循证护理对乳腺癌改良根治术后患者上肢功能锻炼依从性及生活质量的影响

Effect of evidence-based nursing on functional exercise compliance and quality of life in patients with breast cancer after modified radical mastectomy

目的探讨循证护理对乳腺癌改良根治术后患者上肢功能锻炼依从性及生活质量的影响。方法选取2014年1月—2016年2月肿瘤外科收治的乳腺癌患者70例,随机分为循证组和常规组,各35例。常规组实施常规护理措施,循证组在常规组基础上给予循证护理模式。观察2组患者术后上肢功能锻炼依从性,对比护理干预前后2组健康调查简表(SF-36)评分。结果循证组患者上肢功能锻炼依从率为94.29%(33/35),高于对照组的74.29%(26/35),差异有统计学意义(P<0.05)。与护理前相比,2组护理后的SF-36量表各维度评分均提高,且循证组高于常规组,差异均有统计学意义(P<0.05);2组护理前后的生活质量各维度评分均低于国内常模,差异有统计学意义(P<0.05)。结论循证护理模式可有效提高乳腺癌改良根治术后患者上肢功能锻炼的依从性,改善患者的生活质量。

Objective To investigate the effect of evidence-based nursing on functional exercise compliance and quality of life in patients with breast cancer after modified radical mastectomy.Methods A total of 70 patients with breast cancer after modified radical mastectomy were selected and randomly divided into the evidence-based group and routine group,with 35 cases in each group.Both two groups received routing nursing care,and the evidence-based group was given evidence-based nursing interventions. The compliance to upper limbs exercise was observed,and the quality of life was assessed by 36-item short-form health survey questionnaire（ SF-36） before and after intervention.Results The compliance rate of functional exercise in the evidence-based group was 94. 29%（33 /35）and was 74. 29%（26 /35） in the routine group,with a significant difference（P〈0.05）. Scores of each dimension in SF-36 were increased in both two groups after nursing interventions compared with those before intervention（P〈0.05）,and were higher in the evidence-based group than those in the routine group（P〈0.05）. Scores of each dimension in two groups before and after intervention were lower than those of average level of national normal population respectively,with significant differences（P〈0.05）.Conclusion Evidence-based nursing model can effectively enhance the functional exercise compliance of and improve the quality of life in patients with breast cancer after modified radical mastectomy.