循证护理对乳腺癌患者术后生活质量和功能锻炼依从性影响

Effect of evidence-based nursing on patients with breast cancer on their life quality and compliance of functional exercise

目的:探讨乳腺癌患者术后循证护理对其生活质量和功能锻炼依从性影响。方法:选择医院收治的70例乳腺癌手术患者,使用电脑随机盲选法分为循证护理组和常规护理组,比较两组患者生活质量和术后功能锻炼依从性。结果:循证组患者的功能尺度(躯体功能、角色功能、认知功能、情绪功能、社会功能)、自评项目(总健康状况)得分均高于常规组(P<0.05),其症状尺度(疲劳、疼痛、恶心呕吐)、单测项目(吞咽困难、食欲丧失、睡眠障碍、便秘、腹泻、经济困难)评分低于常规组(P<0.05),且循证组患者的功能锻炼依从率高于常规组(P<0.05)。结论:循证护理可有效改善乳腺癌患者临床症状,优化患者健康状况,提升其生活质量,增强患者术后功能锻炼依从性,效果突出,值得推广。

Objective:To explore the effect of evidence-based nursing on postoperative breast cancer patients'quality of life and functional exercise compliance.Methods:A total of 70 patients with breast cancer surgery admitted to Hospital were randomly divided into evidence-based nursing group and routine nursing group.The quality of life and compliance of postoperative functional exercise were compared between the two groups.Results:The function scale of the evidence-based group(physical function,role function,cognitive function,emotional function,social function),self-assessment items(total health status)scores were higher than the conventional group(P<0.05),and its symptom scale(Fatigue,pain,nausea and vomiting),single test items(dysphagia,loss of appetite,sleep disturbance,constipation,diarrhea,financial difficulties)scores are lower than the conventional group(P<0.05),and the evidence-based group of functional exercise compliance rate is higher Routine group(P<0.05).Conclusion:Evidence-based nursing can effectively improve the clinical symptoms of breast cancer patients,optimize the health status of patients,improve their quality of life,and enhance the compliance of patients with functional exercise after surgery.The effect is outstanding and worth promoting.