乳腺癌术后皮肤张力性水泡的预防性护理和处理经验

Predictive nursing to reduce the incidence of postoperative breast cancer tension blisters in the use of management

目的探讨预见性护理在降低乳腺癌术后患者张力性水泡发生率中的运用。方法选取2018年1月~2018年12月本科室收治的274例乳腺癌患者,分为观察组(135例)和对照组(139例),两组均同时行乳腺癌根治术后予弹性胸衣加压包扎7天,对照组采用常规性的护理,而观察组行预见性护理干预,术后运用纱绢毛巾,预外涂赛肤润。对已发生张力性水泡的皮肤除常规抽吸水泡之外,外涂喜疗妥和聚维酮碘乳膏。比较两组患者予弹性胸衣穿戴后发生张力性水泡的发生率的情况。结果观察组经过预见性护理干预之后,观察组水泡发生率为15.29%,对照组水泡发生率为28.35%;水泡消除平均天数中,观察组平均消除天数为4天,对照组为8天,两组结果差异有统计学意义(P<0.05)。结论乳腺癌根治术后患者应用预见性皮肤护理可有效降低张力性水泡的发生。

Objective To explore the effect of the predictive nursing on reducing the incidence of skin blisters in patients with breast cancer after operation. Methods 274 cases of breast cancer patients were divided into observation group(136 cases)and control group(138 cases)from January 2018 to December 2018. Both groups were treated with elastic bras for 7 days after radical mastectomy. The control group received routine nursing care,while the observation group underwent predictive nursing intervention and pre painted Sanyrene skin moist. In addition to the conventional suction blisters,the skin that has undergone tension blisters is coated with a therapeutic of Hirudoidand povidone iodine cream. The incidence of tonic vesicles after wearing the elastic corset was compared between the two groups. Results After the predictive nursing intervention in the observation group,the incidence of blisters was 15.29% in the observation group and 28.35% in the control group. In the average number of days of blister elimination,the average elimination days in the observation group was 4 days,and the control group was 8 days. The difference was statistically significant(P<0.05). Conclusion The application of predictive skin care in patients with breast cancer after radical resection can effectively reduce the occurrence of tension blisters.