探讨快速康复外科理念在护理乳腺癌改良根治围手术期患者中的应用效果

To Explore the Effect of Rapid Rehabilitation Surgery Concept in Nursing Patients with Modified Breast Cancer during Radical Perioperative Period

目的探讨乳腺癌改良根治围手术期患者护理中应用快速康复外科理念的效果。方法选取我院(2016年1月至2018年1月)行乳腺癌改良根治术患者90例,对照组(n=45)接受常规护理,观察组(n=45)接受快速康复外科理念护理,选用SPSS20.0统计学软件,对比两组术后并发症发生率和护理效果、住院时间以及患肢功能活动情况。结果两组患者术后并发症发生率对比26.67%vs28.89%差异不明显,无统计学意义(χ~2=0.1228,P<0.05);两组患者临床疗效93.33%(42/45)vs75.56%(34/45)对比差异明显,具有统计学意义(χ~2=12.0199,P<0.05);观察组住院时间(5.62±0.47)d明显短于对照组(7.12±0.40)d,差异具有统计学意义(t=16.3039,P<0.05);观察组出院当天、出院后1个月患侧上肢上举高度手指达同侧头顶与手指触对侧耳朵比例73.33%、84.44%明显高于对照组31.11%、46.67%,差异具有统计学意义(χ~2=35.7210、31.5887,P<0.05)。结论乳腺癌改良根治围手术期患者护理中应用快速康复外科理念可有效促进功能恢复,缩短住院时间,且不会增加并发症,值得临床推广。

Objective To explore the effect of applying the concept of rapid rehabilitation surgety in perioperative nursing of patients with improved radical resection of breast cancer.Methods To choose the hospital(from January 2016 to January 2018)line of breast cancer patients,90 cases of modified radical,the control group(n=45)for routine care,observation group(n=45)accept rapid rehabilitation concept of surgical nursing,choose SPSS20.0 statistical software,compared two groups of postoperative complications and nursing effect,the length of time and activity limb function.Results The incidence of postoperative complications between the two groups was not significantly different(χ~2=0.1228,P<0.05).The clinical efficacy of the two groups was93.33%(42/45)vs75.56%(34/45),with statistically significant difference(χ~2=12.0199,P<0.05).The length of hospital stay in the observation group(5.62±0.47)days was significantly shorter than that in the control group(7.12±0.40)days,and the difference was statistically significant(t=16.3039,P<0.05).On the day of discharge,and one month after discharge,the proportion of finger height on the affected side reaching to the top of the head on the same side and touching the ears on the opposite side was 73.33%and 84.44%in the observation group,which was significantly higher than 31.11%and 46.67%in the control group(χ~2=35.7210,31.5887,P<0.05).Conclusion The application of the concept of rapid rehabilitation surgery in perioperative nursing of patients with improved radical resection of breast cancer can effectively promote functional recovery,shorten the length of hospital stay,and do not increase complications,which is worthy of clinical promotion.