基于马斯洛需要层次理论的护理干预对乳腺癌改良根治术患者康复的影响
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摘要
目的:探讨乳腺癌改良根治术患者采用基于马斯洛需要层次理论的护理干预对其康复的影响。方法:选取2016年3月—2018年9月本院行乳腺癌根治术的患者86例。按照随机数字表法将其分为对照组和观察组,各43例。对照组采用常规干预措施,观察组在对照组基础上采用基于马斯洛需要层次理论的护理干预,对比两组焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、术后运动耐力情况及肩关节外展活动受限、外展肌群肌力下降发生情况。结果:干预后,观察组SAS、SDS评分均低于对照组,差异均有统计学意义(P<0.05);观察组主观用力感觉评分低于对照组,距离及最大心率时间长于对照组,心率恢复时间短于对照组,差异均有统计学意义(P<0.05);观察组肩关节外展活动受限及外展肌群肌力下降发生率均低于对照组,差异均有统计学意义(P<0.05)。结论:基于马斯洛需要层次理论的护理干预可有效改善乳腺癌改良根治术患者负性情绪,提高运动耐力,促进患者术后康复。
Objective:To explore the effect of nursing intervention based on Maslow's hierarchy of needs theory on the rehabilitation of breast cancer patients undergoing modified radical mastectomy.Method:A total of 86 patients with breast cancer underwent radical mastectomy in our hospital from March 2016 to September 2018 were selected.According to the random number table method,they were divided into control group and observation group,43 cases in each group.The control group adopted routine intervention measures,while observation group adopted nursing intervention based on Maslow's hierarchy of needs theory on the basis of control group.The selfrating anxiety scale(SAS),self-rating depression scale(SDS),post-operative exercise endurance,shoulder abduction limitation and abductor muscle weakness between two groups were compared.Result:After intervention,the SAS and SDS scores of observation group were lower than those of control group,the differences were statistically significant(P<0.05).The subjective exertion sensation score of observation group was lower than that of control group,the distance and maximum heart rate time were longer than those of control group,and the heart rate recovery time was shorter than that of control group,the differences were statistically significant(P<0.05).The incidence of shoulder abduction limitation and abductor muscle weakness in observation group were lower than those of control group,the differences were statistically significant(P<0.05).Conclusion:Nursing intervention based on Maslow's hierarchy of needs theory can effectively improve the negative emotions of breast cancer patients undergoing modified radical mastectomy,improve exercise endurance,and promote the rehabilitation of patients after operation.
Objective:To explore the effect of nursing intervention based on Maslow's hierarchy of needs theory on the rehabilitation of breast cancer patients undergoing modified radical mastectomy.Method:A total of 86 patients with breast cancer underwent radical mastectomy in our hospital from March 2016 to September 2018 were selected.According to the random number table method,they were divided into control group and observation group,43 cases in each group.The control group adopted routine intervention measures,while observation group adopted nursing intervention based on Maslow's hierarchy of needs theory on the basis of control group.The selfrating anxiety scale(SAS),self-rating depression scale(SDS),post-operative exercise endurance,shoulder abduction limitation and abductor muscle weakness between two groups were compared.Result:After intervention,the SAS and SDS scores of observation group were lower than those of control group,the differences were statistically significant(P<0.05).The subjective exertion sensation score of observation group was lower than that of control group,the distance and maximum heart rate time were longer than those of control group,and the heart rate recovery time was shorter than that of control group,the differences were statistically significant(P<0.05).The incidence of shoulder abduction limitation and abductor muscle weakness in observation group were lower than those of control group,the differences were statistically significant(P<0.05).Conclusion:Nursing intervention based on Maslow's hierarchy of needs theory can effectively improve the negative emotions of breast cancer patients undergoing modified radical mastectomy,improve exercise endurance,and promote the rehabilitation of patients after operation.
引文
[1]李平.延续性护理在改善乳腺癌患者术后生存质量及机体不适感中的效果研究[J].中国医学创新,2016,13(36):63-66.
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[4]宋娇英,邝小荣,林娇,等.马斯洛需求层次理论在肺结核与肺癌并存患者护理中的应用[J].中国实用医药,2015,10(17):241-242.
[5]陈柳媚,王富兰,肖明朝,等.基于马斯洛需要理论构建妇科恶性肿瘤患者化疗期间健康需求量表[J].激光杂志,2017,38(9):171-175.
[6]刘梅,滕敬华.围手术期护理干预对乳腺癌改良根治术患者情绪及疼痛影响[J].现代中西医结合杂志,2017,26(2):223-225.
[7]李菁华.个性化护理对晚期乳腺癌新辅助化疗患者负性情绪和免疫功能的影响[J].安徽医药,2015,19(6):1214-1216.
[8]方仁桂,王建军,占小平,等.术后早期、阶段性功能锻炼对乳腺癌改良根治术后患侧上肢功能恢复的影响[J].重庆医学,2017,46(21):2917-2920.
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[11]朱继红.基于马斯洛需要层次理论为框架的护理干预模式在高血压脑出血患者中的应用效果[J].中国实用神经疾病杂志,2017,20(8):130-133.
[12]简国文,徐军,宋晓刚,等.乳腺癌改良根治术患者围手术期、化疗期的焦虑抑郁情绪、应对方式和生命质量的观察[J].国际精神病学杂志,2016,43(6):1046-1048.
