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跨学科快速康复护理模式对乳腺癌患者的影响研究
Research on the influence of interdisciplinary fast recovery nursing mode on breast cancer patients
【摘要】 目的 探讨跨学科快速康复护理模式对乳腺癌患者生活质量及心理状况的影响。方法 选取2019年9月~2021年8月本院通过手术进行治疗的86例乳腺癌患者,按照手术时间分为两组,干预组(2020年9月~2021年8月)43例,给予患者跨学科快速康复护理模式进行干预;对照组(2019年9月~2020年8月)43例,给予患者常规护理干预。对比干预前后两组患者术后恢复相关指标、世界卫生组织生存质量测定量表简表(WHOQOL-BREF)评分、抑郁自评量表(SDS)评分、焦虑自评量表(SAS)评分。正态计量资料以 t 检验。结果 干预后,干预组术后下床时间、胃肠道恢复时间、住院时间均显著短于对照组(P<0.05);生理职能、社会功能、生理功能、情感职能、精神健康、活动、身体疼痛及总体健康评分均显著高于对照组(P<0.05);抑郁心理障碍、精神运动性障碍、躯体性障碍及精神性情感症状评分均显著低于对照组(P<0.05);神经功能焦虑情绪混合症状、运动性紧张、自主神经功能紊乱及焦虑情绪评分均显著低于对照组(P<0.05)。结论 针对乳腺癌患者,跨学科快速康复护理模式可有效改善乳腺癌根治术患者负性情绪,改善生活质量,促进术后康复。
【Abstract】 Objective To explore the effect of interdisciplinary rapid rehabilitation nursing model on the quality of life and psychological status of breast cancer patients.Methods A total of 86 breast cancer patients treated by surgery in our hospital from September 2019 to August 2021 were selected and divided into two groups according to the operation time.43 cases in the intervention group (September 2020 to August 2021) were selected.Intervention was given to patients with an interdisciplinary rapid rehabilitation nursing model;43 cases in the control group (September 2019 to August 2020) were given routine postoperative nursing interventions.The postoperative recovery-related indicators,the World Health Organization quality of life scale-brief (WHOQOL-BREF) score,the self-rating depression scale (SDS) score,and the self-rating anxiety scale (SAS) score were compared between the two groups before and after the intervention.Normal measurement data were tested by t test.Results After the intervention,the time to get out of bed,gastrointestinal recovery time and hospital stay in the intervention group were significantly shorter than those in the control group (P<0.05);the scores of physiological function,social function,physiological function,emotional function,mental health,activity,physical pain and overall health were higher than those of the control group (P<0.05);the scores of depressive psychological disorders,psychomotor disorders,physical disorders and psycho-emotional symptoms were lower than those of the control group (P<0.05);the scores of neurological anxiety mixed symptoms,motor tension,autonomic dysfunction and anxiety were lower than those of the control group (P<0.05).Conclusion For breast cancer patients,the interdisciplinary rapid rehabilitation nursing model can effectively improve the negative emotions of patients undergoing radical mastectomy,improve the quality of life,and promote postoperative recovery.
【Key words】 interdisciplinary rapid rehabilitation nursing model; breast cancer; quality of life; psychological status;
- 【文献出处】 心理月刊 , 编辑部邮箱 ,2022年16期
- 【分类号】R473.73
- 【下载频次】85