渐进式健康教育联合同理心理护理对乳腺癌术后乳房整形患者美容效果及心理状态的影响

Effects of Progressive Health Education Combined with Empathy Psychological Nursing on Cosmetic Effect and Psychological Status of Patients Undergoing Breast Plastic Surgery after Breast Cancer Surgery

目的:探讨渐进式健康教育联合同理心理护理对乳腺癌术后乳房整形患者美容效果及心理状态的影响。方法:选取2019年1月-2019年12月250例在笔者医院接受乳房整形的乳腺癌患者,随机分为对照组和观察组,各125例。对照组行常规护理,观察组在对照组基础上实施渐进式健康教育联合同理心理护理。比较两组护理后美容优良率、术后并发症发生率、护理前后汉密尔顿抑郁自评量表(Hamilton depression scale,HAMD)和汉密尔顿焦虑自评量表(Hamilton anxiety scale,HAMA)和罗森伯格自尊量表(Rosenberg self-esteem scale,SES)评分、护理满意度评分。结果:观察组患者保乳整形后美容优良率为86.40%高于对照组79.20%,但组间比较差异无统计学意义(P>0.05)。观察组并发症发生率为4.80%低于对照组12.00%,观察组患者健康知识掌握率为81.60%高于对照组68.80%,差异均有统计学意义(P<0.05)。两组护理后HAMD、HAMA评分均低于护理前,SES评分高于护理前;观察组患者护理后HAMD、HAMA评分均低于对照组,SES评分高于对照组,差异有统计学意义(P<0.05)。护理后,观察组患者在科室环境、护理人员沟通讲解、态度和配合度四个方面的护理满意度得分高于对照组,差异有统计学意义(P<0.05)。结论:渐进式健康教育联合同理心理护理有利于降低乳房整形患者术后并发症发生率,改善其不良情绪,自尊水平和护理满意度更高。

Objective To explore the effects of progressive health education combined with empathy psychological nursing on cosmetic effect and psychological status of patients undergoing breast plastic surgery.Methods During the period from January 2019 to December 2019,250 patients with breast cancer who underwent breast plastic surgery in the hospital were randomly divided into the control group and the observation group,125 cases in each group.The control group received routine nursing,and the observation group received progressive health education combined with empathic psychological nursing on the basis of the control group.The good rate of cosmetology after nursing,incidence of postoperative complications,scores of Hamilton depression scale(HAMD),Hamilton anxiety scale(HAMA),Rosenberg self-esteem scale(SES)and nursing satisfaction before and after nursing were compared between the two groups.Results The excellent and good cosmetic rate of the observation group was 86.40%,which was higher than that of the control group(79.20%),but there was no significant difference between the two groups(P>0.05).The incidence of complications in the observation group was 4.80%,which was lower than that in the control group(12.00%),the difference was statistically significant(P<0.05).The mastery rate of health knowledge in the observation group was 81.60%,which was higher than that in the control group(68.80%,P<0.05).The HAMD and HAMA scores of the two groups after nursing were lower than those before nursing,and the SES scores were higher than those before nursing(P<0.05).The HAMD and HAMA scores of the observation group after nursing were lower than those of the control group,and the SES scores were higher than those of the control group(P<0.05).After nursing,nursing satisfaction scores in terms of department environment,communication explanation,attitude and cooperation of nursing staffs in observation group were higher than those in control group(P<0.05).Conclusion Progressive health education combined with empathy psychological nursing is conducive to reducing incidence of postoperative complications and improving negative emotions of patients undergoing breast plastic surgery,with higher self-esteem level and nursing satisfaction.