摘要
目的探讨系统性护理干预在乳腺癌手术患者中的临床应用价值。方法选取2012年3月至2013年6月间进行手术治疗的女性乳腺癌患者106例,采用随机数字表法分为研究组和对照组,每组53例。对照组乳腺癌手术患者给予一般常规护理干预,而研究组患者则在此基础之上加用系统性的护理干预方案,分别对两组患者的负性情绪、生活质量、护理满意度等改善情况进行比较和分析。结果与对照组相比,研究组乳腺癌手术患者治疗后汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(HAMD)的评分均明显降低,差异有统计学意义(P<0.05)。研究组乳腺癌手术患者生理机能、生理职能、躯体疾病、一般健康状况、精力、社会功能、情感职能、精神健康的评分均明显提高,与对照组比差异有统计学意义(P<0.05)。研究组乳腺癌手术患者对护理服务的很满意率和总满意度均明显提高,与对照组比差异有统计学意义(P<0.05)。结论系统性护理干预对于乳腺癌手术患者术后情绪的改善、生活质量和护理满意度的提高均具有十分重要的临床辅助治疗意义。
Objective To observe the clinical application value of systemic nursing for negative emotions,quality of life and degree of satisfaction for breast cancer patients accepting surgical therapy.Methods From March 2012 to June 2013,106 women with breast cancer for surgical treatment were selected in the First People＇s Hospital of Longquan District,Chengdu City.The patients were randomly divided into the study group and the control group,53 cases in each group.The patients with breast surgery in the control group were treated with generally routine care intervention.The patients in the study group were treated with systemic nursing intervention programs.The situation of negative emotions improvement,quality of life improvement,satisfaction with care improvement of the patients in the two groups were compared and analyzed.Results Compared with those of the control group,the Hamilton Anxiety Scale（HAMA） and Hamilton Depression Scale（HAMD） of the patients in the study group were significantly lower（P〈0.05）.Compared with those of the control group,the physiology surgical,physiological functions,physical illness,general health status,energy,social function,emotional function,mental health of the study group were improved significantly（P〈0.05）.Compared with those of the control group,the ratio of nursing services satisfaction and the ratio of total satisfaction of the study group were improved significantly（P〈0.05）.Conclusion Systematic nursing interventions have great adjuvant significance for breast cancer patients after surgery and can improve mood and enhance care quality and satisfaction.
出处
《中国肿瘤临床与康复》
2015年第1期108-111,共4页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
乳腺肿瘤
系统性护理
负性情绪
生活质量
Breast neoplasms
Systematic nursing interventions
Negative emotions
Quality of life
作者简介
蒋延凤，女，主管护师，主要从事肿瘤相关的护理专业。
通信作者：万冬菊，Email：17700059@qq．com
