应用麦默通微创旋切手术治疗乳腺良性病变患者的临床护理探究

目的 探讨个性化护理在应用麦默通微创旋切手术治疗乳腺良性病变患者临床护理中的应用价值.方法 选取2010年7月至2013年11月在我院住院治疗经乳腺活检证实为良性肿瘤患者86例为研究对象,将所有患者随机分为观察组和对照组各43例.观察组给予个性化护理模式,在入院、术前、术中、术后及出院等过程中均予以护理干预;对照组给予一般护理模式,对两组患者进行乳腺疾病知识问卷调查,比较两组患者出院时对乳腺疾病知识的掌握情况,比较两组患者出院时的SAS和SDS以及医生和护理人员对两组护理的满意度.结果 对照组在乳腺基本知识、自我保健、乳腺自检、不良生活方式及饮食和心理情绪等乳腺疾病知识方面均较观察组患者得分低（P＜0.05）;对照组患者的SAS及SDS评分均显著高于较观察组（f=11.93,P＜0.05;f=15.24,P＜0.05）;医生和参与护理人员对观察组的满意度均较对照组高,且差异有统计学意义（χ2=3.9l,P＜ 0.05;χ2=9.77,P＜0.05）.结论 个性化护理能够显著改善患者的焦虑抑郁心理,提高患者对乳腺疾病的认知程度,提高患者对麦默通微创旋切手术治疗乳腺良性病变的满意度,值得临床推广应用.

Clinical nursing care for patients with benign breast lesions unergoing mammotome minimally invasive operation

Objective To explore the application value of individualized clinical nursing care for patients with benign breast lesions undergoing mammotome minimally invasive operation.Methods 86 patients diagnosed with benign tumor by biopsy of breast and admitted into our hospital from July,2010 to November,2013 were chosen as study objects and then were randomly divided into an observation group and a control group,43 for each group.The observation group was individualizedly nursed,and the control group normally.The knowledge breast diseases was surveyed via questionnaire in both groups and then was compared.The SAS and SDS scores and doctors and nurses＇ satisfaction were compared between the two groups when the patients were discharged.Results The observation group had better command of basic breast knowledge,did better in self care and breast self-examination,and got better score in unhealthy lifestyle,diet,and emotion than the control group （P 〈 0.05）.SAS and SDS scores wer significantly higher e in the control group than in the observation group （t=1 1.93,P 〈 0.05; t=15.24,P 〈 0.05）.The satisfaction degree of doctors and nursing staff were better in the observation group than in the control group,with statistical differences（x 2=3.91,P 〈 0.05;x 2=9.77,P 〈 0.05）.Conclusions Individualized nursing care can significantly make the patients get better in psychological anxiety depression,have better command of the knowledge of breast diseases,and more satisfied in mammotome minimally invasive operation in the treatment of benign breast lesions.It is worth being clinically generalized.