纽曼系统护理联合镜像疗法在乳腺癌根治术患者中的应用研究

Application research of Newman system nursing combined with mirror therapy in patients undergoing radical mastectomy

目的探讨纽曼系统护理联合镜像疗法在乳腺癌根治术患者中的应用效果。方法选取2020年3月至2022年3月萍乡矿业集团有限责任公司总医院收治的68例乳腺癌患者作为研究对象,采用随机数字表法将其分为对照组与观察组,每组各34例。对照组患者给予常规护理,观察组患者在对照组的基础上接受纽曼系统护理联合镜像疗法,两组均持续干预4周。比较两组患者的肩关节活动度、知觉压力水平、疼痛情况、生活质量和并发症。结果干预后,观察组患者的肩关节活动度中前屈活动度为(144.95±8.67)°、外展活动度为(70.39±3.59)°、内收活动度为(26.92±2.43)°、后伸活动度为(37.98±3.12)°,高于对照组的(132.86±8.45)、(65.13±3.40)、(20.28±2.32)、(34.39±3.02)°,差异有统计学意义(P<0.05)。干预后,观察组患者的中文版知觉压力量表(CPSS)评分为(32.37±2.11)分、疼痛数字评价量表(NRS)评分为(2.19±0.26)分,低于对照组的(40.18±2.25)、(4.36±0.52)分,差异有统计学意义(P<0.05)。干预后,观察组患者的癌症患者生命质量测定量表(EORTCQLQ-C30)评分为(79.96±5.48)分,高于对照组的(72.28±6.38)分,差异有统计学意义(P<0.05)。观察组患者的并发症总发生率为5.88%,低于对照组的23.53%,差异有统计学意义(P<0.05)。结论纽曼系统护理联合镜像疗法能够改善乳腺癌根治术患者肩关节活动度,减轻患者知觉压力水平和疼痛,减少并发症发生,有助于改善生活质量。

Objective To explore the application effect of Newman system nursing combined with mirror therapy in patients undergoing radical mastectomy.Methods A total of 68 breast cancer patients from General Hospital of Pingxiang Mining Group Co.,LTD.from March 2020 to March 2022 were selected as the subjects.They were divided into control group and observation group by random number table method,with 34 cases in each group.The control group was given routine nursing,and the observation group received Newman system nursing combined with mirror therapy on the basis of the control group.Both groups continued to intervene for 4 weeks.The shoulder range of motion,perceived pressure level,pain,quality of life and complications were compared between the two groups.Results After intervention,the range of motion of the shoulder joint in the observation group was(144.95±8.67)°in forward flexion,(70.39±3.59)°in abduction,(26.92±2.43)°in adduction,and(26.92±2.43)°in extension,the degree of activity was(37.98±3.12)°,which were higher than(132.86±8.45),(65.13±3.40),(20.28±2.32),(34.39±3.02)°of the control group,and the differences were statistically significant(P<0.05).After intervention,the Chinese perceived stress scale(CPSS)score of the observation group was(32.37±2.11),and the numerical rating scale(NRS)score was(2.19±0.26),which were lower than(40.18±2.25),(4.36±0.52)points of the control group,the differences were statistically significant(P<0.05).After the intervention,the European Organization for research and treatment of cancer QLQ-C30(EORTCQLQ-C30)score of the observation group was(79.96±5.48)points,which was higher than(72.28±6.38)points of the control group,and the difference was statistically significant(P<0.05).The total incidence of complications in the observation group was 5.88%,which was lower than 23.53%in the control group,and the difference was statistically significant(P<0.05).Conclusion Newman system nursing combined with mirror therapy can improve the range of motion of shoulder,reduce the level of perceived stress and pain,reduce the incidence of complications,and improve the quality of life in patients undergoing radical mastectomy.