摘要
目的探讨评判性护理联合亲情式关怀在乳腺癌患者中的干预效果及对心理应激状态的影响。方法选择入院治疗的乳腺癌患者110例,所有患者均行手术治疗,根据护理方案分为对照组(n=55)和观察组(n=55)。对照组采用常规方法护理,观察组采用评判性护理联合亲情式关怀,2组均进行1个月护理,护理后对患者效果进行评估。记录2组首次下床、术后72 h睡眠、上肢肿胀消退及术后住院时间。采用医学应对方式问卷(MCMQ)/焦虑量表(SAS)、Zung抑郁量表(SDS)对2组护理前、护理后1个月应对方式、焦虑、抑郁状态进行评估。记录并统计2组治疗后患肢肿胀、切口感染、皮下积液及皮瓣坏死发生率,比较2组护理效果及对心理应激状态影响。结果观察组护理1个月后首次下床、上肢肿胀消退及术后住院时间均短于对照组(P <0. 05);观察组护理后1个月术后72 h睡眠时间长于对照组(P <0. 05);观察组护理后1个月面对评分高于对照组(P <0. 05);观察组护理后1个月回避、屈服、SAS、SDS评分均低于对照组(P <0. 05);观察组护理后患肢肿胀、切口感染、皮下积液及皮瓣坏死发生率均低于对照组(P <0. 05)。结论将评判性护理联合亲情式关怀用于乳腺癌患者有助于缩短术后恢复时间,提高应对能力,降低心理应激状态,降低术后并发症发生率。
Objective To explore effect of critical nursing combined with family care on breast cancer patients and its influence on Nursing efficacy and were canpared. Methods A total of 110 patients with breast cancer were divided into control group （ n =55） and observation group （ n =55）. The control group was given routine nursing, and the observation group was given critical nursing combined with friendship care. The patients in two groups were given one month nursing, and clinical efficacy of two groups was evaluated. The time to first bed-off, 72 h sleep, swelling subsidence of upper extremity and postoperative hospitalization time were recorded. The coping styles, anxiety and depression of the two groups were assessed by Medical Coping Style Questionnaire （MCMQ）, Self-rating Anxiety Scale （SAS） and Zung Depression Scale （SDS） before nursing and one month after nursing were assessed. The incidence of limb swelling, incision infection, subcutaneous effusion and flap necrosis after treatment were recorded. Nursing efficacy and were canpared. Results Time for first bed-off, upper limb swelling time, and postoperative hospitalization time were shorter than that in the control group （ P 〈0.05）. The observation group had longer 72 h sleep time after one month of nursing than the control group （ P 〈0.05）. The observation group had higher face score after one month nursing than the control group （ P 〈0.05）. The observation group had lower avoidance, yield, SAS, SDS scores than the control group （ P 〈0.05）. The incidence of limb swelling, incision infection, subcutaneous effusion and flap necrosis in the observation group were lower than that of the control group （ P 〈0.05）. Conclusion Critical nursing combined with friendship care in breast cancer patients can shorten recovery time, improve coping ability, reduce psychological stress and reduce the incidence of postoperative complications.
作者
杨斯迪
冯红娟
YANG Sidi;FENG Hongjuan(Department of Health Management,Hanzhong People′s Hospital in Shaanxi Province,Hanzhong,Shaanxi,723000;Department of Surgery,Baoji Traditional Chinese MedicineHospital in Shaanxi Province,Baoji,Shaanxi,721001)
出处
《实用临床医药杂志》
CAS
2018年第22期133-135,共3页
Journal of Clinical Medicine in Practice
关键词
评判性护理
亲情式关怀
乳腺癌
应对能力
心理应激状态
术后并发症
critical care
family care
breast cancer
coping ability
psychological stress state
postoperative complications