[13]张莉莉,印飞,周荔倩.马斯洛需要层次论护理模式对颈椎病术后治疗依从性及生活质量的影响[J].检验医学与临床,2018,15(9):1342-1344.
[14]戴小琴,王祝香,季丽军,等.马斯洛需要层次论在乳腺癌患者术后护理中对患肢功能恢复及负性情绪的干预效果[J].河北医药,2018,40(9):1427-1429.
[15]韩娜,刘延锦,栗英,等.乳腺癌患者改良根治术后上肢功能康复手机应用软件的设计及应用[J].中华护理杂志,2017,52(3):267-270.
[16]徐寅,周峥,傅巧美,等.工作坊在乳腺癌患者术后患肢功能康复中的应用[J].中国康复理论与实践,2017,23(4):481-484.
[17]王美,张琦,杜琛,等.肩梯在乳腺癌改良根治术后患者患肢功能锻炼中的应用及效果[J].解放军护理杂志,2018,35(7):59-62.
[18]胡文奕,楼妍,倪晓莎,等.基于马斯洛需求层次论的肿瘤护理研究发展[J].护理研究,2018,32(2):172-176.
[19]田宝文,王静,张国艳,等.基于需要理论的层级护理模式在肿瘤临终病人中的应用[J].护理研究,2015,29(36):4540-4542.
[20]万永慧,唐燕青,邱艳茹.基于马斯洛需要层次理论的乳腺癌患者及配偶需求的研究现状及进展[J].现代肿瘤医学,2017,25(18):3011-3015.
[2]王新荣,武福美,于洁.乳腺癌改良根治术后心理干预和康复护理的临床观察[J].中国肿瘤临床与康复,2015,22(5):639-640.
[3]王芳,杜攀,刘磊,等.乳腺癌改良根治术与保乳术对乳腺癌患者存活质量、社会适应性及心理状态的影响[J].实用预防医学,2016,23(10):1236-1238.
[4]宋娇英,邝小荣,林娇,等.马斯洛需求层次理论在肺结核与肺癌并存患者护理中的应用[J].中国实用医药,2015,10(17):241-242.
[5]陈柳媚,王富兰,肖明朝,等.基于马斯洛需要理论构建妇科恶性肿瘤患者化疗期间健康需求量表[J].激光杂志,2017,38(9):171-175.
[6]刘梅,滕敬华.围手术期护理干预对乳腺癌改良根治术患者情绪及疼痛影响[J].现代中西医结合杂志,2017,26(2):223-225.
[7]李菁华.个性化护理对晚期乳腺癌新辅助化疗患者负性情绪和免疫功能的影响[J].安徽医药,2015,19(6):1214-1216.
[8]方仁桂,王建军,占小平,等.术后早期、阶段性功能锻炼对乳腺癌改良根治术后患侧上肢功能恢复的影响[J].重庆医学,2017,46(21):2917-2920.
[9]陈素红,林英权,廖亚勇,等.健康管理对乳腺癌患者术后康复影响的研究[J].中国医学创新,2016,13(20):82-86.
[10]王鹤仙.协同护理对乳腺癌改良根治术后病人的效果观察[J].蚌埠医学院学报,2017,42(7):1011-1012.
[11]朱继红.基于马斯洛需要层次理论为框架的护理干预模式在高血压脑出血患者中的应用效果[J].中国实用神经疾病杂志,2017,20(8):130-133.
[12]简国文,徐军,宋晓刚,等.乳腺癌改良根治术患者围手术期、化疗期的焦虑抑郁情绪、应对方式和生命质量的观察[J].国际精神病学杂志,2016,43(6):1046-1048.
[13]张莉莉,印飞,周荔倩.马斯洛需要层次论护理模式对颈椎病术后治疗依从性及生活质量的影响[J].检验医学与临床,2018,15(9):1342-1344.
[14]戴小琴,王祝香,季丽军,等.马斯洛需要层次论在乳腺癌患者术后护理中对患肢功能恢复及负性情绪的干预效果[J].河北医药,2018,40(9):1427-1429.
[15]韩娜,刘延锦,栗英,等.乳腺癌患者改良根治术后上肢功能康复手机应用软件的设计及应用[J].中华护理杂志,2017,52(3):267-270.
[16]徐寅,周峥,傅巧美,等.工作坊在乳腺癌患者术后患肢功能康复中的应用[J].中国康复理论与实践,2017,23(4):481-484.
[17]王美,张琦,杜琛,等.肩梯在乳腺癌改良根治术后患者患肢功能锻炼中的应用及效果[J].解放军护理杂志,2018,35(7):59-62.
[18]胡文奕,楼妍,倪晓莎,等.基于马斯洛需求层次论的肿瘤护理研究发展[J].护理研究,2018,32(2):172-176.
[19]田宝文,王静,张国艳,等.基于需要理论的层级护理模式在肿瘤临终病人中的应用[J].护理研究,2015,29(36):4540-4542.
[20]万永慧,唐燕青,邱艳茹.基于马斯洛需要层次理论的乳腺癌患者及配偶需求的研究现状及进展[J].现代肿瘤医学,2017,25(18):3011-3015.