优质护理干预在预防乳腺癌患者术后发生上肢淋巴水肿的应用效果

Application Effect of High-quality Nursing Intervention in Preventing Upper Limb Lymphedema of Breast Cancer Patients after Operation

目的探讨乳腺癌患者术后优质护理干预对上肢淋巴水肿的预防作用。方法回顾性选取2020年3月~2021年9月赤峰市医院乳腺癌患者150例,依据护理方法分为优质护理干预组和常规护理干预组,各75例,对两组患者的上肢淋巴水肿情况、护理效果、生活质量、负面心理、护理满意度进行统计分析。结果优质护理干预组患者的上肢淋巴水肿发生率低于常规护理干预组(P<0.05);优质护理干预组患者的护理优良率高于常规护理干预组(P<0.05);两组患者护理干预后的物质生活、躯体功能、心理健康、社会功能评分均高于护理干预前,差异均具有统计学意义(P<0.05)。护理干预前,两组患者的物质生活、躯体功能、心理健康、社会功能评分比较,差异无统计学意义(P>0.05);护理干预后,优质护理干预组患者的物质生活、躯体功能、心理健康、社会功能评分均高于常规护理干预组,差异均具有统计学意义(P<0.05)。护理前,两组患者的抗药、恐惧、自卑、其他负面心理比例比较,差异无统计学意义(P>0.05);护理后,优质护理干预组患者的抗药、恐惧、自卑、其他负面心理比例均低于常规护理干预组,差异均具有统计学意义(P<0.05)。结论乳腺癌患者术后采用优质护理干预较常规护理干预更能有效预防上肢淋巴水肿的发生,护理效果更好,同时更能有效提升患者生活质量,减轻患者负面心理,提升患者护理满意度,值得在临床应用。

Objective To explore the preventive effect of high-quality nursing intervention on upper limb lymphedema in breast cancer patients after operation.Methods One hundred and fifty breast cancer patients in Chifeng Hospital from March 2020 to September 2021 were retrospectively selected and divided into two groups according to nursing methods,with 75 cases in each group.The upper limb lymphedema,nursing effect,quality of life,negative psychology and nursing satisfaction of the two groups were statistically analyzed.Results The incidence of upper limb lymphedema in high quality nursing intervention group was lower than that in routine nursing intervention group(P<0.05);The excellent and good nursing rate of patients in the high-quality nursing intervention group was higher than that in the routine nursing intervention group(P<0.05);After nursing intervention,the scores of material life,physical function,mental health and social function of patients in both groups were higher than those before nursing intervention,and the difference was statistically significant(P<0.05);Before nursing intervention,the scores of material life,physical function,mental health and social function were not statistical significantly different between the two groups(P>0.05).After nursing intervention,the scores of material life,physical function,mental health and social function of patients in high-quality nursing intervention group were higher than those in routine nursing intervention group,and the difference was significant(P<0.05).Before nursing,there was no statistical significant difference in the proportion of drug resistance,fear,inferiority and other negative psychology between the two groups(P>0.05).After nursing,the proportion of drug resistance,fear,inferiority and other negative psychology in the evidence-based nursing group was lower than that in the routine nursing group,and the difference was significant(P<0.05).Conclusion Compared with routine nursing intervention,postoperative high-quality nursing intervention for breast cancer patients can effectively prevent lymphedema of upper limbs,and has better nursing effect.It can effectively improve patients’quality of life,reduce patients’negative psychology and improve patients’nursing satisfaction,which is worthy of clinical application.