显优于常规护理组(P<0.05)。护理前两组患者生活质量差异无统计学意义,护理后综合护理组患者生活质量显著高于常规护理组(P<0.05)。结论综合护理干预对乳腺癌手术患者意义重大,可提高其对疾病和术后康复知识的认知,提高康复锻炼依从性,减轻术后疼痛和减少并发症的发生,促进患者术后生活质量的提高和护理满意度的提高,值得推广应用。
Objective To study the effect of comprehensive nursing intervention on improving the quality of life of patients undergoing breast cancer surgery. Methods Ninety patients with breast cancer treated in our hospital from February 2015 to February 2017 were divided into two groups, 45 in each group. Routine nursing intervention was implemented in routine nursing group, and comprehensive nursing intervention was implemented in comprehensive nursing group. Comparisons of breast cancer knowledge, rehabilitation knowledge, rehabilitation training compliance,pain score and nursing satisfaction, upper limb dysfunction, incision infection and other complications were made between the two groups. The quality of life of patients before and after nursing care was compared. Results The nursing satisfaction of the comprehensive nursing group was significantly higher than that of the routine nursing group(P<0.05); the incidence of complications such as upper limb dysfunction and incision infection in the comprehensive nursing group was significantly lower than that of the routine nursing group(P<0.05); the knowledge of breast cancer, post-operative rehabilitation knowledge and post-operative rehabilitation training in the comprehensive nursing group were significantly lower than those in the routine nursing group(P<0.05). Compliance and post-operative pain scores were significantly better than those of routine nursing group(P<0.05). There was no significant difference in the quality of life between the two groups before and after nursing. The quality of life in the comprehensive nursing group was significantly higher than that in the conventional nursing group(P<0.05). Conclusion Comprehensive nursing intervention is of great significance to breast cancer patients after operation. It can improve their knowledge of disease and rehabilitation after operation, improve the compliance of rehabilitation exercise, alleviate postoperative pain and reduce complications, and improve the quality of life and nursing satisfaction of patients after operation. It is worth popularizing and applying.
Objective To study the effect of comprehensive nursing intervention on improving the quality of life of patients undergoing breast cancer surgery. Methods Ninety patients with breast cancer treated in our hospital from February 2015 to February 2017 were divided into two groups, 45 in each group. Routine nursing intervention was implemented in routine nursing group, and comprehensive nursing intervention was implemented in comprehensive nursing group. Comparisons of breast cancer knowledge, rehabilitation knowledge, rehabilitation training compliance,pain score and nursing satisfaction, upper limb dysfunction, incision infection and other complications were made between the two groups. The quality of life of patients before and after nursing care was compared. Results The nursing satisfaction of the comprehensive nursing group was significantly higher than that of the routine nursing group(P<0.05); the incidence of complications such as upper limb dysfunction and incision infection in the comprehensive nursing group was significantly lower than that of the routine nursing group(P<0.05); the knowledge of breast cancer, post-operative rehabilitation knowledge and post-operative rehabilitation training in the comprehensive nursing group were significantly lower than those in the routine nursing group(P<0.05). Compliance and post-operative pain scores were significantly better than those of routine nursing group(P<0.05). There was no significant difference in the quality of life between the two groups before and after nursing. The quality of life in the comprehensive nursing group was significantly higher than that in the conventional nursing group(P<0.05). Conclusion Comprehensive nursing intervention is of great significance to breast cancer patients after operation. It can improve their knowledge of disease and rehabilitation after operation, improve the compliance of rehabilitation exercise, alleviate postoperative pain and reduce complications, and improve the quality of life and nursing satisfaction of patients after operation. It is worth popularizing and applying.
引文
[1]李茜,刘敏.综合护理干预对乳腺癌根治患者术后康复的影响[J].中国实用护理杂志,2011,27(29):31-32.
[2]管文燕,章庆华,张琳,等.综合护理干预对乳腺癌患者术后化疗期生活质量的影响[J].实用临床医药杂志,2013,17(4):6-9.
[3]王冬菊,范秀珍.早期综合护理干预对青年乳腺癌患者抑郁及生活质量的影响[J].中国实用护理杂志,2015,31(9):657-660.
[4]王晓蔚.综合护理干预对乳腺癌患者手术治疗依从性的影响[J].齐鲁护理杂志,2010,16(6):25-26.
[5] Shah C, Wilkinson JB, Baschnagel A, et al. Factors associated with the development of breast cancer-related lymphedema after whole-breast irradiation[J].International Journal of Radiation Oncology, Biology, Physics, 2012,83(4):1095-1100.
[6]冯艳秋,朱红,郭淑英,等.乳腺肿块患者等待病理时的人文关怀对确诊癌症后应激的研究[J].国际护理学杂志,2011,30(8):1138-1141.
[7]冯静.护理干预对乳腺癌根治术患者心理健康的影响[J].齐齐哈尔医学院学报,2010,31(20):3331-3332.
[8] Liao MN, Chen SC, Lin YC, et al. Education and psychological support meet the supportive care needs of Taiwanese women three months after surgery for newly diagnosed breast cancer:A non-randomised quasi-experimental study[J]. International journal of nursing studies, 2014,51(3):390-399.
[9]张秀华.术前访视在乳腺癌根治手术护理中的应用[J].国际医药卫生导报,2013,19(1):120-123.
[10] Zhou J, Enewold L, Zahm SH, et al. Breast conserving surgery versus mastectomy:The influence of comorbidities on choice of surgical operation in the department of defense health care system[J]. The American Journal of Surgery, 2013,206(3):393-399.
[2]管文燕,章庆华,张琳,等.综合护理干预对乳腺癌患者术后化疗期生活质量的影响[J].实用临床医药杂志,2013,17(4):6-9.
[3]王冬菊,范秀珍.早期综合护理干预对青年乳腺癌患者抑郁及生活质量的影响[J].中国实用护理杂志,2015,31(9):657-660.
[4]王晓蔚.综合护理干预对乳腺癌患者手术治疗依从性的影响[J].齐鲁护理杂志,2010,16(6):25-26.
[5] Shah C, Wilkinson JB, Baschnagel A, et al. Factors associated with the development of breast cancer-related lymphedema after whole-breast irradiation[J].International Journal of Radiation Oncology, Biology, Physics, 2012,83(4):1095-1100.
[6]冯艳秋,朱红,郭淑英,等.乳腺肿块患者等待病理时的人文关怀对确诊癌症后应激的研究[J].国际护理学杂志,2011,30(8):1138-1141.
[7]冯静.护理干预对乳腺癌根治术患者心理健康的影响[J].齐齐哈尔医学院学报,2010,31(20):3331-3332.
[8] Liao MN, Chen SC, Lin YC, et al. Education and psychological support meet the supportive care needs of Taiwanese women three months after surgery for newly diagnosed breast cancer:A non-randomised quasi-experimental study[J]. International journal of nursing studies, 2014,51(3):390-399.
[9]张秀华.术前访视在乳腺癌根治手术护理中的应用[J].国际医药卫生导报,2013,19(1):120-123.
[10] Zhou J, Enewold L, Zahm SH, et al. Breast conserving surgery versus mastectomy:The influence of comorbidities on choice of surgical operation in the department of defense health care system[J]. The American Journal of Surgery, 2013,206(3):393-399.