乳腺癌患者术后延续护理干预的临床应用

目的探讨乳腺癌患者术后延续护理干预的临床应用效果。方法选取100例乳腺癌术后患者,将2011年6月至2012年6月收治的50例患者作为对照组,2012年7月至2013年6月年收治的50例患者作为观察组,两组患者术后均接受化疗。对照组患者采取常规护理,观察组患者在常规护理的基础上加以延续护理干预,观察并比较两组患者护理后心理状态、上肢功能、生活质量的改善情况。结果两组患者护理后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分较护理前均明显降低,差异有统计学意义(P<0.05)。观察组患者护理后SAS和SDS评分分别为(28.4±5.7)分和(33.6±5.4)分,均明显低于对照组,差异有统计学意义(P<0.05)。观察组患者护理后内收、外展、前屈、后伸四种肩关节活动度分别为(28.2±5.2)、(93.1±16.5)、(103.2±16.6)和(37.3±4.5),手指爬墙高度为(35.2±4.3)cm,均明显高于对照组,差异有统计学意义(P<0.05)。观察组患者护理后躯体健康、心理健康、社会功能、物质生活评分均明显高于对照组,差异有统计学意义(P<0.05)。结论延续护理干预在乳腺癌患者术后的护理中效果显著,对患者的心理状态、生活质量均有明显改善,并有利于患者术后上肢功能的恢复,值得在临床上广泛应用。

Clinical application of postoperative extended care nursing intervention in breast cancer patients

Objective To explore and analyze the postoperative mortality in patients with breast cancer line continue nursing effect of nursing intervention on the patients life quality improvement. Methods Breast cancer patients in our hospital 100 cases since June 2011 - June 2013 admitted, June 2011 - June 2012, 50 patients were treated as a control group, in June 2012 - 2013 June 50 patients were treated as an observation group. Underwent postoperative chemotherapy reduced the control group patients were taken to routine care, patients in the observation group to continue nursing intervention on this basis. After comparing the two groups were observed and care mental state, upper limb function, quality of life improvement. Results The two groups of patients after treatment SAS, SDS score was significantly lower than before treatment, significant differences within the groups （ P 〈 0. 05 ） ; observation group after patient care SAS, SDS score was （28.4 ± 5.7 ） points, respectively, （ 33.6 ± 5.4） points, were significantly lower than the control group, a significant difference between groups （ P 〈 0. 05 ） ; After treatment, patients in the observation group adduction, abduction, flexion, extension activities of the four shoulder degrees, respectively （28.2±5.2）, （93.1 ±16.5）, （103.2±16.6）, （37.3±4.5）, finger Climbing height （35.2 ±4.3） cm, were significantly higher, the difference between groups significant （ P 〈 0. 05 ） ; patients observed after physical health care, mental health, social functioning, physical life of the four scores were significantly higher, the difference between groups was significantly （ P 〈 0.05 ）, with statistical significance. Conclu- sion The effect of extended care in nursing intervention of breast cancer patients after surgery significantly on the psychological state of the patient＇s quality of life has improved significantly, but also help patients restore upper limb function, it is worth widely used in clinical practice.