分阶段护理在乳腺癌术后患者中的应用效果

Application effects of staged nursing in patients after breast cancer surgery

目的:观察分阶段护理在乳腺癌术后患者中的应用效果。方法:选择70例乳腺癌患者作为研究对象,以随机数字表法将其分为对照组和观察组各35例。对照组行常规护理,观察组在对照组基础上行分阶段护理,比较两组护理前后患侧上肢功能、癌因性疲乏评分和并发症发生率。结果:护理后,观察组肩关节外展活动度和肩关节外旋活动度均大于对照组,上举距离高于对照组,Piper疲乏量表评分低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为2.86%(1/35),低于对照组的22.86%(8/35),差异有统计学意义(P<0.05)。结论:在常规护理基础上采用分阶段护理可改善乳腺癌术后患者患侧上肢功能,降低癌因性疲乏评分和并发症发生率,效果优于单纯常规护理。

Objective:To investigate application effects of staged nursing in patients after breast cancer surgery.Methods:70 breast cancer patients were selected as the research objects,and were divided into control group and observation group by using the random number table,35 cases in each group.The control group received routine nursing,while the observation group was given staged nursing on the basis of that of the control group.The upper limb function of the affected side,cancer-related fatigue score and complication rate before and after the nursing were compared between the two groups.Results:After the nursing,the shoulder joint abduction range of motion and shoulder joint external rotation range of motion of the observation group were greater than those of the control group;the lifting distance was higher than that of the control group;the Piper fatigue scale score was lower than that of the control group;and the differences were statistically significant(P<0.05).The complication rate in the observation group was 2.86%(1/35),which was lower than 22.86%(8/35)in the control group,and the difference was statistically significant(P<0.05).Conclusions:On the basis of routine nursing,the staged nursing can improve the upper limb function of the affected side the patients after breast cancer surgery,and reduce the cancer-related fatigue score and the incidence of complications.Moreover,it is superior to single routine nursing.