舒适护理在乳腺癌患者围术期的应用效果

徐博媛 杨淑群 谭彩姬 郭衬好 颜春铭 任玙

[摘要]目的 探讨舒适护理在乳腺癌患者围术期护理中的临床应用效果。方法 选取2015年1月～2017年10月我院收治的乳腺癌患者60例作为研究对象，采用随机数字表法将其分为对照组（围术期行常规护理）、试验组（围术期行舒适护理），每组30例。观察并比较两组术后并发症发生情况及生活质量、护理满意度。结果 对照组并发症发生率显著高于试验组，差异有统计学意义（P<0.05）；对照组护理满意度显著低于试验组，差异有统计学意义（P<0.05）；试验组患者的SCL-90评分[（46.4±5.3）分]显著低于对照组[（69.2±3.7）分]，差异有统计学意义（t=19.3201，P=0.0000）。结论 乳腺癌患者围术期护理中应用舒适护理，有利于预防和减少术后并发症，提高手术效果，值得临床选择和普及应用。

[关键词]围术期护理；乳腺癌；舒适护理

[中图分类号] R473.73 [文献标识码] A [文章编号] 1674-4721（2018）4（c）-0195-03

Application effect of comfort nursing on perioperative period of breast cancer patients

XU Bo-yuan1 YANG Shu-qun1 TAN Cai-ji1 GUO Chen-hao1 YAN Chun-ming1 REN Yu2

1.Operating room Houjie Hospital Affiliated to Guangdong Medical University Dongguan 523960；2.School of humanities and management，Guangdong medical university，Guangdong Province，Dongguan 523960，China

[Abstract]Objective To investigate the clinical application effect of comfort nursing in perioperative nursing of patients with breast cancer.Methods Sixty cases of breast cancer patients admitted to our hospital from January 2015 to October 2017 were selected as the research object， and randomly divided into control group （perioperative routine nursing） and experimental group （perioperative comfortable nursing），30 cases in each group.The incidence of postoperative complications，quality of life and nursing satisfaction were observed and compared between the two groups.Results The incidence of complications in the control group was significantly higher than that in the experimental group，and the difference was statistically significant （P<0.05 ）.The nursing satisfaction of the control group was significantly lower than that of the experimental group，and the difference was statistically significant （P<0.05）.The scores of SCL-90（[46.4±5.3]points） in the experimental group were significantly lower than those in the control group （[69.2±3.7]points），the difference was statistically significant （t=19.3201，P=0.0000）.Conclusion The application of comfortable nursing in perioperative nursing of patients with breast cancer is beneficial to prevent and reduce postoperative complications and improve the effect of operation.It is worthy of clinical selection and popularization.

[Key words]Perioperative nursing；Breast Cancer；Confort nursing

乳腺癌主要是指發生在乳腺上皮组织的恶性肿瘤，目前我国统计发病率逐年上升占到恶性肿瘤的7%～10%，是影响女性生命健康的一种全球性疾病，手术治疗是临床首选方案，且治疗效果确切。研究发现，乳腺癌围术期实施护理干预对提高手术效果，改变医疗结局具有重要作用[1]。舒适护理是临床新型护理模式，为评定其在乳腺癌围术期患者中的应用价值，现报道如下。

1 资料与方法

1.1 一般资料

选取2015年1月～2017年10月我院收治的乳腺癌患者60例作为研究对象，采用随机数字表法将其分为对照组、试验组，每组30例。对照组中，患者年龄30～73岁，平均（47.6±5.3）岁；其中改良根治术11例，乳腺癌根治术16例，扩大根治术3例。试验组中，患者年龄31～74岁，平均（48.5±5.2）岁，其中改良根治术10例，乳腺癌根治术15例，扩大根治术5例。纳入标准：①符合《妇科学》中乳腺癌诊断标准，并经病理切片、组织细胞学确诊；②符合外科手术指征；③通过医院医学伦理委员会审核通过，患者签署知情同意书。……