循证护理在乳腺癌术后早期功能锻炼中的应用
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摘要
目的分析乳腺癌患者术后开展早期功能锻炼期间给予循证护理干预的效果。方法该院2015年1月—2018年11月间乳腺外科收治的60例接受乳腺癌手术治疗的患者,随机分为观察组与对照组,对照组常规护理干预,观察组辅以循证护理干预,比较两组恢复效果、不良反应发生率等。结果观察组总恢复率96.67%明显高于对照组73.33%(χ~2=6.405,P<0.05);观察组双臂高举(14.12±0.75)cm、双臂后伸(13.06±0.69)cm、双臂外旋差距(12.85±0.31)cm优于对照组,功能完全恢复时间(8.35±1.14)d、住院时间(10.64±2.05)d短于对照组(t=6.092、5.409、4.831、5.055、6.663,P<0.05);观察组中共4例出现切口流血、裂开、积液等不良反应,总发生率为13.33%,明显低于对照组36.67%(χ~2=4.355,P<0.05)。结论乳腺癌患者术后开展早期功能锻炼期间辅助循证护理干预能够加速肢体恢复,降低不良反应,安全高效,值得推广。
Objective To analyze the effect of evidence-based nursing intervention during early functional exercise for breast cancer patients after operation. Methods A total of 60 patients undergoing breast cancer surgery from January2015 to November 1818 in our hospital were randomly divided into observation group and control group. The control group received routine nursing intervention. The observation group was supplemented with evidence-based nursing intervention. The recovery effect of the two groups, the incidence of adverse reactions, were compared. Results The total recovery rate of the observation group was 96.67%, which was significantly higher than that of the control group(73.33%)(χ~2=6.405, P<0.05). The observation group had high arms(14.12±0.75) cm, arms extended(13.06±0.69) cm,and arms rotational gap(12.85±0.31) cm, which were better than those of the control group. In the observation group,the complete functional recovery time(8.35±1.14) d, the hospitalization time(10.64±2.05) d were shorter than those in the control group(t=6.092, 5.409, 4.831, 5.055, 6.663, P<0.05). Four cases in the observation group had incision bleeding, rupture, effusion and other adverse reactions, and the total incidence was 13.33%, which was significantly lower than that in the control group 36.67%(χ~2=4.355, P<0.05). Conclusion Evidence-based nursing intervention during early functional exercise for breast cancer patients after operation can accelerate limb recovery, reduce adverse reactions,and is safe and effective. It is worthy of promotion.
Objective To analyze the effect of evidence-based nursing intervention during early functional exercise for breast cancer patients after operation. Methods A total of 60 patients undergoing breast cancer surgery from January2015 to November 1818 in our hospital were randomly divided into observation group and control group. The control group received routine nursing intervention. The observation group was supplemented with evidence-based nursing intervention. The recovery effect of the two groups, the incidence of adverse reactions, were compared. Results The total recovery rate of the observation group was 96.67%, which was significantly higher than that of the control group(73.33%)(χ~2=6.405, P<0.05). The observation group had high arms(14.12±0.75) cm, arms extended(13.06±0.69) cm,and arms rotational gap(12.85±0.31) cm, which were better than those of the control group. In the observation group,the complete functional recovery time(8.35±1.14) d, the hospitalization time(10.64±2.05) d were shorter than those in the control group(t=6.092, 5.409, 4.831, 5.055, 6.663, P<0.05). Four cases in the observation group had incision bleeding, rupture, effusion and other adverse reactions, and the total incidence was 13.33%, which was significantly lower than that in the control group 36.67%(χ~2=4.355, P<0.05). Conclusion Evidence-based nursing intervention during early functional exercise for breast cancer patients after operation can accelerate limb recovery, reduce adverse reactions,and is safe and effective. It is worthy of promotion.
引文
[1]尚静,王锐.循证护理在乳腺癌术后早期功能锻炼中的应用效果观察[J].实用临床医药杂志,2017,21(6):107-110.
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[4]孙彩萍,宣锦花,秦凌云,等.循证护理在乳腺癌术后患者康复中的临床效果观察[J].贵州医药,2017,41(7):776-777.
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[8]王蓓,安海燕,廖妍妍,等.循证护理在乳腺癌术后切口渗血早期监测中的应用效果[J].国际护理学杂志,2015,(2):184-186.
[9]郭琼,刘清秀,梁英.循证护理对乳腺癌保乳手术患者情绪及生活质量的影响[J].中国医药导报,2016,13(16):169-172,176.
[10]冷长瑜,董彬.基于循证理念的个体化护理对预防乳腺癌乳腺切除术后并发症的应用价值[J].河北医药,2018,40(1):143-148.
[2]李玉婷,张馨,刘晓舟,等.循证护理对乳腺癌术后患者功能锻炼依从性及恢复效果的影响[J].中华现代护理杂志,2016,22(16):7-8.
[3]刘美凤,杨丽娟,于成娥,等.ACE-Star循证护理模型在乳腺癌根治术后患者功能锻炼中的应用效果评价[J].中华现代护理杂志,2016,22(23):3281-3286.
[4]孙彩萍,宣锦花,秦凌云,等.循证护理在乳腺癌术后患者康复中的临床效果观察[J].贵州医药,2017,41(7):776-777.
[5]许丹丹,周峥.循证护理对老年乳腺癌病人术后生活质量的影响[J].实用老年医学,2018,32(8):789-791.
[6]闫静.循证护理干预对乳腺癌改良根治术后患者的影响[J].中国药物与临床,2018,18(11):2089-2090.
[7]柘磊.循证护理干预用于乳腺癌根治术后对患者生活质量的影响研究[J].中外医疗,2015(18):154-155.
[8]王蓓,安海燕,廖妍妍,等.循证护理在乳腺癌术后切口渗血早期监测中的应用效果[J].国际护理学杂志,2015,(2):184-186.
[9]郭琼,刘清秀,梁英.循证护理对乳腺癌保乳手术患者情绪及生活质量的影响[J].中国医药导报,2016,13(16):169-172,176.
[10]冷长瑜,董彬.基于循证理念的个体化护理对预防乳腺癌乳腺切除术后并发症的应用价值[J].河北医药,2018,40(1):143-148.