快速康复理念在护理乳腺癌改良根治围手术期患者中的应用研究

目的 研究快速康复理念在护理乳腺癌改良根治围手术期患者中的应用效果。方法 选取我院 2020 年 01 月至 2021 年 06 月收治的接受乳腺癌改良根治术的乳腺癌患者 52 例为研究对象。以随机数字表法将其分为对照组和观察组，每组各 26 例。对 照组给予常规护理，观察组实施快速康复理念护理。比较两组术后恢复情况、上肢肌力及运动功能和生活质量。结果 观察组 术后早期接受康复锻炼时间和住院时间均显著短于对照组，术后不同阶段的 VAS 评分也显著低于对照组（P＜0.05）。护理前， 两组的上肢肌力分级评分和运动功能评分无显著差异（P＞0.05）。护理后，两组的上肢肌力分级和运动功能评分均显著提升， 并且观察组的评分显著高于对照组（P＜0.05）。护理前，两组生活质量评分比较差异不明显（P＞0.05），护理后，两组生活 质量评分均高于护理前（P＜0.05），并且观察组的生活质量显著高于对照组（P＜0.05）。结论 乳腺癌改良根治术患者围手术 期给予快速康复理念护理有利于促进患者术后恢复，提升患侧上肢肌力与肢体运动功能，提高生活质量。

Application of the concept of rapid rehabilitation in nursing patients with modified radical mastectomy for breast cancer during perioperative period

Purpose : To study the application effect of the concept of rapid recovery in nursing patients with modified radical mastectomy for breast cancer during perioperative period.Methods: A total of 52 breast cancer patients admitted to our hospital from January 2020 to June 2021 were selected and randomly divided into two groups with 26 cases in each group.During perioperative care, the control group was given routine care and the observation group was given rapid recovery Nursing under the concept.The early postoperative rehabilitation exercise time, the discharge time and the VAS scores at different stages after the operation were compared between the two groups.The muscle strength and motor function of the affected upper limbs were compared between the two groups before and after nursing, and the differences in the quality of life scores between the two groups before and after nursing were compared.Results: The observation group received early rehabilitation exercise time (0.68±0.21) d and discharged time (6.23±1.13) d, which was shorter than that of the control group.The VAS score at different postoperative stages was lower than that of the control group, with significant differences, P<0.05.Before nursing, there was no significant difference in related scores between the two groups, P>0.05; after nursing, the upper limb muscle strength (4.03±0.34) and motor function (86.82±4.30) scores of the observation group were higher than those of the control group, P< 0.05. Conclusion: Breast cancer patients undergoing modified radical mastectomy, and perioperative care given the concept of rapid rehabilitation is beneficial to promote early rehabilitation of patients, promote the improvement of the muscle strength and motor function of the affected upper limbs, and also improve the quality of life of patients after surgery , The nursing value is significant.