聚焦解决护理模式预防乳腺癌术后上肢淋巴水肿效果评价

目的探讨聚焦解决护理模式在预防乳腺癌术后上肢淋巴水肿中的效果,旨在改进整体护理质量、稳定患者心理状态。方法选取山东省肿瘤医院2016-09-05-2019-06-21收诊的140例女性乳腺癌改良根治术患者的病例资料,按护理模式分为观察组和对照组。对照组70例,2016-09-05-2018-05-31应用常规式护理模式;观察组70例,2018-06-01-2019-06-21应用聚焦解决护理模式。比较2组患者自护能力总分、MSSNS总分、淋巴水肿知识认知评分,以及淋巴水肿发生时间。结果观察组患者干预后自护能力总分为(80.84±5.89)分,高于对照组(71.62±4.58)分,差异有统计学意义,t=10.339,P<0.001;观察组乳腺癌改良根治术患者干预后MSSNS总分为(54.85±4.58)分,对照组为(71.46±6.49)分,差异有统计学意义,t=17.495,P<0.001;观察组患者干预后淋巴水肿知识认知评分为(87.75±7.73)分,高于对照组的(65.74±6.78)分,差异有统计学意义,t=17.910,P<0.001;观察组乳腺癌改良根治术患者干预后淋巴水肿发生时间为(2.25±0.34)年,长于对照组的(1.57±0.29)年,差异有统计学意义,t=12.731,P<0.001。结论应用聚焦解决护理模式,可提升乳腺癌改良根治术患者手术后的自护能力和淋巴水肿知识认知水平,并改善其心理状态,值得临床推广。

Focus on addressing care models in preventing breast cancer after surgery evaluation of effect in upper limb lymphedema

OBJECTIVE To discuss the effect of focusing on the nursing model in preventing upper limb lymphedema after breast cancer surgery,aiming to improve the overall quality of nursing and stabilize its psychological state.METHODS The case data of 140 female breast cancer patients undergoing modified radical mastectomy admitted to Shandong Cancer Hospital from 2016-09-05 to 2019-06-21 were divided into observation group and control group according to the nursing mode.70 cases in the control group,2016.09.05-2018.05.31 applied the conventional nursing mode;70 cases in the observation group,2018.06.01-2019.06.21 applied the focused care mode.The total scores of self-care ability,total MSSNS score,knowledge of lymphedema knowledge,and time of lymphedema were compared between the two groups.RESULTS The total score of self-care ability in the observation group after intervention was(80.84±5.89)points,which was higher than the control group(71.62±4.58)points.The difference was statistically significant,t=10.339,P<0.001;breast cancer in the observation group the total score of MSSNS after intervention in patients with modified radical operation was(54.85±4.58)points,compared with(71.46±6.49)points in the control group,the difference was statistically significant,t=17.495,P<0.001;patients in the observation group had lymphedema after intervention.The score of knowledge and cognition was(87.75±7.73),which was higher than that of the control group(65.74±6.78).The difference was statistically significant,t=6.663,P<0.005.The lymphatic group of patients with modified radical mastectomy in the observation group had intervention.The time of edema(2.25±0.34)years was longer than that of the control group(1.57±0.29)years,the difference was statistically significant,t=12.731,P<0.001.CONCLUSION Focusing on the nursing mode can improve the self-care ability and lymphedema knowledge of patients with modified radical mastectomy after surgery,and improve their psychological state,which is worthy of clinical promotion.