互动式护理干预对乳腺癌术后患者睡眠障碍及腋网综合征发生率的影响

Effect of interactive nursing intervention on the incidence of sleep disorders and axillary network syndrome in patients after breast cancer surgery

目的分析互动式护理干预对乳腺癌改良根治术后患者睡眠障碍发生率、腋网综合征发生率、睡眠质量、社会支持度、生存质量的影响。方法选取2019年6月至2021年6月徐州医科大学附属淮安医院(淮安市第二人民医院)甲乳外科收治的68例乳腺癌患者展开前瞻性研究,采用随机数字表法分为两组,每组各34例。对照组患者按照甲乳外科护理规范实施护理,观察组在其基础上实施互动式护理干预。于护理前、出院前利用匹兹堡睡眠质量指数量表(PSQI)、社会支持评定量表(SSRS)、生存质量测定量表简表(QOL-BREF)对睡眠质量、社会支持度、生存质量进行评估,统计出院前的睡眠障碍发生率以及腋网综合征发生率,对评估结果进行比较。结果护理前两组患者的PSQI、SSRS、QOL-BREF评分比较,差异无统计学意义(P>0.05);出院前两组患者的PSQI、SSRS、QOL-BREF评分均优于护理前,且观察组优于对照组,差异有统计学意义(P<0.05)。观察组和对照组患者的睡眠障碍发生率、腋网综合征发生率依次为8.82%、11.76%和20.59%、23.53%,观察组低于对照组,差异有统计学意义(P<0.05)。结论互动式护理干预能降低乳腺癌术后患者睡眠障碍及腋网综合征发生率,改善生存质量,有广阔的推广使用前景。

Objective To analyze the effect of interactive nursing intervention on the incidence of sleep disorders,axillary network syndrome,sleep quality,social support,and quality of life in patients after modified radical mastectomy for breast cancer.Methods A prospective study was conducted on 68 breast cancer patients who were admitted to Department of Thyroid and Breast Surgery,the Affiliated Huai’an Hospital of Xuzhou Medical University(Huai’an Second People’s Hospital)from June 2019 to June 2021.They were divided into two groups using the random number table method,34 cases in each group.The patients in the control group implemented nursing care in accordance with the nursing norms of breast surgery,and the observation group implemented interactive nursing intervention on the basis of it.The Pittsburgh sleep quality index(PSQI),social support rating scale(SSRS),and quality of life-BREF(QOL-BREF)were to used to assess sleep quality,social support,and quality of life before nursing and discharge.The incidence of sleep disorders and the incidence of axillary network syndrome before discharge were counted,and the evaluation results were compared.Results The PSQI,SSRS,and QOL-BREF scores of the two groups before nursing were not statistically different(P>0.05).The PSQI,SSRS,and QOL-BREF scores of the two groups before discharge were better than those before nursing,and the observation group was better than the control group,the differences were statistically significant(P<0.05).The incidence rates of sleep disorders and axillary network syndrome in the observation group and in the control group were 8.82%,11.76%and 20.59%,23.53%,the observation group was lower than the control group,and the differences were statistically significant(P<0.05).Conclusion Interactive nursing intervention can reduce the incidence of sleep disorders and axillary network syndrome in patients after breast cancer surgery,and improve the quality of life.It has broad prospect s for promotion and use.