循证护理对乳腺癌根治术患者生活质量的影响

Evidence- based Nursing Affect the Quality of Life in Breast Cancer Patients Undergoing Radical

目的探讨循证护理干预措施的临床价值。方法将242例行乳腺癌根治术患者随机分为实验组122例和对照组120例。对照组给予乳腺癌根治术常规专业护理;实验组在乳腺癌根治术常规专业护理的基础上,给予循证护理干预措施,干预3周后,比较实验组和对照组护理前后的HAMA评分、SAS评分及SQLS评分。结果 (1)HAMA评分比较:实验组患者给予循证护理干预实施后评分均数为(8.68±2.59),对照组患者给予常规专业护理干预后评分均数为(9.62±2.77),t检验有统计学意义(P<0.05),实验组患者给予循证护理干预后总有效率为86.8%,对照组患者给予常规护理干预后总有效率为75.1%,χ2检验有统计学意义(P<0.05);(2)SAS评分比较:实验组患者给予循证护理干预后评分均数为(47.49±15.63),对照组患者给予常规护理后评分均数为(59.98±14.36),t检验有统计学意义(P<0.05),实验组患者给予循证护理干预后总有效率为84.0%,对照组患者给予常规护理干预后总有效率为71.8%,χ2检验有统计学意义(P<0.05);(3)SQLS评分比较:实验组患者给予循证护理干预后评分均数为(76.49±15.64),对照组患者给予常规护理后评分均数为(81.58±15.15),t检验有统计学意义(P<0.05),实验组患者给予循证护理干预后总有效率为81.4%,对照组患者给予常规护理干预后总有效率为69.1%,χ2检验有统计学意义(P<0.05)。结论给予循证护理干预措施能有效的降低HAMA、SAS评分,提高SQLS评分,改善乳腺癌根治术患者的生活质量,值得在临床进一步推广。

Objective To investigate the Evidence-based nursing affect the quality of life in breastcancer patients undergoing radical. Methods 120 cases in the control group,giving radical mastectomy regular professional care; experimental group,122 cases give evidence- based nursing interventions,three weeks after the intervention,the experimental group and the control group before and after nursing HAMA score,SAS score and score SQLS. Results（ 1） HAMA scores： Evidence- based nursing intervention mean score in the experimental groupthe was（ 8. 68 ± 2. 59）,regular professional carecontrol group number after scores were（ 9. 62 ± 2. 77）,t test was statistically significant（ P〈 0. 05）,the experimental group through certifiednursing interventions after total effective rate was 86. 8% in the control group after routine nursing interven tiontotal effective rate was75. 1%,χ2test was statistically significant（ P〈 0. 05）;（ 2） SAS scores： the experimental group scores were evidence- based nursingnumber of soil15. 6347. 49,after the usual carecontrol groupmeanscore（ 59. 98 ± 14. 36）,t testwas statistically significant（ P〈 0. 05）,the experimental groupof evidence- basednursing total effective rateof 84. 0%,after the usual care control group total effective rate of71. 8%,χ2test was statistically significant（ P〈 0. 05）.（ 3） SQLS scores：Evidence- Based care experimental group mean score15. 64to76. 49 soil,after the usual care control group,the mean score was（ 81. 58 ± 15. 15）,t testwas statistically significant（ P〈 0. 05）,evidence- based care after the experimentalgrouptotal effective rateof 81. 4%,after the usual care control group,the total effective rate was69. 1%,χ2test was statistically significant（ P〈 0. 05）. Conclusion Evidence- based care can effectively reduce HAMA,SAS scores,improve SQLS score,radical mastectomy patients to improve quality of life,worthy of further promotion in clinical practice.