临床护理干预在微创乳腺手术患者围术期护理中的应用效果
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摘要
目的探讨微创乳腺手术患者围术期临床护理干预的实施价值。方法选取2014年3月~2017年4月我院收治的116例行微创乳腺手术的患者作为研究对象,根据便利抽样法分为常规组和干预组,每组各58例。常规组采取围术期常规护理,干预组采取围术期综合护理,观察比较两组的护理效果。结果干预组的NRS、焦虑自评量表(SAS)、抑郁自评量表(SDS)评分,住院时间,并发症总发生率均低于常规组(P<0.05)。结论采取围术期综合护理可改善微创乳腺手术患者疼痛和不良心理,有利于提高手术成功率,减少术后并发症,促进患者早日康复,临床价值显著,值得应用。
Objective To investigate the value of perioperative clinical nursing intervention in patients undergoing minimally invasive breast surgery. Methods One hundred and sixteen patients undergoing minimally invasive breast surgery treated in our hospital from March 2014 to April 2017 were selected as study subjects. According to the convenience sampling method, they were divided into routine group and intervention group, 58 cases in each group. In the routine group, routine nursing during perioperative period was used, while in the intervention group, perioperative comprehensive care was adopted. The nursing effect was observed and compared between the two groups. Results The numerical rating scale(NRS), self-rating anxiety scale(SAS), and self-rating depression scale(SDS) scores, hospital stay and incidences of complications in the intervention group were lower than those in the routine group(P<0.05). Conclusion Implementation of perioperative comprehensive nursing can improve the pain and poor mental status in patients with minimally invasive breast surgery, which is helpful to increase the success rate of surgery, reduce postoperative complications, and promote the early recovery of patients. Its clinical value is significant and worthy of application.
Objective To investigate the value of perioperative clinical nursing intervention in patients undergoing minimally invasive breast surgery. Methods One hundred and sixteen patients undergoing minimally invasive breast surgery treated in our hospital from March 2014 to April 2017 were selected as study subjects. According to the convenience sampling method, they were divided into routine group and intervention group, 58 cases in each group. In the routine group, routine nursing during perioperative period was used, while in the intervention group, perioperative comprehensive care was adopted. The nursing effect was observed and compared between the two groups. Results The numerical rating scale(NRS), self-rating anxiety scale(SAS), and self-rating depression scale(SDS) scores, hospital stay and incidences of complications in the intervention group were lower than those in the routine group(P<0.05). Conclusion Implementation of perioperative comprehensive nursing can improve the pain and poor mental status in patients with minimally invasive breast surgery, which is helpful to increase the success rate of surgery, reduce postoperative complications, and promote the early recovery of patients. Its clinical value is significant and worthy of application.
引文
[1]李思蓉,周春兰,杜文武.围手术期舒适护理对乳腺癌患者术后的积极影响[J].四川医学,2017,38(2):242-244.
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[7]王莉莉,王蓓,韩玲,等.乳腺癌改良根治Ⅰ期乳房重建术的围术期护理[J].现代临床护理,2016,15(5):43-47.
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[11]周春兰,李晓瑾,李文姬,等.延续性护理对乳腺癌术后患者癌性疲乏及生存质量的影响[J].实用医学杂杂,2015,31(4):663-665.
[12]杨秋满,刘红军.对乳腺癌患者实施手术室舒适护理的相关影响分析[J].中华肿瘤防治杂志,2016,23(S1):281-282.
[13]施亚香,王金卫,辛剑,等.乳腺外科患者术后手术部位感染的危险因素分析与干预评价[J].中华医院感染学杂志,2016,26(10):2329-2331.
[14]郝筱.认知干预联合家庭支持提高乳腺癌术后患者性生活质量疗效观察[J].中国全科医学,2017,20(S2):178-179.
[15]张琼,苏利花,刘彩侠.临床护理路径在乳腺癌手术患者健康教育中的应用效果[J].中国健康教育,2015,31(9):890-892.
[2]纪小龙.乳腺疾病动态变化病理图谱[M].北京:人民军医出版社,2016.
[3]张金凤.情志干预联合坚强个性培养对乳腺癌围术期患者的影响[J].河北医药,2015,37(15):2377-2379.
[4]高万露,汪小海.患者疼痛评分法的术前选择及术后疼痛评估的效果分析[J].实用医学杂志,2013,29(23):3892-3894.
[5]成承,张丽萍.焦虑抑郁状态与代谢综合征关系的研究[J].中华保健医学杂志,2016,18(2):131-133.
[6]李海燕,李玉.乳腺癌术后化疗期实施护理干预的效果[J].湖南中医药大学学报,2016,36(a1):272.
[7]王莉莉,王蓓,韩玲,等.乳腺癌改良根治Ⅰ期乳房重建术的围术期护理[J].现代临床护理,2016,15(5):43-47.
[8]张静.围手术期循证护理在乳腺癌保乳手术中的应用[J].中国肿瘤临床与康复,2015,21(9):1091-1093.
[9]孙志霞.乳腺癌围手术期的整体护理干预[J].中国急救医学,2015,35(s2):182-183.
[10]王园,张扬,贾实,等.乳腺癌患者围手术期延伸干预应用前后的效果比较[J].现代肿瘤医学,2016,24(6):894-896.
[11]周春兰,李晓瑾,李文姬,等.延续性护理对乳腺癌术后患者癌性疲乏及生存质量的影响[J].实用医学杂杂,2015,31(4):663-665.
[12]杨秋满,刘红军.对乳腺癌患者实施手术室舒适护理的相关影响分析[J].中华肿瘤防治杂志,2016,23(S1):281-282.
[13]施亚香,王金卫,辛剑,等.乳腺外科患者术后手术部位感染的危险因素分析与干预评价[J].中华医院感染学杂志,2016,26(10):2329-2331.
[14]郝筱.认知干预联合家庭支持提高乳腺癌术后患者性生活质量疗效观察[J].中国全科医学,2017,20(S2):178-179.
[15]张琼,苏利花,刘彩侠.临床护理路径在乳腺癌手术患者健康教育中的应用效果[J].中国健康教育,2015,31(9):890-892.