摘要
目的探讨基于健康理念模式的细节行为护理在预防乳腺癌患者腋窝淋巴结清扫手术术后淋巴水肿中的临床应用效果。方法选取2015年6月—2018年6月永康市妇幼保健院收治的41例乳腺癌患者(观察组)作为研究对象,并选取同期行手术治疗的41例乳腺癌患者作为对照组。两组均行腋窝淋巴结清扫术,对照组术后行常规护理,观察组行基于健康理念模式的细节行为护理。比较两组患者术后1、3、6月水肿发生率,术前、术后6月评估患者淋巴水肿认知程度(诺曼问卷),自我效能〔自我效能评价量表(GSES)〕、生存质量〔乳腺癌患者生命质量测定表(FACT-B)〕。结果两组术后1、3月淋巴水肿发生率比较,差异无统计学意义(P>0.05),观察组术后6月淋巴水肿发生率低于对照组(P<0.05)。术后6月,两组淋巴水肿认知问卷得分均高于术前(P<0.05),观察组术后6月认知问卷得分高于对照组(P<0.05)。术后6月,两组GSES得分均高于术前(P<0.05),观察组术后6月GSES得分高于对照组(P<0.05)。术后6月,两组生理、社会家庭、情感、功能、附加关注得分均高于术前(P<0.05),观察组各项得分均高于对照组(P<0.05)。结论基于健康理念模式的细节行为护理预防乳腺癌淋巴清扫术后淋巴水肿效果良好,有一定临床应用价值。
Objective To explore the clinical application effects of detailed behavioral nursing based on the health concept model in preventing lymphedema in patients with breast cancer after axillary lymph node dissection.Methods 41 patients with breast cancer(observation group)who were admitted between June 2015 and June 2018 in Yongkang Maternal and Child Health Hospital were selected for the study subjects.Another 41 patients with breast cancer who underwent surgery at the same time period were selected as control group.The two groups were given axillary lymph node dissection,and control group was given routine nursing after operation,and observation group was given detailed behavioral nursing based on the health concept model.The incidence rate of edema at 1 month,3 months and 6 months after operation was compared between the two groups.The lymphedema cognition degree(Norman questionnaire),self-efficacy〔general self-efficacy scale(GSES)〕and quality of life〔Breast Cancer Patient Quality of Life Measurement Form(FACT-B)〕were evaluated before operation and at 6 months after operation.Results There was no significant difference in the incidence rate of lymphedema between the two groups at 1 month and 3 months after operation(P>0.05),and the incidence rate of lymphedema in observation group was lower than that in control group at 6 months after operation(P<0.05).At 6 months after operation,the scores of lymphedema cognition questionnaire in the two groups were higher than those before operation(P<0.05),and the increase in observation group was greater than that in control group(P<0.05).At 6 months after operation,the GSES scores in the two groups were higher than those before operation(P<0.05),and the increase in observation group was greater than that in control group(P<0.05).At 6 months after operation,the scores of physiological status,social family status,emotional status,functional status and additional attention in the two groups were higher than those before operation(P<0.05),and the increases in observation
作者
陈燕
CHEN Yan(Yongkang Maternal and Child Health Hospital,Yongkang 321300,China)
出处
《中国全科医学》
CAS
北大核心
2019年第A01期219-222,共4页
Chinese General Practice
关键词
乳腺肿瘤
腋窝淋巴结清扫术
淋巴水肿
细节行为护理
Breast neoplasms
Axillary lymph node dissection
Lymphedema
Detailed behavioral nursing
