摘要
目的调查乳腺癌患者术后延续性护理需求状况,为制定个性化护理措施提供依据。方法采用自行设计调查问卷对84名乳腺癌术后患者出院时进行调查。结果乳腺癌患者术后对护理需求的程度由高到低依次排在前5位的是:伤口的护理(96.42%)、功能锻炼(96.42%)、复发及预后信息咨询(96.42%)、后续治疗(95.24%)、并发症的预防(94.05%)。在需求提供方式上89.3%的患者选择医院复诊,仅有10.7%的患者选择到社区医疗服务门诊复诊。结论乳腺癌术后患者仍有较多护理需求,各级医疗机构应积极探索寻找提供延续性护理的途径。
Objective To investigate the transitional care needs of breast cancer patients after surgery for individualized nursing measurement.Methods 84 breast cancer patients after surgery were inquired by using the self-designed questionnaire when they were discharged.Results The degree of care needs from high to low is as following:wound care(96.42%) functional exercise(96.42%),recurrence and prognosis(96.42%),follow-up treatment(95.24%),the prevention of the complications(94.05%).89.3%patients would come back hospital in order to meet the needs.Only 10.7%patients would go to community medical clinic.Conclusion The breast cancer patients after surgery have more nursing needs.Medical institutions should seek all kinds of effective forms to give transitional care.
引文
[1]Small N,Green J,Spink J,et al.Post-acute rehabilitation care for older people in community hospitals and general hospitals-philosophies of care and patients'and caregivers'reported experiences:a qualitative study[J].Disabil Rehabil,2009,31(22):1862-1870.DOI:10.1080/09638280902847002.
[2]韩海琳,周岚.上海市某三甲医院乳腺癌术后患者健康教育需求调查分析[J].中国医院,2013,17(2):76-78.
[3]高幼军,李清波,张文杰.乳腺癌患者术后随访需求调查分析[J].中国实用护理杂志,2006,22(18):57-59.10.3760/cma.j.issn.1672-7088.2006.18.035.
[4]毛惠娜,刘雪琴.出院病人延续护理服务模式的探讨[J].护理研究,2005,19(14):1294-1295.DOI:10.3969/j.issn.1009-6493.2005.14.060.
[5]张红旭,殷洪涛,薛萍,等.我国延续性护理实施现状[J].护理研究,2013,27(32):3705-3706.DOI:10.3969/j.issn.1009-6493.2013.32.056.
[6]Pieper B,Sieggreen M,Freeland B,et al.Discharge information needs of patients after surgery[J].J Wound Ostomy Continence Nurs,2006,33(3):281-289;quiz290-291.
[7]孔向红,何超,项燕.缩短平均住院日与提高医院效益[J].中国医院管理,2002,22(10):16-17.10.3969/jissn/j.issn.1001-5329.2002.10.008.
[8]黄晓燕,胡雁,陆箴琦,等.网络支持干预对乳腺癌术后患者疾病不确定感的影响[J].中华护理杂志,2010,45(1):1-16.DOI:10.3761/j.issn.0254-1769.2010.01.004.
[9]王少玲,黄金月,周家仪.建立慢性阻塞性肺疾病延续护理的循证实践[J].中华护理杂志,2009,44(5):431-434.
[10]俞桃英.电话随访出院患者的护理效果[J].中国实用护理杂志,2007,23(9):67-68.DOI:10.3760/cma.j.issn.172-7088.2007.09.037.
[11]李萍,付伟.我国出院患者延续性护理需求及现状分析[J].健康研究,2010,30(1):39-42.DOI:10.3969/j.issn.1674-6449.2010.01.012.
