延续护理在乳腺癌术后应用效果及对其生活质量影响

The Effect of Continuous Nursing on Postoperative Application of Breast Cancer and Its Impact on Quality of Life

目的观察乳腺癌术后延续护理效果及对患者生活质量的影响。方法方便选取2015年5月—2017年9月期间在该院行手术治疗的乳腺癌患者84例,42例术后常规护理纳入对照组,42例术后实施延续护理纳入观察组,随访6个月时通过焦虑自评量表和抑郁自评量表评估心理状况,并观察患者生活质量,评估护理满意度。结果乳腺癌术后随访6个月时,观察组SF-36健康调查表生理机能、精神健康、情感职能、社会功能、精力、总体健康、躯体疼痛以及生理职能评分分别为(63.69±6.45)分、(69.72±7.41)分、(56.91±6.74)分、(49.48±5.49)分、(59.74±6.02)分、(53.08±6.45)分、(71.42±5.45)分及(56.74±5.06)分,高于对照组的(50.65±5.28)分、(56.34±6.12)分、(48.04±5.37)分、(36.15±6.12)分、(46.17±5.11)分、(41.71±5.67)分、(59.67±5.34)和(43.34±4.01),组间差异有统计学意义(t=10.138,9.023,6.670,10.507,11.137,5.597,9.980,13.451,P<0.05)。出院时两组患者SAS、SDS评分差异无统计学意义(P>0.05);出院后随访6个月时观察组患者SAS、SDS评分[(34.21±4.85)分、(32.66±5.36)分]均显著低于对照组[(50.65±5.32)分、(49.69±4.78)分],组间差异有统计学意义(t=14.799,15.367,P<0.01)。随访6个月时,观察组患者护理总满意度为95.24%,高于对照组的64.29%,组间差异有统计学意义(χ2=12.464,P<0.01)。结论乳腺癌术后实施延续护理可改善患者负性情绪,提高生活质量和患者满意度,促进护患关系和谐发展。

Objective To observe the effect of continuous nursing care on breast cancer and its impact on patients' quality of life. Methods 84 patients with breast cancer who underwent surgery in the hospital from May 2015 to September 2017 were conveniently enrolled. 42 patients received routine nursing care in the control group, and 42 patients received postoperative continuation care in the observation group. The follow-up period was 6 months. The psychological status was assessed by the Self-rating Anxiety Scale and the Self-rating Depression Scale, and the quality of life of the patients was observed to assess the satisfaction of the nursing. Results After 6 months of follow-up of breast cancer, the SF-36 health questionnaire showed that the physiology, mental health, emotional function, social function, energy, overall health, physical pain and physiological function scores of the observation group were (63.69±6.45)points,(69.72±7.41)points,(56.91±6.74)points,(49.48±5.49)points,(59.74±6.02)points,(53.08±6.45)points,(71.42±5.45)points and (56.74±5.06)points, higher than the control group (50.65± 5.28)points,(56.34±6.12)points,(48.04±5.37)points,(36.15±6.12)points,(46.17±5.11)points,(41.71±5.67)points,(59.67±5.34)points and (43.34±4.01)points, statistics between groups of significance (t=10.138, 9.023, 6.670, 10.507, 11.137, 5.597, 9.980, 13.451, P<0.05). There were no significant differences in SAS and SDS scores between the two groups at the time of discharge (P>0.05). The SAS and SDS scores of the observation group [(34.21±4.85)points,(32.66±5.36)points] were significant at 6 months after discharge. Compared with the control group [(50.65±5.32)points,(49.69±4.78)points], the difference between the groups was statistically significant (t=14.799, 15.367, P<0.01). At 6 months follow-up, the total satisfaction of patients in the observation group was 95.24%, which was higher than that in the control group (64.29%). The difference between the groups was statistically significant (χ^2=12.464, P<0.01). Conclusion The implementation of continuous nursing after breast cancer surgery can improve patients' negative emotions, improve their quality of life and patient satisfaction, and promote the harmonious development of nurse-patient relationship.