綜合護(hù)理干預(yù)對(duì)乳腺癌改良根治術(shù)后患者的影響及預(yù)后分析

李永平 李景

【摘要】 目的：觀察綜合護(hù)理干預(yù)對(duì)乳腺癌改良根治術(shù)后患者的影響并分析預(yù)后。方法：選取筆者所在醫(yī)院2017年2月-2018年5月收治的乳腺癌改良根治術(shù)后患者80例，以隨機(jī)數(shù)字法分成對(duì)照組（40例）與試驗(yàn)組（40例），對(duì)照組實(shí)施常規(guī)護(hù)理干預(yù)，試驗(yàn)組在對(duì)照組基礎(chǔ)上實(shí)施綜合護(hù)理干預(yù)。對(duì)比兩組醫(yī)院焦慮抑郁量表評(píng)分、術(shù)后并發(fā)癥情況。結(jié)果：干預(yù)前兩組HAD-D、HAD-A評(píng)分比較差異無(wú)統(tǒng)計(jì)學(xué)意義（P>0.05），干預(yù)后兩組HAD-D、HAD-A評(píng)分均低于干預(yù)前，且試驗(yàn)組評(píng)分均低于對(duì)照組，差異均有統(tǒng)計(jì)學(xué)意義（P<0.001）。試驗(yàn)組術(shù)后并發(fā)癥發(fā)生率為5.00%，低于對(duì)照組的25.00%，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論：在乳腺癌改良根治術(shù)術(shù)后，實(shí)施綜合護(hù)理干預(yù)，可明顯減少患者焦慮、抑郁等負(fù)性情緒，減少患者術(shù)后并發(fā)癥的發(fā)生，效果理想。

【關(guān)鍵詞】 綜合護(hù)理 乳腺癌 改良根治術(shù) 干預(yù)影響 預(yù)后分析

doi：10.14033/j.cnki.cfmr.2020.16.028 文獻(xiàn)標(biāo)識(shí)碼 B 文章編號(hào) 1674-6805（2020）16-00-03

Effect of Comprehensive Nursing Intervention on Patients after Modified Radical Mastectomy and Its Prognosis Analysis/LI Yongping， LI Jing. //Chinese and Foreign Medical Research， 2020， 18（16）： -74

[Abstract] Objective： To observe the effect of comprehensive nursing intervention on patients after modified radical mastectomy and analyze the prognosis. Method： A total of 80 patients after modified radical mastectomy in our hospital from February 2017 to May 2018 were selected， and were randomly divided into the control group （40 cases） and the experimental group （40 cases）. Patients in the control group received routine nursing intervention while patients in the experimental group received comprehensive nursing intervention. The scores of anxiety and depression scale and postoperative complications were compared between the two groups. Result： There were no significant differences in HAD-D、HAD-A score between the two groups before intervention （P>0.05）. After intervention， the scores of HAD-D， HAD-A in the two groups were lower than those before intervention， and the scores in the experimental group were lower than those in the control group， the differences were statistically significant （P<0.001）. The incidence of postoperative complications in the experimental group was 5.00%， which was lower than 25.00% in the control group， the difference was statistically significant （P<0.05）. Conclusion： After the modified radical mastectomy， the comprehensive nursing intervention can significantly reduce the patients negative emotions such as anxiety and depression， and reduce the occurrence of postoperative complications.

[Key words] Comprehensive nursing Breast cancer Modified radical operation Intervention effect Prognosis analysis

First-authors address： Dingzhou Peoples Hospital， Dingzhou 073000， China

乳腺癌是女性常見(jiàn)惡性腫瘤之一，發(fā)病率呈逐年增高趨勢(shì)，多見(jiàn)于40～60歲的女性，不可避免地伴隨焦慮和抑郁等負(fù)面情緒[1-3]。乳腺癌改良根治術(shù)較其他治療乳腺癌的手術(shù)相比，是醫(yī)學(xué)界公認(rèn)且常用手術(shù)方式[4]。由于手術(shù)損傷大，范圍廣，術(shù)后并發(fā)癥較多，諸如創(chuàng)面出血、皮下積液、患肢淋巴水腫、皮瓣壞死等，給患者帶來(lái)身心的雙重痛苦[5]。因此在乳腺癌改良根治術(shù)后，實(shí)施針對(duì)性的護(hù)理干預(yù)措施，以減少負(fù)性情緒，提升預(yù)后效果。本研究選取筆者所在醫(yī)院2017年2月-2018年5月收治的乳腺癌改良根治術(shù)后患者80例，觀察綜合護(hù)理干預(yù)對(duì)乳腺癌改良根治術(shù)后患者的影響并分析預(yù)后，具體如下。

1 資料與方法

1.1 一般資料

選取筆者所在醫(yī)院2017年2月-2018年5月收治的乳腺癌改良根治術(shù)后患者80例。納入標(biāo)準(zhǔn)：術(shù)前檢查結(jié)合術(shù)后病理符合乳腺癌診斷[6];依從性良好。排除……