心理护理及个体化健康指导在乳腺癌患者术后的应用效果(1)
[摘要]目的 探讨心理护理及个体化健康指导在乳腺癌患者术后的应用效果。方法 选取2016年1～12月我院乳腺外科行常规护理的乳腺癌患者35例为对照组，选取2017年1～12月我院乳腺外科在常规护理基础上加用心理护理和个体化健康指导的乳腺癌患者35例为观察组，均为女性。比较两组患者术后康复相关指标和心理健康情况。结果 观察组患者自愿接受后续治疗与功能锻炼达标率高于对照组，术后并发症总发生率低于对照组，住院时间和引流管留置时间短于对照组，差异均有统计学意义(P<0.05)；观察组患者干预后的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于对照组，差异均有统计学意义(P<0.05)。结论 对乳腺癌患者予以心理护理和个体化健康指导可改善患者心理状态和术后康复相关指标，有助于患者早日恢复健康。
[关键词]乳腺癌；心理护理；个体化健康；术后康复
[中图分类号] R737.9 [文献标识码] A [文章编号] 1674-4721(2018)11(b)-0149-03
[Abstract] Objective To explore the application effect of psychological nursing and individualized health guidance in postoperative patients with breast cancer. Methods Thirty-five patients with breast cancer who received routine nursing in breast surgery of our hospital from January to December 2016 were selected as the control group， thirty-five patients with breast cancer who received psychological nursing and individualized health guidance on the basis of routine nursing in breast surgery of our hospital from January to December 2017 were selected as the observation group， and they were all women. Postoperative rehabilitation related indicators and mental health status of the two groups were compared. Results The rate of voluntary follow-up treatment and functional exercise in the observation group was higher than that in the control group， the total incidence of postoperative complications was lower than that in the control group， the hospitalization time and drainage tube retention time were shorter than those of the control group， the differences were statistically significant (P<0.05)； The scores of self-rating anxiety scale (SAS) and self-rating depression scale (SDS) in the observation group were lower than those in the control group， the differences were statistically significant (P<0.05). Conclusion Psychological nursing and individualized health guidance for breast cancer patients can improve their psychological status and postoperative rehabilitation related indicators， and help patients recover as soon as possible.
[Key words] Breast cancer； Psychological nursing； Individualized health； Postoperative rehabilitation
乳腺癌是發生在乳腺腺上皮组织的恶性肿瘤，约99%为女性患者。近年来流行病学资料显示，乳腺癌发病率正以每年3%的速度增长，发病年龄呈现出年轻化趋势，及时的治疗和护理干预显得十分必要[1-2]。目前，临床上常给予手术治疗，有较好的治疗效果，但存在引发患侧上肢功能障碍、乳房缺失等不良后果，使患者产生负面情绪，影响患者的生活质量。需在常规护理基础上加以心理护理和个体化健康指导，以促进患者生理功能恢复，调整心态，回归社会[3-4]。本研究通过探讨心理护理及个体化健康指导对乳腺癌患者术后康复的影响，以期为临床提供参考，现报道如下。
1资料与方法
1.1一般资料
选取2016年1～12月我院乳腺外科行常规护理的乳腺癌患者35例为对照组，并选取2017年1～12月我院乳腺外科在常规护理基础上加用心理护理和个体化健康指导的乳腺癌患者35例为观察组，均为女性。对照组，年龄29～58岁，平均(49.72±4.81)岁；病程3～8个月，平均(6.51±1.32)个月；乳腺癌病理分期：Ⅰ期6例，Ⅱ期18例，Ⅲ期11例。观察组，年龄28～58岁，平均(49.67±4.76)岁；病程3～8个月，平均(6.43±1.28)个月；乳腺癌病理分期：Ⅰ期5例，Ⅱ期19例，Ⅲ期11例。两组患者的一般资料比较，差异无统计学意义(P>0.05)，具有可比性。本研究已经医院医学伦理委员会审核批准。患者自愿参与本研究并签署同意书。, http://www.100md.com(朱富娣 张欢 李惠艳)
[关键词]乳腺癌；心理护理；个体化健康；术后康复
[中图分类号] R737.9 [文献标识码] A [文章编号] 1674-4721(2018)11(b)-0149-03
[Abstract] Objective To explore the application effect of psychological nursing and individualized health guidance in postoperative patients with breast cancer. Methods Thirty-five patients with breast cancer who received routine nursing in breast surgery of our hospital from January to December 2016 were selected as the control group， thirty-five patients with breast cancer who received psychological nursing and individualized health guidance on the basis of routine nursing in breast surgery of our hospital from January to December 2017 were selected as the observation group， and they were all women. Postoperative rehabilitation related indicators and mental health status of the two groups were compared. Results The rate of voluntary follow-up treatment and functional exercise in the observation group was higher than that in the control group， the total incidence of postoperative complications was lower than that in the control group， the hospitalization time and drainage tube retention time were shorter than those of the control group， the differences were statistically significant (P<0.05)； The scores of self-rating anxiety scale (SAS) and self-rating depression scale (SDS) in the observation group were lower than those in the control group， the differences were statistically significant (P<0.05). Conclusion Psychological nursing and individualized health guidance for breast cancer patients can improve their psychological status and postoperative rehabilitation related indicators， and help patients recover as soon as possible.
[Key words] Breast cancer； Psychological nursing； Individualized health； Postoperative rehabilitation
乳腺癌是發生在乳腺腺上皮组织的恶性肿瘤，约99%为女性患者。近年来流行病学资料显示，乳腺癌发病率正以每年3%的速度增长，发病年龄呈现出年轻化趋势，及时的治疗和护理干预显得十分必要[1-2]。目前，临床上常给予手术治疗，有较好的治疗效果，但存在引发患侧上肢功能障碍、乳房缺失等不良后果，使患者产生负面情绪，影响患者的生活质量。需在常规护理基础上加以心理护理和个体化健康指导，以促进患者生理功能恢复，调整心态，回归社会[3-4]。本研究通过探讨心理护理及个体化健康指导对乳腺癌患者术后康复的影响，以期为临床提供参考，现报道如下。
1资料与方法
1.1一般资料
选取2016年1～12月我院乳腺外科行常规护理的乳腺癌患者35例为对照组，并选取2017年1～12月我院乳腺外科在常规护理基础上加用心理护理和个体化健康指导的乳腺癌患者35例为观察组，均为女性。对照组，年龄29～58岁，平均(49.72±4.81)岁；病程3～8个月，平均(6.51±1.32)个月；乳腺癌病理分期：Ⅰ期6例，Ⅱ期18例，Ⅲ期11例。观察组，年龄28～58岁，平均(49.67±4.76)岁；病程3～8个月，平均(6.43±1.28)个月；乳腺癌病理分期：Ⅰ期5例，Ⅱ期19例，Ⅲ期11例。两组患者的一般资料比较，差异无统计学意义(P>0.05)，具有可比性。本研究已经医院医学伦理委员会审核批准。患者自愿参与本研究并签署同意书。, http://www.100md.com(朱富娣 张欢 李惠艳)