循证护理在老年乳腺癌患者居家康复护理中的应用

Application of evidence-based nursing in home rehabilitation of elderly patients with breast cancer

目的：探讨循证护理在老年乳腺癌患者居家康复护理中的应用情况。方法将86例老年乳腺癌患者按随机数字表法随机分为对照组和观察组，对照组采取常规的出院护理计划；观察组依据循证护理的要求进行全面的护理评估、系统分析、制定护理干预措施并予以实施。运用奥马哈系统对患者进行评分，评估出两组患者居家康复生活中环境、社会心理、生理及健康4方面的变化情况。结果干预后观察组认知评分为（7．987±3．520）分，行为评分为（7．341±2．895）分，现状评分为（7．756±2．903）分，分别高于对照组的（4．456±4．123），（4．780±3．214），（4．653±3．424）分，差异均有统计学意义（t值分别为4．198，4．495，4．179；P＜0．05）。干预后观察组衣、食、住、行及个人卫生方面的得分分别为（88．462±3．132），（96．875±1．990），（92．547±2．424），（86．342±3．452），（96．867±3．094）分，分别高于对照组的（68．764±3．098），（70．624±4．252），（66．245±2．870），（73．085±2．094），（68．326±3．021）分，差异均有统计学意义（t值分别为5．569，5．412，5．478，5．398，5．402；P＜0．05）。结论循证护理在老年乳腺癌患者居家康复护理中的应用情况良好。

Objective To discuss the application of evidence-based nursing in home rehabilitation of elderly patients with breast cancer .Methods Eighty-six elderly patients with breast cancer were randomly divided into the control group and the observation group .The control group received conventional nursing plan after discharge , while the observation group conducted comprehensive nursing evaluation , systematic analysis , nursing intervention methods and implementation according to evidence-based nursing . Changes in living environment of home rehabilitation , social mentality , mentality and health were evaluated by Omaha system . Results The score of recognition, behavior and current situation was respectively （ 7.987 ±3.520 ）, （7.341 ±2.895） and （7.756 ±2.903） in the observation group after intervention , which were higher than （4.456 ±4.123）,（4.780 ±3.214） and（4.653 ±3.424） in the control group, and the differences were statistically significant （t=4.198,4.495,4.179,respectively;P〈0.05）.The score of clothing, eating, living, transportation and personal hygiene was respectively （88.462 ±3.132）,（96.875 ±1.990）,（92.547 ± 2.424）,（86.342 ±3.452）,（96.867 ±3.094）in the observation group, which were higher than （68.764 ± 3.098）,（70.624 ±4.252）,（66.245 ±2.870）,（73.085 ±2.094）,（68.326 ±3.021） in the control group, and the differences were statistically significant （ t =5.569,5.412,5.478,5.398,5.402, respectively;P 〈0.05）.Conclusions Evidence-based nursing is effective for home rehabilitation of elderly patients with breast cancer.